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Acute on-chronic middle ear disease

K Ghufoor¹, J Diver, P O'Flynn

¹Department of Otorhinolaryngology, Royal National Throat Nose and Ear Hospital, London, UK.

International Journal of Clinical Practice

|September 23, 1998

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Cholesteatoma, a rare cause of discharging ear, can present as acute mastoiditis. This study highlights three such cases, emphasizing the importance of considering cholesteatoma in mastoiditis diagnoses.

Area of Science:

Otolaryngology
Infectious Diseases

Background:

Discharging ear is a common symptom in otolaryngology, with otitis externa and media being the most frequent causes.
Cholesteatoma, though less common, typically presents with chronic offensive discharge and hearing loss.

Observation:

Acute mastoiditis as an initial presentation of cholesteatoma is rare.
The incidence of acute mastoiditis has decreased due to antibiotic use.

Findings:

This paper details three cases where cholesteatoma manifested as acute mastoiditis.
These cases underscore a rare but critical presentation of cholesteatoma.

Implications:

Clinicians should maintain a high index of suspicion for cholesteatoma in patients presenting with mastoiditis, even if atypical.

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Early diagnosis of cholesteatoma presenting as mastoiditis is crucial for effective management and preventing complications.