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Article Details

Clinical Image

Volume 5, Issue 10 (October Issue)

Congenital Cholesteatoma: A Univocal Otoscopic Finding

Timothy Mathieson* and Nils Guinand

Department of Otorhinolaryngology & Head and Neck Surgery, University Hospitals of Geneva, 4 Rue Gabrielle Perret-Gentil, 1211 Geneva, Switzerland

*Corresponding author: Timothy Mathieson, Department of Otorhinolaryngology & Head and Neck Surgery, University Hospitals of Geneva, 4 Rue Gabrielle Perret-Gentil, 1211 Geneva, Switzerland.
E-mail: timothy.mathieson@hcuge.ch

Received: September 18, 2023; Accepted: October 04, 2023; Published: October 25, 2023

Citation: Mathieson T, Guinand N. Congenital Cholesteatoma: A Univocal Otoscopic Finding. Clin Image Case Rep J. 2023; 5(10): 353.

Congenital Cholesteatoma: A Univocal Otoscopic Finding
Abstract

We present a clinical otoscopy image of the left ear revealing a homogenous whitish retro tympanic formation with an otherwise calm ear drum, without perforation nor retraction pocket in a 6-year-old male who was referred for progressive unilateral conductive hearing loss. Such findings are highly suggestive of congenital cholesteatoma and should warrant further investigation. A cone beam CT revealed a soft tissue density mass filling the left middle ear cavity and diffusion-weighted magnetic resonance imaging later confirmed the diagnosis with a focal restriction of diffusion. The child underwent surgery and a pearly white matrix distinctive for cholesteatoma was removed. Our aim is to depict a typical clinical finding which should immediately raise suspicion for an uncommon pediatric otologic pathology. Written consent for publication was obtained from the patient and his legal representative.