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         Cholesteatoma:     more books (37)
  1. Treatment of the Uncomplicated Aural Cholesteatoma (Continuing Education Program (American Academy of Otolaryngology--Head and Neck Surgery Foundation).) by Andrew J. Miller, Ronald G. Amedee, et all 1999-08
  2. External auditory canal cholesteatoma: a rare entity.(Disease/Disorder overview): An article from: Ear, Nose and Throat Journal by Matthew Dang, Enrique Palacios, 2006-12-01
  3. Cholesteatoma - A Medical Dictionary, Bibliography, and Annotated Research Guide to Internet References by ICON Health Publications, 2004-09-16
  4. Cholesteatoma and Anterior Tympanotomy by Tamotsu Morimitsu, 1997-01-15
  5. Cholesteatoma: Webster's Timeline History, 1887 - 2007 by Icon Group International, 2009-07-10
  6. The mechanical reduction of early acquired cholesteatomas in children: indications and limitations.: An article from: Ear, Nose and Throat Journal by Eric R. Grimes, Glenn Isaacson, 2006-04-01
  7. Cholesteatoma and Mastoid Surgery by M. Tos, J. Thomsen, 1989-10-05
  8. Update on the medical and surgical treatment of chronic suppurative otitis media without cholesteatoma.(Disease/Disorder overview): An article from: Ear, Nose and Throat Journal by Patrick J. Antonelli, 2006-10-01
  9. Cholesteatoma and Mastoid Surgery
  10. Otolaryngology: Bell's Palsy, Cholesteatoma, Thyroid Neoplasm, Head and Neck Cancer, Rhinoplasty, Facial Trauma, Snoring, Oral Allergy Syndrome
  11. Surgery of the Ear: Current Topics (Proceedings of the 8th International Conference on Cholesteatoma and Ear Surgery)
  12. Surgical Treatment of Middle Ear Cholesteatoma (Advances in Oto-Rhino-Laryngology) by M. Wayoff, 1987-08
  13. Consideration of the Dermal Versus the Epidermal Cholesteatomas Having Their Attachment in the Cerebral Envelopes by Gilbert Horrax, 1922-01-01
  14. Cholesteatoma.(PATHOLOGY CLINIC)(Clinical report): An article from: Ear, Nose and Throat Journal by Gabriel Caponetti, Lester D.R. Thompson, et all 2009-11-01

61. May 14, 2000 - Cholesteatoma I
cholesteatoma I Chairperson AR.Ceroni, Bologna/Italy CoChairperson VV.Berezniuk,Dnjepropetrovsk/Ukraine. Time, Number, Title, Author. 4.30 - 6.00 pm, 138.
http://www.eufos2000.org/2nd_announcement/sunday/hall9_sunday_4.html
Scientific Program
Sunday, May 14, 2000, 4.30 - 6.00 p.m.
Hall 9
4th European Congress of Oto-Rhino-Laryngology, Head and Neck Surgery
Cholesteatoma I
Chairperson: A.R.Ceroni, Bologna/Italy
Co-Chairperson: V.V.Berezniuk, Dnjepropetrovsk/Ukraine
Time Number Title, Author 4.30 - 6.00 p.m. Pathogenesis of attic cholesteatoma
H. Sudhoff, M.Tos, Bochum, Copenhagen, Germany/Denmark The importance of mucosal folds in the pathogenesis of cholesteatoma
E. Tomescu, S. Albu, M. Cosgarea, Cluj/Romania Surgery for paediatric pars tensa retraction pocket - long term results of excision and ventilation tube insertion
G. A. Worley, S. P. A. Blaney, D. A. Bowdler, London/Great Britain Surgical treatment of retraction pockets H. Skarzynski, K. Miszka, R. Zawadzki, P. Szwedowicz, et al., Warsaw/Poland Factors affecting the outcome of ICWT in managing cholesteatoma O. N. Özgirgin, M. Aksit, T. Özcelik, Ankara/Turkey Cholesteatoma surgery: five years follow up Z. Maksimovic, J. Grigic, M. Rosso, Osijek/Croatia Cholesteatoma in children C.H.Martin, N.Lachheb, P.Bertholon, J.M.Prades, Saint Etienne/France

