The question of the relationship of cholesteatoma of the accessory sinuses and middle ear to this metaplasia of the epithelium is not yet settled: so far a case of cholesteatoma has not been recorded in which there was no possibility of the epithelium coming in from a surface covered by squamous epithelium (mouth, skin, external auditory meatus), but cases have been described in which this metaplasia of the epithelium was regarded as the cause of the cholesteatoma formation:
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