CHL and attic perforation (51/1700)

A 5yo girl had earache and some yellowish foul smelling discharge, perforation at the attic and
conductive hearing loss. She has no past hx of any ear infections. What is the most appropriate
dx?
a. Acute OM
b. OM with effusion
c. Acquired cholesteatoma
d. Congenital cholesteatoma

























answer: C
Unsafe perforations are
a)
In the attic or
b)
In the posterior region. These are often
linear rather than oval
c)
Or involve the eardrum margin