ENT · Chronic Suppurative Otitis Media and Cholesteatoma

In the staging system for cholesteatoma (EAONO/JOS 2017 consensus), Stage III disease corresponds to:

  • A Cholesteatoma confined to the primary site only
  • B Cholesteatoma extended beyond the primary site but without complications or inner ear involvement
  • C Bilateral cholesteatoma regardless of extent
  • D Cholesteatoma with extension to a structure requiring specific surgical approach and/or with associated complication
Correct answer: D. Cholesteatoma with extension to a structure requiring specific surgical approach and/or with associated complication

Explanation

The EAONO/JOS 2017 staging: Stage I = cholesteatoma confined to one site (primary site); Stage II = cholesteatoma in more than one site but without complications or inner ear involvement; Stage III = cholesteatoma with complications or requiring specific surgical approach (e.g., labyrinthine fistula, facial nerve involvement, intracranial extension); Stage IV = subtotally/totally resected cholesteatoma or bilateral. This staging guides surgical planning and expected outcomes.

Reference: Dhingra Diseases of Ear, Nose and Throat, 7th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

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