62. May 16, 2000 - Cholesteatoma Surgery
cholesteatoma surgery Under the auspices of the Politzer Society Chairperson AG.Kerr,Belfast/United Kindom CoChairperson G.Hughes, Cleveland/USA Coordinator
http://www.eufos2000.org/2nd_announcement/tuesday/hall2_tuesday_2.html
Scientific Program
Tuesday, May 16, 2000, 11.00 a.m. - 1.00 p.m.
Hall 2
4th European Congress of Oto-Rhino-Laryngology, Head and Neck Surgery
Cholesteatoma surgery
Under the auspices of the Politzer Society
Chairperson:
A.G.Kerr, Belfast/United Kindom
Co-Chairperson: G.Hughes, Cleveland/USA
Coordinator: G.Baier, Würzburg/Germany
Time Number Title, Author 11.00 a.m. - 12.00 a.m.
Key note lectures: History of ear surgery in the 19th century P.van den Broek, Nijmegen/The Netherlands Basic sciences in cholesteatoma C.Milewski, Würzburg/Germany 12.00 a.m. - 1.00 p.m. Panel: Cholesteatoma surgery Moderator: R.Charachon, Grenoble/France Participants: Routine application of 1356 canal wall. Techniques, results J.Magnan, Marseille/France Cholesteatoma surgery in children using obliteration and staging U.Mercke, Lund/Sweden Long-term results in cholesteatoma surgery using tympano-ossicular allografts: what did we learn? P.Govaerts, E.Offeciers, Th.Somers, Antwerp-Wilrijk/Belgium Surgical management of epitympanic cholesteatoma with intact ossicular chain: the modified Bondy technique M.Sanna, Parma/Italy

63. Dorlands Medical Dictionary
cholesteatoma (cho·le·ste·a·to·ma) (ko²leste²schwa-to¢mschwa) chole-+ steatoma a cystlike mass or benign tumor lined with stratified squamous
http://www.mercksource.com/pp/us/cns/cns_hl_dorlands.jspzQzpgzEzzSzppdocszSzuszS

64. Health Library Find Information On Cholesteatoma At MerckSource
Find information on cholesteatoma at MerckSource. Learn more about cholesteatoma,A type of cyst located in the middle ear. Powered by ADAM, Inc. cholesteatoma.
http://www.mercksource.com/pp/us/cns/cns_hl_adam.jspzQzpgzEzzSzppdocszSzuszSzcns

