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Article
June 1951

PRIMARY AURAL CHOLESTEATOMA

Author Affiliations

ALBANY, N. Y.
From the Department of Otolaryngology, Albany Medical College.

AMA Arch Otolaryngol. 1951;53(6):662-667. doi:10.1001/archotol.1951.03750060057008
Abstract

THE PURPOSE of this paper is to present the conflicting views concerning the origin of aural cholesteatoma and to direct attention to the premise that this lesion may have a single cause. It seems plausible to attempt to combine the various types of this lesion under one grouping. Why have different explanations for a pathological process which may clinically manifest itself in various forms? However, it is essential to explain how a tumor composed of stratified epithelial cell elements can arise in a cavity lined by columnar epithelium.

Cholesteatoma, incidentally a poor term, literally means a tumor of bile and fat. It was first used by Müller in 1838 when he discovered the laminated appearance of the cholesterin-containing cyst. Several years previously, the lesion was originally described by Cruveilheir,1 who called it a "pearl tumor." Virchow in 1855 felt that these growths were congenital in nature and due to

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