Resumen
Definición
Anamnesis y examen
Principales factores de diagnóstico
- hearing loss
- ear discharge resistant to antibiotic therapy
- attic crust in retraction pocket
- white mass behind intact tympanic membrane
Otros factores de diagnóstico
- tinnitus
- otalgia
- altered taste
- dizziness
- facial nerve weakness
Factores de riesgo
- middle ear disease
- eustachian tube dysfunction
- otologic surgery
- traumatic blast injury to ear
- congenital anomalies
- family history
Pruebas diagnósticas
Primeras pruebas diagnósticas para solicitar
- pure tone audiogram
- CT scan of the petrous temporal bones
Pruebas diagnósticas que deben considerarse
- fistula test
- MRI scan of the head and petrous temporal bones
- bacterial culture
Algoritmo de tratamiento
all patients
Colaboradores
Autores
Susan A. Douglas, MBBS (Hons) UWI, FRCSEd, FRCS (ORL-HNS)
Consultant Otolaryngologist and Otologist
Rotherham NHS Foundation Trust
Rotherham
UK
Divulgaciones
SAD declares that she has no competing interests.
Revisores por pares
Cliff Megerian, MD
Professor and Vice Chairman of Otolaryngology
Case Western Reserve University School of Medicine
Cleveland
OH
Divulgaciones
CM is an author of a reference cited in this topic.
Iain Swan, MD, FRCS
Senior Lecturer in Otolaryngology
Honorary Consultant Otolaryngologist
Glasgow Royal Infirmary
Glasgow
UK
Divulgaciones
IS declares that he has no competing interests.
Peer reviewer acknowledgements
BMJ Best Practice topics are updated on a rolling basis in line with developments in evidence and guidance. The peer reviewers listed here have reviewed the content at least once during the history of the topic.
Disclosures
Peer reviewer affiliations and disclosures pertain to the time of the review.
Referencias
Artículos principales
Kuo CL, Shiao AS, Yung M, et al. Updates and knowledge gaps in cholesteatoma research. Biomed Res Int. 2015;2015:854024.Texto completo Resumen
Castle JT. Cholesteatoma pearls: practical points and update. Head Neck Pathol. 2018 Sep;12(3):419-29.Texto completo Resumen
Isaacson G. Diagnosis of pediatric cholesteatoma. Pediatrics. 2007 Sep;120(3):603-8. Resumen
Bhutta MF, Williamson IG, Sudhoff HH. Cholesteatoma. BMJ. 2011 Mar 3;342:d1088. Resumen
Ayache D, Darrouzet V, Dubrulle F, et al. Imaging of non-operated cholesteatoma: clinical practice guidelines. Eur Ann Otorhinolaryngol Head Neck Dis. 2012 Jun;129(3):148-52. Resumen
American College of Radiology. ACR appropriateness criteria: hearing loss and/or vertigo. 2018 [internet publication].Texto completo
Artículos de referencia
Una lista completa de las fuentes a las que se hace referencia en este tema está disponible para los usuarios con acceso a todo BMJ Best Practice.
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