65. Cholesteatoma
The summary for this Bihari page contains characters that cannot be correctly displayed in this language/character set.
http://www.geocities.com/thirayost1/web_health/om5.html
à»ç¹ÀÒÇзÕèÁÕ s tratified squamous keratinizing epithelium cholesteatoma ¹Õéà»ç¹ misno mer à¾ÒÐÁѹäÁèãªè t umor áÅÐäÁèÁÕ c holesterol Primary acquired cholesteatoma ¾º 82% ¡ÅØèÁ¹Õé¨ÐäÁèÁÕ»ÐÇѵÔâ¤ËÙÁÒ¡è͹ Seconary acquired cholesteatoma Attic Retraction ¡Ò·ÕèÁÕ¡ÒÍØ´µÑ¹¢Í§ e ustachisan tube ÍÂèÒ§à×éÍѧ ¨ÐÁռŷÓãËéÁÕ n egative pressure µèÍ S hrapnell’s membrane attic à¡Ô´à»ç¹ i nvaginated pocket ·ÕèºØ´éÇ s quamous epithelium ¾Í¹Ò¹à¢éÒ¡çÁÕ s hedding of keratin squames ÊÐÊÁ㹶ا¹Õéà×èÍÂ仨¹¢ÂÒÂãË­è¢Öé¹ áÅСѴ¡è͹ÅØ¡ÅÒÁà¢éÒä»ã¹ a ttic, middle ear and mastoid antrum ¡Å䡹ÕéÊÒÁҶ͸ԺÒ¡Òà¡Ô´ p rimary acquired cholesteatoma Immigration â´ÂÁÕ¡Òà¤Å×è͹·Õè¢Í§ s tratified squamous keratinizing epithelium ¨Ò¡ËÙªÑ鹹͡ ¼èÒ¹ m arginal perforation à¢éÒä»ã¹ËÙªÑ鹡ÅÒ§ ¡Å䡹Õé͸ԺÒ¡Òà¡Ô´ s econdary acquired cholesteatoma Implantation â´Â¶éÒà¡Ô´ÍغѵÔà˵ØáÅéÇ·ÓãËéÁÕ t emporal bone fracture Ë×Í t raumatic perforation of ear drum ¡ç¨Ð·ÓãËéÁÕ v iable stratified squamous epithelium cholesteatoma µèÍä» ¡Å䡹Õé͸ԺÒ¡Òà¡Ô´ c holesteatoma µÒÁËÅѧ b last type of traumatic perforation of ear drum Squamous Metaplasia â´ÂÁÕ¡ÒÍÑ¡àʺà×éÍѧ¢Í§ËÙªÑ鹡ÅÒ§ÍÂÙè¹Ò¹ æ ¨Ð·ÓãËéÁÕ¡Òà»ÅÕè¹á»Å§¢Í§àÂ×èͺآͧËÙªÑ鹡ÅÒ§ ¨Ò¡ r espiratory epithelium stratified squamous keratinizing epithelium S/S ÐÂÐᡨÐäÁèÁÕÍÒ¡ÒÍÐä ¨¹¡ÇèÒ¨ÐÁÕ¡ÒÅØ¡ÅÒÁà¢éÒä»ã¹ËÙªÑ鹡ÅÒ§ Ë×Í m astoid PE ot oscop e ¨ÐµÇ¨¾º attic polyp, crust or white keratin debris ã¹ËÙªÑ鹡ÅÒ§

66. Cholesteatoma - HealthBoards Bulletin Board
repeated ear infections/ eustachian tube dysfunction/ nasal allergies etc or otherear problems should be on the alert for the presence of cholesteatoma in the
http://www.healthboards.com/ubb/Forum60/HTML/000241.html

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Hearing Disorders

Cholesteatoma
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register preferences faq ... next oldest topic Author Philomena Newbie Posts: 2 From: Registered: Feb 2003 posted 02-05-2003 04:47 PM Anyone with repeated ear infections/ eustachian tube dysfunction/ nasal allergies etc or other ear problems should be on the alert for the presence of cholesteatoma in the middle ear. This is a benign growth, sometimes caused by an accumulation of skin cells and debris in a pocket formed when the ear-drum retracts or it can grow from skin cells which have migrated into the middle ear through a perforation of the ear-drum. Skin cells are squamous and slough off dead cells, hence the growth of the cholesteatoma. It is normally painless and can go undetected for years because the growing mass conducts sound even though the hearing bones may have eroded away. The growth produces enzymes which erode bone so it must be removed surgically before it can cause more damage to nerves, etc. A follow-up operation 6-12 months later is necessary to check for recurrence. Many medical personnel are not aware of it and it can be ages before a correct diagnosis is made. Ask for a referral to an otologist, a middle ear specialist. Even if you are fortunate not to have it, anyone with a chronic nasal/ear problem should be monitored. A search should throw up some useful sites. Yahoo have a forum for cholesteatoma sufferers and there is another site with case histories, I think it is called the cholesteatoma support group. We spent years going to the local ENT consultants with a discharging ear until the more alert one realised a polyp was growing from the middle ear and referred my son to an otologist who found a cholesteatoma.

