10 Recidivism The possibility of disease recurrence makes the surgical manage ment of cholesteatoma challenging. Recurrent cholesteatoma is defined as cholesteatoma that re-forms after complete surgical excision. Residual cholesteatoma is…
11 Complications of the Disease Acute and chronic otitis media, with or without cholesteatoma, consists of inflammation of the pneumatized spaces of the temporal bone, which include the eustachian tube,…
9 Congenital Cholesteatoma Congenital cholesteatoma is cholesteatoma that occurs in a child, behind an intact tympanic membrane.1 Congenital cholesteatoma is thought to arise from an epithelial rest that gets trapped…
5 The Meatus and Cavity Management ♦ Cholesteatoma The external auditory meatus is often not given its due importance in discussions of ear disease and ear surgery. The meatus is…
7 Situations That Arise at Surgery: Hearing Issues This chapter and the previous one address the unique situations that arise during cholesteatoma surgery. The prior chapter dealt with anatomical factors…
12 Complications of the Surgery The complications of cholesteatoma surgery relate to recurrence, residual, or recidivism of the disease, infection, cavity management, and loss of the specialized functions of the…
Figure 9-1 A, Complete cryptophthalmos, both eyes. B, Incomplete cryptophthalmos of the right eye, with eyelid fused to cornea superonasally. Cryptophthalmos occurs in both an isolated and a recessive syndromic…
The corneal epithelium is a highly differentiated cell type that is entirely regenerated approximately every 7 days. In the mechanically abraded cornea (eg, total epithelial debridement during vitrectomy surgery or…
Effective immune responses to foreign antigens require cells to “traffic” through tissues. Chemokines (chemotactic cytokines) are critical mediators that provide the trafficking signals to immune cells. These are low-molecular-weight proteins,…
FIGURE 11.1 Nasopalatine Duct Cyst, 200×. The cyst is lined by a ciliated pseudostratified cuboidal to the low columnar epithelium (inset lower left, 400×) with underlying fibroconnective tissue and a prominent…
