Overview

Definition

Destructive, expanding growth of squamous epithelium in the middle ear.

Epidemiology

Varies globally. Often age and lifestyle dependent.

Etiology & Risk Factors

  • Eustachian tube dysfunction, recurrent otitis media.

Clinical Symptoms

  • Painless otorrhea
  • conductive hearing loss.

Clinical Approach

Diagnosis

  • Otoscopy (pearly white mass).

Management

  • Surgical excision.

Complications

  • Ossicular erosion
  • facial nerve palsy
  • hearing loss.