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The Clinical Picture

Cholesteatoma

Malek H. Bouzaher, MD, Suat Kilic, MD and Samantha Anne, MD
Cleveland Clinic Journal of Medicine May 2023, 90 (5) 279-281; DOI: https://doi.org/10.3949/ccjm.90a.22064
Malek H. Bouzaher
Department of Otolaryngology, Head and Neck Institute, Cleveland Clinic, Cleveland, OH
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Suat Kilic
Department of Otolaryngology, Head and Neck Institute, Cleveland Clinic, Cleveland, OH
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Samantha Anne
Department of Otolaryngology, Head and Neck Institute, Cleveland Clinic, Cleveland, OH; Professor, Cleveland Clinic Lerner College of Medicine of Case Western Reserve University, Cleveland, OH
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    Figure 1

    Computed tomography of the patient’s temporal bone, without contrast. (A) The axial view shows demineralization and erosion of the incus (arrow), and (B) the coronal view shows soft-tissue extension along the length of the incus (arrow).

  • Figure 2
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    Figure 2

    (A) Intraoperative visualization of the patient’s retraction cholesteatoma (yellow arrow) prior to removal, with keratin debris in the posterosuperior quadrant (blue arrow). A small remnant of normal tympanic membrane was noted near the annulus anteriorly (green arrow). (B) After elevation of the tympanic membrane (green arrowhead), the lesion was found to have eroded through the tip of the incus (blue arrowhead).

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Cleveland Clinic Journal of Medicine: 90 (5)
Cleveland Clinic Journal of Medicine
Vol. 90, Issue 5
1 May 2023
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Cholesteatoma
Malek H. Bouzaher, Suat Kilic, Samantha Anne
Cleveland Clinic Journal of Medicine May 2023, 90 (5) 279-281; DOI: 10.3949/ccjm.90a.22064

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Cholesteatoma
Malek H. Bouzaher, Suat Kilic, Samantha Anne
Cleveland Clinic Journal of Medicine May 2023, 90 (5) 279-281; DOI: 10.3949/ccjm.90a.22064
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    • CHOLESTEATOMA: KEY FEATURES
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