Case report of a patient with perforations involving pars tensa and pars flaccida

From Otolaryngology Online

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. Perforation over pars flaccida of left ear

3. Cholesteatomatous flakes in the attic region

Diagnosis: Secondary acquired cholesteatoma

Figure showing perforations in pars tensa and pars flaccida