10 Years old boy came with


1. Foul smelling discharge from left ear 2 years duration

2. Hard of hearing for 1 1/2 years

3. Giddiness on exposure to loud noise 6 months


Measles 2 1/2 years back

Video otoscopic examination:

1. Large central perforation in the pars tensa of left ear

2. Peforation over pars flaccida of left ear

3. Cholesteatomatous flakes in the attic region


Image showing a large central perforation in pars flaccida, and a small perforation in pars flaccida
with cholesteatomatous flakes in the attic region.

Diagnosis: Secondary acquired cholesteatoma

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