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SILENT CHOLESTEATOMA

SILENT CHOLESTEATOMA Abstract THE PURPOSE of this article is to call attention to the problem of "silent" cholesteatoma. It is not our intention to discuss the various theories of the formation of otogenic cholesteatoma; however, we do feel that none of the existing theories satisfactorily explains all cases. The one common finding in our group of cases was that at various stages or throughout the course of the otologic disease no perforation of the drum or attic was present. Complicating symptoms, such as labyrinthic fistula, can lead to a misdiagnosis of Ménière's disease; facial paralysis resembles Bell's palsy, and conductive deafness can be ascribed to otosclerosis, as in two recent cases of fenestration. Recent experiences with a large group of cases have made us alert to the existence of "silent" cholesteatoma as a causative factor in otherwise obscure otologic symptoms. The following cases were selected to illustrate this problem. REPORT OF CASES Case http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png A.M.A. Archives of Otolaryngology American Medical Association

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Publisher
American Medical Association
Copyright
Copyright © 1953 American Medical Association. All Rights Reserved.
ISSN
0096-6894
DOI
10.1001/archotol.1953.00710030698009
Publisher site
See Article on Publisher Site

Abstract

Abstract THE PURPOSE of this article is to call attention to the problem of "silent" cholesteatoma. It is not our intention to discuss the various theories of the formation of otogenic cholesteatoma; however, we do feel that none of the existing theories satisfactorily explains all cases. The one common finding in our group of cases was that at various stages or throughout the course of the otologic disease no perforation of the drum or attic was present. Complicating symptoms, such as labyrinthic fistula, can lead to a misdiagnosis of Ménière's disease; facial paralysis resembles Bell's palsy, and conductive deafness can be ascribed to otosclerosis, as in two recent cases of fenestration. Recent experiences with a large group of cases have made us alert to the existence of "silent" cholesteatoma as a causative factor in otherwise obscure otologic symptoms. The following cases were selected to illustrate this problem. REPORT OF CASES Case

Journal

A.M.A. Archives of OtolaryngologyAmerican Medical Association

Published: Jun 1, 1953

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