67. Cholesteatoma: Pathology & Surgical Mgt.(Feb.1999)
cholesteatoma removal. Pathology and Classification of cholesteatoma.Although in Pathogenesis of cholesteatoma. The epithelium of the
http://www.utmb.edu/otoref/Grnds/Cholesteatoma-9902/Cholesteatoma-9902.html
TITLE: Cholesteatoma: Pathogenesis and Surgical Management
SOURCE: Dept. of Otolaryngology, UTMB, Grand Rounds Presentation
DATE: February 24, 1999
RESIDENT: Kyle Kennedy, M.D.
FACULTY: Jeffrey Vrabec, M.D.
SERIES EDITOR: Francis B. Quinn, Jr., M.D.
Return to Grand Rounds Index "This material was prepared by resident physicians in partial fulfillment of educational requirements established for the Postgraduate Training Program of the UTMB Department of Otolaryngology/Head and Neck Surgery and was not intended for clinical use in its present form. It was prepared for the purpose of stimulating group discussion in a conference setting. No warranties, either express or implied, are made with respect to its accuracy, completeness, or timeliness. The material does not necessarily reflect the current or past opinions of members of the UTMB faculty and should not be used for purposes of diagnosis or treatment without consulting appropriate literature sources and informed professional opinion."
This discussion will involve pathogenesis and management of cholesteatoma with an emphasis on management of the disease. Some underlying concepts regarding establishment of the pathologic process will be mentioned, as well as anatomical considerations pertinent to effective management of the condition. A great deal of controversy remains as to the most effective surgical management of cholesteatoma. The various surgical techniques employed will be outlined, followed by treatment results which have been obtained with different approaches to cholesteatoma removal.

68. Cholesteatoma
Hearing loss, dizziness, and facial muscle paralysis are rare but can result fromcontinued cholesteatoma growth. Congenital cholesteatoma is much less common.
http://www.thedoctorsdoctor.com/diseases/cholesteatoma.htm
Background Cholesteatomas may be acquired or congenital. These are cysts enclosing keratin surrounded by a squamous epithelium. Over time, it may increase in size and destroy the surrounding delicate bones of the middle ear. Hearing loss, dizziness, and facial muscle paralysis are rare but can result from continued cholesteatoma growth. Acquired cases may arise from several pathways. Most postulate an initiating episode of otitis media leading to tympanic membrane necrosis and repair or a retraction pocket (an invagination of part of the tympanic membrane). This leads to loss of the normal control mechanisms leading to invasion of stratified squamous epithelium through the tympanic membrane and subsequent growth. These tumors are pearly white masses present in the upper and posterior part of the middle ear cleft. Congenital cholesteatoma is much less common. It is hypothesized that they arise from epidermoid cell rests formed during the development of the middle ear. These appear as a white sphere in the anterosuperior part of the tympanic membrane. Larger lesions may lead to bony erosion. Under the microscope, acquired and congenital cases are similar and resemble an epidermal inclusion cyst of the skin with a cyst lining of keratinizing stratified squamous epithelium surrounding keratinaceous debris. The squamous epithelium is characteristically thin and devoid of rete pegs. If the tumor extends into the ossicles, bony erosion and granulation tissue may be observed.

69. Cholesteatoma
Computed tomography is the study of choice for imaging of the temporal bonein cholesteatoma. Normal Eardrum Normal, cholesteatoma cholesteatoma.
http://www.xray2000.f9.co.uk/radpath/c/cholesteatoma.htm
Cholesteatoma
Definition
A tumor-like mass of keratinizing squamous epithelium and cholesterol in the middle ear, usually resulting from chronic otitis media, with squamous metaplasia or extension of squamous epithelium inward to line an expanding cystic cavity that may involve the mastoid and erode surrounding bone.
Radiographic Appearance
Traditionaly a series of films to include:
Slit PA through the orbits, slit 30o fronto occipital amd "stenvers" obliques were utilised to demonstrate a widening of the internal auditory meatus, Computed tomography is the study of choice for imaging of the temporal bone in cholesteatoma. However, MR can be a complimentary modality when intracranial extension and bony defects are observed or suspected. Additionally, MR is indicated for cases of facial nerve involvement and unexplained sensorineural hearing loss.
Cholesteatomas have variable signal intensities in contrast enhanced MR. Generally, signals are isointense on T1 weighed imaging and become moderately hyperintense on lengthening of the TR. Debris usually is present. Cholesteatomas typically do not enhance with gadolinium, except rarely at the edges of the lesion. MR is useful to delineate intracranial complications including abscesses, lateral sinus thrombosis, and meningitis. These lesions may occur in the middle ear, mastoid cavity, or the petrous apex.

