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Definition Return to top
Cholesteatoma is a type of cyst located in the middle ear.Causes, incidence, and risk factors Return to top
Cholesteatoma can be a congenital (present at birth) defect, but it more commonly occurs as a complication of chronic ear infection. Long-term inflammation and malfunction of the eustachian tube leads to chronic negative pressure in the middle ear.
This pulls a portion of the eardrum (tympanic membrane) inward, creating a sac or cyst that fills with old skin cells and other debris. The cyst becomes chronically infected. The cyst typically continues to fill with debris over time and may erode the mastoid bone and the bones of the middle ear.
Symptoms Return to top
Signs and tests Return to top
Inspection of the ear may show a pocket or perforation (opening) in the eardrum, often with drainage. The deposit of old skin cells may be visible with an otoscope.Your doctor may order a CT scan to further evaluate the problem.
Treatment Return to top
The only known treatment is surgical removal of the cholesteatoma. Surgery may involve the creation of a common area in the middle ear and mastoid bone that may need to be periodically cleaned by the surgeon.Expectations (prognosis) Return to top
Cholesteatomas usually continue to grow if not removed. Surgical treatment is effective, but there may be a need for periodic cleaning or repeat surgery if the cholesteatoma recurs.Complications Return to top
Calling your health care provider Return to top
Call your health care provider if ear pain, drainage from the ear, or other symptoms occur or worsen, or if hearing loss occurs.Prevention Return to top
Prompt and complete treatment of chronic ear infection may help to prevent some cases of cholesteatoma. Update Date: 7/8/2004 Updated by: Kevin Fung, MD, FRCS(C), Department of Otolaryngology, University of Western Ontario, London, Ontario, Canada. Review provided by VeriMed Healthcare Network.
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Page last updated: 28 October 2004 |