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Paths of extension by acquired cholesteatoma

Paths of extension by acquired cholesteatoma
PS: posterior superior quadrant toward mastoid; PF: pars flaccida toward attic (pneumatized space just superior to the middle ear); TS: retraction at old tube site toward middle ear.
Reproduced with permission from Pediatrics, Vol. 120, Pages 603-8, Copyright © 2007 by the AAP.
Graphic 64096 Version 20.0