Chronic Otitis Media and Cholesteatoma

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Abstract
Cholesteatoma may arise because of a number of events, but serous otitis media appears to be the precursor in the majority of instances. Whether one enters into conservative, simple excision of the keratotic mass or a more extensive modified radical mastoidectomy or radical exteriorizing procedure will depend upon whether the cholesteatoma is in a very small “pearl-like” mass, confined to a limited area, or whether it is dispersed to the point where total eradication is all but impossible.

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