Related Experiment Video
Updated: Jun 16, 2026
Endoscopic Cholesteatoma Surgery
Published on: January 19, 2022
Conservative management of advanced external auditory canal cholesteatoma
E Ashlie Darr1, Christopher J Linstrom
1Department of Otolaryngology, New York Eye & Ear Infirmary, 310 E 14th St, 6th Flr, New York,NY 10003, USA. adarr@nyee.edu
Objective:
To investigate the spectrum of disease presentation and clinical management of primary external auditory canal cholesteatoma (EACC).
Study Design:
Case series with chart review.
Setting:
Specialty teaching hospital.
Subjects And Methods:
Ten cases of primary EACC were identified in nine patients treated over 14 years (1995-2009). Cases were reviewed with regard to demographics, presentation, physical examination, CT findings, and clinical management.
Results:
The most common symptoms were otalgia and hearing loss, followed by otorrhea and tinnitus. Erosion was present in the mastoid air cells in seven patients, middle ear in six, temporomandibular joint in two, otic capsule in two, and fallopian canal in one patient. Eight of nine patients were managed with serial debridement.
Conclusions:
EACC is associated with adjacent bony erosion, most often involving the inferior EAC. Despite the potentially destructive nature of these lesions, most cases can be successfully managed with serial debridement.