70. Cellular And Molecular Biology Of Bone Remodeling In Cholesteatoma
CELLULAR AND MOLECULAR BIOLOGY OF BONE REMODELING IN cholesteatomaRichard A. Chole, MD, Ph.D. DEPARTMENT OF Otolaryngology Keywords
http://research.medicine.wustl.edu/ocfr/research.nsf/c517b7f27339413086256797005

71. Cholesteatoma
cholesteatoma. cholesteatoma can be a congenital defect, but it morecommonly occurs as a complication of chronic ear infection.
http://www.umm.edu/ency/article/001050.htm
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Cholesteatoma
Overview Symptoms Treatment Prevention Definition: A type of cyst located in the middle ear.
Causes, incidence, and risk factors: Cholesteatoma can be a congenital 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.
Tympanic membrane
Review Date: 9/5/2002
Reviewed By: Jason Newman, M.D., Department of Otolaryngology, Kaiser Permanente Medical Group, Washington, DC. Review provided by VeriMed Healthcare Network.
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72. Cholesteatoma
Clinical Practice Guideline. for. cholesteatoma. Developed for the. AerospaceMedical Association. As the desquamation occurs the cholesteatoma slowly grows.
http://www.asams.org/guidelines/Completed/NEW Cholesteatoma.htm
Clinical Practice Guideline for CHOLESTEATOMA Developed for the Aerospace Medical Association by their constituent organization American Society of Aerospace Medicine Specialists Overview A cholesteatoma is a collection of viable and desquamated squamous epithelium in the middle ear or mastoid air spaces, which are normally lined only by mucous membrane. It often develops into an expansile mass filled with desquamative skin debris. As the desquamation occurs the cholesteatoma slowly grows. The lining of the cholesteatoma has the capacity to dissolve bone, resulting in destruction of the ossicles, mastoid air cells, semicircular canals, cochlea, and even extension into the middle and posterior cranial fossa. Less common symptoms are unilateral hearing loss, and neurological deficits such as facial paralysis. Diagnosis depends on a careful otoscopic examination. Of the two types of cholesteatoma, congenital and acquired, the vast majority is acquired Acquired cholesteatomas have been found to be associated with previous ear operations, and or a history of chronic ear infections. Recurrence rates for cholesteatomas depends on staging and the amount residual cholesteatoma left in the ear canal after surgery.

73. MEI: Ear Infections And Cholesteatoma
Infections can sometimes lead to more serious ear problems such as permanentperforation of the ear drum, mastoiditis and cholesteatoma.
http://www.michiganear.com/library/C/csomvideo.html
CSOM Patient Video
Jack M Kartush, MD
Ear infections are one of our most common ailments. 3 out of every 4 of children in America will have at least one ear infection before growing up. Infections in adults are much less common. When they occur, they are often in people who've had many infections in childhood or who have other causes for ear congestion such as cigarettes, allergies or the common cold. In fact, congestion of the ear is the cause of most infections. The ear ordinarily receives ventilation by the Eustachian tube which is a natural connection between the ear and the nose and throat. Anatomy and Physiology There are two parts of hearing: mechanical and nerve or electrical. The mechanical part picks up sound from the outer ear canal and then vibrates the ear drum and three tiny hearing bones in the middle ear. The Eustachian tube is the natural connection between the ear and the nose and throat. It helps ventilate the middle ear as well as the mastoid which is an air-filled honeycomb behind the ear. The inner ear looks a bit like a snail. It has two halves which are connected and are filled with fluid.

