Cholesteatoma may be divided into two common types first is congenital and acquired. Congenital cholesteatomas are more frequently create in the anterior aspect of the ear drum, in contrast to acquired cholesteatomas that commonly arise from the pars flaccida region of the ear drum in the posterior-superior phase of the ear drum.
Acquired cholesteatomas can be result by a tear or repeal of the ear drum. Patients who develop a cholesteatoma typically have problems with middle ear fluid and infections. Ear infections are common with cholesteatoma and can revolt to a foul smelling discharge that may contain blood.
Common sign and symptoms of cholesteatoma may involve hearing loss, dismiss from the ear with a strong odor, bleeding from the ear, dizziness, vertigo, balance disruption, ear ache, headaches or tinnitus. Sometimes bone attrition causes the infection which is spread into the surrounding areas such as the inner ear and brain.
Cholesteatomas if left untreated could result in complete hearing loss, brain abscess, meningitis and in rare cases, death. Cholesteatomas require medical treatment as quickly as possible. Initial treatment may comprise of a careful cleaning of the ear, antibiotics, and ear drops. Therapy goals to stop drainage in the ear by manging the infection. In exceptional cases of serious infection, prolonged hospitalization for antibiotic treatment may be essential. The primary goal of surgery for cholesteatoma is treating the infection. The secondary goal is to restore hearing.
The primary purpose of the surgery is to get rid the cholesteatoma and infection and achieve an infection-free, dry ear. Surgery include a vanaesthetic and an slash behind the ear and in the auditory meatus. Steroid creams, steroid-including drops, and daily applications of gentian violet can be used to help control the development and extent of granulation tissue. As they grow, they can look like an onion peel of white skin formed into a ball. Timely and complete treatment of chronic ear infection may assist to prevent several cases of cholesteatoma.
Posted in: Surgery
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