June 8, 2014
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Otoscopic Clinic

Treatment of automastoidectomy depends on the nature of the patient's symptoms, the presence or absence of pathologic tissue, the presence of complications, and the shape and degree of epithelialization of the resulting mastoid cavity.

A 77-year-old woman with a history of recurrent otitis media in the left ear as a child presented for follow-up after diagnosis of a left-sided cholesteatoma 2 years earlier. She had declined surgery at the time of diagnosis. She reported left-sided hearing loss that had remained unchanged since her cholesteatoma diagnosis. She denied tinnitus, vertigo, otalgia, and otorrhea. A review of systems was significant for ongoing sinus headaches, sinus pressure, and recent epistaxis. Her otologic history was negative for any direct trauma or surgery.

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