Easily missed? Cholesteatoma

Bhutta, Mahmood F., Williamson, Ian G. and Sudhoff, Holger H. (2011) Easily missed? Cholesteatoma. BMJ, 342, d1088. (doi:10.1136/bmj.d1088).


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A 24 year old man presented to his general practitioner several times over a year with an intermittently discharging left ear and associated hearing loss. Visualisation of the tympanic membrane was not possible owing to otorrhoea and oedema in the external auditory canal. He was treated for presumed otitis externa with repeated courses of topical antibiotic drops, but as improvement was only temporary he was referred to a specialist. An otolaryngologist cleared the external auditory canal of debris (“aural toilet”) and discovered a cholesteatoma arising from the left tympanic membrane; this was successfully treated by surgical excision.

Item Type: Article
Digital Object Identifier (DOI): doi:10.1136/bmj.d1088
ISSNs: 0959-8138 (print)
1468-5833 (electronic)
Subjects: R Medicine > RF Otorhinolaryngology
Divisions : University Structure - Pre August 2011 > School of Medicine > Community Clinical Sciences
Faculty of Medicine > Primary Care and Population Sciences
ePrint ID: 181655
Accepted Date and Publication Date:
3 March 2011Published
Date Deposited: 18 Apr 2011 14:08
Last Modified: 31 Mar 2016 13:36
URI: http://eprints.soton.ac.uk/id/eprint/181655

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