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Adhesive chronic otitis media

Case contributed by Roberto Schubert
Diagnosis almost certain

Presentation

Chronic otitis media. Progressive hearing loss on the left ear.

Patient Data

Age: 40 years
Gender: Female

The left middle ear is filled by soft tissue completely encasing the auditory ossicles. There is some residual ventilation near the tympanic ostium of the Eustachian tube. In this region, a linear calcification can also be seen. In the right middle ear, there are also some strands with soft tissue attenuation neighboring the tympanic membrane, which is retracted on both sides. The right ossicles are not affected. Bilateral mastoid sclerosis is also present. There are no bony destructions hinting at a cholesteatoma.

Case Discussion

This case depicts a typical chronic adhesive/suppurative otitis media.

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