Cholesteatoma - Definition, Symptoms, Complications and Treatment

Cholesteatoma - An Abnormal, Non-cancerous  (Destructive and Expanding) Skin Growth (Keratinizing Squamous Epithelium) in The Ear

Cholesteatoma Definition

Cholesteatoma Definition
Cholesteatoma Definition

Cholesteatoma is  foci of inflammation arising from skin cells in the middle ear behind the eardrum. Normal skin cell debris and the ear wax which excreted from outer ear  moved towards outward. Sometimes there is a problem in this process (hole in the eardrum is seen as a barrier, the fact that the negative pressure in the middle ear, chronic or recurrent middle ear infection) can cause for developing of cholesteatoma.

Cholesteatoma can lead to more serious problems, such as chronic ear infections, hearing loss is permanent and  dizziness. More rarely, meningitis, brain abscess, can cause facial paralysis. Cholesteatoma can be found in the middle ear, years before symptoms occur. It's an inflammation, although the structures that make up the contents of a benign, which acts as malignant tumors which can dissolve the bone tissue structures.

There are two types of cholesteatoma: Acquired and congenital cholesteatoma cholesteatoma.
The most common type of acquired cholesteatoma cholesteatoma. It occurs after a hole in the eardrum, or tympanic membrane in a slump pocket (retraction pockets) . After the formation of holes in the eardrum, healthy skin cells towards by moving the the outer ear to the middle ear  rear side of the membrane, initiate the formation of cholesteatoma.

Congenital kolesteaom is much more rare and it occurs behind the intact eardrum. These cholesteatomas often go unnoticed for a long time. Congenital cholesteatoma thought to arise from "misguided" cells during fetal development.

How does cholesteatoma occur?

Cholesteatomas are divided into "Acquired Cholesteatoma" and "Congenital Cholesteatoma" according to their appearance. Acquired cholestetoma is the most common type of cholesteatoma and occurs after collapse or perforation of the eardrum. After the hole in the eardrum has emerged, the skin cells that move from the outer ear canal to the middle ear initiate the formation of cholesteatoma. Congenital cholesteatomas are rare and have a congenital healthy eardrum with a cholesteatoma ball.

Cholesteatoma Symptoms

Cholesteatoma Symptoms
Cholesteatoma Symptoms

Cholesteatomas grow in a long time without any symptoms. Cholesteatomas often cause the following symptoms:

- Hearing loss
- Intermittent or persistent ear infections
- Foul-smelling ear discharge
- In rare cases, the pain and crusting
- Very advanced cases, facial weakness / paralysis of the face, dizziness, full deafness and neurological symptoms may occur.

Diagnosis of Cholesteatoma

Diagnosis of cholesteatoma is made by microscopy of ear ear, thin section tomography and ear MRI. Imaging methods are used to assess the size, boundaries, and status of adjacent structures of the cholesteatoma.

While the skin cells present in the cholesteatoma consistently produce new ones; old dead cells cannot be removed and accumulate in a closed space. As a result, the destruction and pressure of the surrounding tissue constantly occurs. Cholesteatomas provide a favorable environment for bacteria, fungi and other microorganisms in the middle ear and can cause continuous infection.

Cholesteatoma Complications

Cholesteatoma Complications
Cholesteatoma Complications
 Depending on the surrounding tissues destroyed the health complications of cholesteatoma can be seen in the following:

- Labyrinthitis (inner ear infection)
- Permanent hearing loss (see hearing impairment)
- Headache
- Vestibular problems
- Nystagmus
- Facial Paralysis
- Chronic inflammation of the middle ear
- Meningoencephalitis
- Ear pain
- Tinnitus (ringing in the ears)
- Intracranial abscess / granuloma ...

Cholesteatoma Treatment

Cholesteatoma Treatment
Cholesteatoma Treatment
Antibiotics may reduce associated infections, but no drug therapy to treat cholesteatomas are available. Surgical treatment of cholesteatoma removal and restoration of hearing to ensure that the most appropriate treatment option. Cholesteatoma in the middle ear and mastoid air cells are often foci of inflammation residues mastoidectomy surgeries are performed in order to clean. This is the eardrum surgery cataract operations (tympanoplasty), and middle ear bones repair (ossiküloplasti) surgery can be performed. Cholesteatoma for patients with large amount, two-stage surgical procedure can be recommended. Focus of the first procedure and any associated cholesteatoma is to clear chronic infections. 6-12 months after the second surgery, the damaged bones in the middle ear can be repaired during the repair or titanium ossicular prosthesis (PORPs or TORPs) can be used.

Mastoidectomy operation video - 1

Mastoidectomy operation video - 2

Bad Smell Inflammatory Ear Discharge May Be a Symptom of "Cholesteatoma" Video

Similar links >> Bad Smell Inflammatory Ear Discharge May Be a Symptom of "Cholesteatoma"!

Source links >>

  • Cholesteatoma
  • Cholesteatoma: MedlinePlus Medical Encyclopedia
  • Cholesteatoma | Health |
  • Cholesteatoma | Vestibular Disorders Association
  • Cholesteatoma - NHS Choices
  • Cholesteatoma - eMedicine World Medical Library - Medscape
  • Cholesteatoma Causes, Diagnosis & Treatments - Clinical Key
  • Cholesteatoma - Cause of Hearing Loss and Deafness

  • Murat Enoz, MD, Otorhinolaryngology, Head and Neck Surgeon - ENT Doctor in Istanbul

    Private Office:
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