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Cholesteatoma

Hearing Loss28 January 2023Updated 6 October 20232 minutes read
The Short Answer

A cholesteatoma is an abnormal build-up of skin cells that forms a growing sac in the middle ear. It is not cancer, but it will not clear on its own: surgery is the only effective cure, as antibiotics offer only temporary relief. Left untreated, it can gradually erode the tiny hearing bones.

At a Glance

Key Takeaways

  • Cholesteatoma is a benign build-up of skin cells that grows within the middle ear.
  • Common symptoms include hearing loss, ear pain, dizziness, discharge and recurring ear infections.
  • Diagnosis uses an otoscopic ear examination, hearing tests and sometimes a CT or MRI scan.
  • Treatment usually means surgery to remove the growth and repair any damage to the ear.

Cholesteatoma is a condition that affects the middle ear, where a benign growth of skin cells develops and expands within the ear. This growth can cause a range of symptoms, including hearing loss, ear pain, dizziness, and ear infections.

  1. Causes:

Cholesteatoma is caused by an abnormal accumulation of skin cells in the middle ear. This accumulation can be due to chronic ear infections, trauma to the ear, or congenital abnormalities. In some cases, the cause of cholesteatoma may be unknown.

  1. Symptoms:

The symptoms of cholesteatoma can vary depending on the severity of the condition. Common symptoms include hearing loss, ear pain, dizziness, and ear infections. Other symptoms may include tinnitus (ringing in the ear), drainage from the ear, and facial weakness.

  1. Diagnosis:

Diagnosing cholesteatoma typically involves a thorough physical examination of the ear, including an otoscopic exam to look for signs of the growth. Additional tests may be required, such as a hearing test, a CT scan, or an MRI. In some cases, a biopsy may be necessary to confirm the diagnosis.

  1. Treatment:

Treatment for cholesteatoma typically involves surgery to remove the growth and repair any damage to the ear. The type of surgery required will depend on the severity and location of the cholesteatoma. The most common operation is a mastoidectomy, in which the cholesteatoma is removed from behind the ear, often alongside a tympanoplasty to repair the eardrum and any damage to the small hearing bones. Antibiotics may also be prescribed to treat any underlying ear infections.

  1. Prevention:

Preventing cholesteatoma involves addressing underlying ear infections and seeking prompt medical attention for any ear-related symptoms. It is also essential to avoid trauma to the ear, such as head injuries.

In conclusion, cholesteatoma is a condition that can cause a range of symptoms, including hearing loss, ear pain, dizziness, and ear infections. It is caused by an abnormal accumulation of skin cells in the middle ear and can be diagnosed through a physical examination and additional tests. Treatment typically involves surgery to remove the growth and repair any damage to the ear. Prevention involves addressing underlying ear infections and seeking prompt medical attention for any ear-related symptoms. By understanding the causes, symptoms, diagnosis, treatment, and prevention of cholesteatoma, individuals can take steps to manage the condition and protect their ear health.

Patient Questions

Frequently Asked Questions

What is a cholesteatoma?

A cholesteatoma is an abnormal collection of skin cells that builds up and grows within the middle ear. Although it is not cancerous, it can gradually enlarge and damage the surrounding structures. It commonly causes hearing loss, ear discharge and recurring infections.

What are the symptoms of a cholesteatoma?

Symptoms often include gradual hearing loss, ear pain, dizziness and repeated ear infections. Many people also notice a persistent, sometimes smelly discharge from the ear, tinnitus, or in some cases facial weakness. See a professional if these symptoms persist.

How is a cholesteatoma treated?

A cholesteatoma is usually treated with surgery to remove the growth and repair any damage to the ear. There is no medicine that cures it, as antibiotics and ear cleaning only offer temporary relief. Antibiotics may be prescribed first to settle any active infection.

Can a cholesteatoma be prevented?

Cholesteatoma cannot reliably be prevented, as it often develops from problems with the eardrum or Eustachian tube. The best step is to have any persistent ear symptoms — such as ongoing discharge, pain or hearing loss — checked promptly, so a cholesteatoma can be found and treated early before it causes damage.

Is a cholesteatoma cancerous or dangerous?

A cholesteatoma is not cancer, but it should not be ignored. As it grows it can wear away the tiny hearing bones and, rarely, lead to more serious complications, so a prompt assessment and treatment are important.

References

Sources

  1. NHSCholesteatoma
  2. ENT UKMastoid Surgery / Cholesteatoma
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