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 ✓
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.
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Written and medically reviewed by the StethoPrep medical team.