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Cholesteatoma in an old temporal bone fracture line

Cholesteatoma in an old temporal bone fracture line
Keratinizing squamous epithelium can enter the middle ear through a temporal bone fracture. The above image depicts a cholesteatoma in an old temporal bone fracture line (arrows).
Courtesy of Glenn C Isaacson, MD, FAAP, FACS.
Graphic 53944 Version 2.0