8 august 2008 a retraction pocket seen in the attic or posterosuperior quadrant of a tympanic membrane is the hallmark of an acquired cholesteatoma. Clinical practice cholesteatoma diagnosing the unsafe ear 634 reprinted from australian family physician vol. Stratified squamous epithelium may also be present in the middle ear as other clinical or pathological entities such as metaplastic islands of the mucosa. 
				
			
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