Clinical case Discussion - Atticoantral/ Squamous CSOM

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This note covers the following topics on Clinical Case Presentation of Atticoantral CSOM :

- How each point of history and clinical examination is important in reaching your provisional diagnosis.

- What is the importance of Past history, Family history, Personal history?

- Questions asked in viva voce during examination.

- Different signs related to the ear like Ironed out mastoid, Battle sign, Griesinger sign, Frank’s Sign, Hennebert’s sign, etc.

- Why is the ear discharge in Atticoantral CSOM scanty, purulent, foul smelling and blood stained?

- Differences between Tubotympanic VS Atticoantral CSOM

- Differences between Mastoiditis VS Furunculosis

- What is Round window shielding effect?

- How to differentiate between Conductive & Sensorineural Hearing Loss based on history?

- What is the most common site of labyrinthine fistula?

- Triad in Gradenigo syndrome

- Tos Classification of Pars Flaccida Retraction 

- Sade Classification of Pars Tensa Retraction 

- Boundaries of Prussak’s Space, McEwan’s Triangle, Anterior & Posterior pouch of von Troeltsch, Facial Recess, Sinus Tympani

- 3 point tenderness test, Fistula test

- Which frequency is the most preferred for tuning fork? 

- What is Granulation Tissue, Korner’s Septum

- What is CSOM? Types of CSOM.

- What is Cholesteatoma? Theories of Cholesteatoma? How is bone eroded in Cholesteatoma? Spread of Cholesteatoma.

- Medical management in Cholesteatoma

- Which is the first bone to get eroded in Cholesteatoma? Why?

- Management of a case of Atticoantral CSOM which includes Investigation and Treatment.

- Modified Radical Mastoidectomy - Definition, Indications, Steps, Disadvantages, Complications

- Terms related to Mastoidectomy - Facial Bridge, Facial Ridge, Anterior Buttress, Posterior Buttress, Cog

- Differential Diagnosis of Mastoid cavity

- What is Recidivism? Types of Recidivism

- Hidden Areas in Ear

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