Attic Cholesteatoma Radiology

The external acoustic canal is a rare location for a cholesteatoma with an estimated incidence around 1 2 per 1 000 new otological patients. Radiopaedia is free thanks to our supporters and advertisers. The mass extends superiorly into the attic and appears to have eroded through the tegmentum as well as through the fallopian canal of the facial nerve and perhaps the lateral semicircular canal.

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Cholesteatoma

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Cholesteatoma Radiology Reference Article Radiopaedia Org

Keywords temporal bone cholesteatoma middle ear external auditory canal introduction a cholesteatoma is a cystic mass filled with keratin and lined by stratified squamous epithelium.

Attic cholesteatoma radiology.

The signal intensity should be higher than visible on the dwi images with b value 0 s mm 2. It is the only entity that demonstrates high signal intensity on dwi. This case is a histologically proven case of cholesteatoma. However the sequence is prone to artefact and care must be taken how the sequence is performed and interpreted 2.

Cholesteatoma is not a neoplasm and can be thought of most simply as skin in the wrong place. For comparison the annual incidence of middle ear cholesteatoma is around 9 2 per 100 000. The overall incidence rate in one large study was 0 30 per year per 100 000 inhabitants 1. Although a cholesteatoma is histologically identical to an epidermoid or epidermal.

On the adc map a low signal should be visible in the same area confirming the presence of diffusion restriction. Findings are characteristic of an acquired cholesteatoma. On the dwi images with b value 1000 s mm 2 a cholesteatoma becomes apparent as a hyperintense area. Diffusion weighted imaging is particularly useful when distinguishing a cholesteatoma from other middle ear masses.

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Cholesteatoma Radiology Case Radiopaedia Org

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