Incidence of Cholesteatoma in Chronic Suppurative Otitis Media, Atticoantral Disease

Abstract

Background: Atticoantral variety of chronic suppurative otitis media also referred to as unsafe
is a deep-seated inflammation of middle ear cleft involving underlying bone and is usually
associated with cholesteatoma. The purpose of study was to see the presence of cholesteatoma
in clinically diagnosed cases of chronic suppurative otitis media atticoantral type.
Material and Methods: Sixty cases of chronic suppurative otitis media clinically diagnosed as
atticoantral variety were included in this study. These patients had attic, marginal or total
perforation and foul smelly discharge of more than two years duration. Mastoid exploration was
done and findings were recorded for cholesteatoma and non-cholesteatoma ears.
Results: Cholesteatoma was found in 45 patients (75%), and only granulations were seen in 15
patients (25%).
Conclusion: Patients having long standing foul smelling discharge and attic perforation always
have underlying cholesteatoma or granulation tissue.