Fifty patients of chronic suppurative otitis media with clinical suspicion of cholesteatoma were studied and an attempt to correlate their clinical, radiological and surgical finding was made.
Scanty, purulent and foul smelling discharge was pathognomic of cholesteatoma. In the study, radiological diagnosis was correct in 30 [60.00%] cases and operative diagnosis was correct in 40 [80%] cases. Incorrect radiological diagnosis was shown in 10 [20.00%] cases as they did not show evidence of cholesteatoma on X-ray. Misleading radiological diagnosis was observed in 10 [20.00%] cases as these cases did not prove to be cholesteatoma at operation. So it can be established that surgical evidence of cholesteatoma had better correlation with clinical evidence than with radiological investigation. It is also stated that clinical diagnosis of cases of cholesteatoma should always be tried and clinically diagnosed cases of cholesteatoma must always undergo surgical exploration with or without radiological evidence
O. P. Sachdeva ,
Correlation of clinical, radiological and surgical manifestations of cholesteatoma,
Pak. J. Otolaryngol.-Head Neck Surg. 1993;
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