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CHOLESTEATOMA: SOME NEW PRINCIPLES IN ITS TREATMENT, INCLUDING THE TEST FOR ITS CHEMICAL DEMONSTRATION

CHOLESTEATOMA: SOME NEW PRINCIPLES IN ITS TREATMENT, INCLUDING THE TEST FOR ITS CHEMICAL... Abstract Otologists are familiar with the important rôle played by cholesteatoma as a complication in suppuration of the middle ear. Examination of the pus with the naked eye usually gives a sufficient basis for suspecting cholesteatoma. In addition, the various-sized masses revealed by irrigation with the attic cannula strengthen the diagnosis. The detection of typical cholesterol crystals under the microscope gives positive evidence of cholesteatoma. Unfortunately, these crystals are lacking in many cases. Their absence, therefore, does not exclude the possibility of cholesteatoma. Recently, efforts have been made to determine the presence of cholesteatoma by roentgen examination, but results in general are uncertain, although occasionally the pictures show the size and location of the mass. Johannes Müller first called attention to the presence of cholesterol in the tumors made up of desquamating epithelium in chronic suppurative otitis media, and he therefore named these masses cholesteatoma. Virchow opposed this nomenclature. In his References 1. Rejtö: Verhandl. d. Gesellsch. deutsch. Hals-, Nasen- u. Ohrenarzte , 1929, p. 452. 2. This is manufactured by the I. G. Farbenindustrie Aktien Gesellschaft, Leverkusen, am Rhein. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Otolaryngology American Medical Association

CHOLESTEATOMA: SOME NEW PRINCIPLES IN ITS TREATMENT, INCLUDING THE TEST FOR ITS CHEMICAL DEMONSTRATION

REJTÖ, ALEXANDER
Archives of Otolaryngology , Volume 13 (5) – May 1, 1931
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Publisher
American Medical Association
Copyright
Copyright © 1931 American Medical Association. All Rights Reserved.
ISSN
0003-9977
DOI
10.1001/archotol.1931.03660020073005
Publisher site
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Abstract

Abstract Otologists are familiar with the important rôle played by cholesteatoma as a complication in suppuration of the middle ear. Examination of the pus with the naked eye usually gives a sufficient basis for suspecting cholesteatoma. In addition, the various-sized masses revealed by irrigation with the attic cannula strengthen the diagnosis. The detection of typical cholesterol crystals under the microscope gives positive evidence of cholesteatoma. Unfortunately, these crystals are lacking in many cases. Their absence, therefore, does not exclude the possibility of cholesteatoma. Recently, efforts have been made to determine the presence of cholesteatoma by roentgen examination, but results in general are uncertain, although occasionally the pictures show the size and location of the mass. Johannes Müller first called attention to the presence of cholesterol in the tumors made up of desquamating epithelium in chronic suppurative otitis media, and he therefore named these masses cholesteatoma. Virchow opposed this nomenclature. In his References 1. Rejtö: Verhandl. d. Gesellsch. deutsch. Hals-, Nasen- u. Ohrenarzte , 1929, p. 452. 2. This is manufactured by the I. G. Farbenindustrie Aktien Gesellschaft, Leverkusen, am Rhein.

Journal

Archives of Otolaryngology – American Medical Association

Published: May 1, 1931

References