74. Health Ency.: Disease: Cholesteatoma
cholesteatoma. Causes and Risks. cholesteatoma may be a congenital defectbut more commonly occurs as a complication of chronic ear infection.
http://www.austin360.com/shared/health/adam/ency/article/001050.html
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Ency. home Disease C Cholesteatoma Overview Symptoms Treatment Prevention Definition: A type of cyst located in the middle ear. Causes and Risks Cholesteatoma may be a congenital defect but more commonly occurs as a complication of chronic ear infection . Prolonged 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. The cyst becomes chronically infected. The cyst typically continues to grow and may erode the mastoid bone and the bones of the middle ear. Ency. home Disease C Please read this Important notice Also Check Out
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75. Cholesteatoma
cholesteatoma. What is it? It is a mass of skin scales and debris inthe middle ear. What effect does it have? 1. It can block sound
http://www.walsh100.force9.co.uk/teacher/conditions/cholest.htm
Cholesteatoma
What is it? It is a mass of skin scales and debris in the middle ear. What effect does it have? 1. It can block sound waves, causing a conductive hearing loss
2. It can damage the ossicles, causing a permanent hearing loss
3. It can damage the facial nerve which runs through the middle ear.
4. If left untreated it will continue to grow, damaging or even destroying the ear, and even growing into the brain and surrounding tissue. There is also a potential risk of meningitis. What causes it? Possible causes include:
1. long-term dysfunction of the eustachian tube causing negative air-pressure in the middle ear
2. otitis media (middle-ear infection)
3. growth of the skin in the ear canal through a hole in the eardrum
4. growth of the skin in the middle ear What is the treatment? Surgery to remove the growth. If the growth has damaged the ossicles, then reconstructive surgery may be necessary. back to index

76. Chronic Ear Disease And Cholesteatoma
cholesteatoma. Tonsillectomy. cholesteatoma. Chronic Ear Diseaseand cholesteatoma What You Should Know. Many people
http://www.doctorknox.com/articles/gknox_art1.html
Cholesteatoma Tonsillectomy
Cholesteatoma
Chronic Ear Disease and Cholesteatoma: What You Should Know
Many people suffer from chronic infections of the middle ear or chronic otitis media. The middle ear is one of the three basic parts of the ear: The outer, middle and inner ear. The outer ear collects sound waves which travel down the ear canal to the eardrum or tympanic membrane.The eardrum separates the outer ear from the middle ear. Movements of the eardrum are sent to the inner ear via the three small bones in the middle ear, the hammer or malleus, the anvil or incus, and the stirrup or stapes. When these bones are set into vibration by the eardrum, the vibration is transmitted to the inner ear or cochlea. Problems affecting the eardrum or the bones of the middle ear can cause hearing loss. These problems can include holes in the eardrum, fluid in the middle ear from infection, damage to the bones of the middle ear from infection, or scar tissue in the middle ear. Drainage of fluid from the ear is a serious problem, particularly if the drainage is green or yellow or has a foul odor. There is a tube from the middle ear to the back of the nose called the eustachian tube. This tube equalizes the air pressure between the middle ear and the outside air. If the eustachian tube is not working properly, a partial vacuum can form in the middle ear. This can happen after several previous middle ear infections, or if the patient smokes or has other medical problems such as allergies. Sometimes part of the eardrum can be sucked in to form a pouch. The eardrum sheds dead cells and replaces them just like the skin on the rest of your body. These dead skin cells can get trapped in an eardrum pouch and form a cholesteatoma.

77. Health And Wellness Dictionary: Cholesteatoma
cholesteatoma. Want more? Click here to search the rest of the GeoParentsite for information on cholesteatoma! Search the dictionary.
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Cholesteatoma
Accumulation of dead cells in the middle ear, caused by repeated middle ear infections.
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78. Cholesteatoma
www.aosjax.com. cholesteatoma. A cholesteatoma is a growth in themiddle ear caused by a buildup of skin cells. Often it occurs in
http://www.aos-jax.com/cholest.htm
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Cholesteatoma A cholesteatoma is a growth in the middle ear caused by a buildup of skin cells. Often it occurs in people who have had repeated ear infections and eustachian tube dysfunction. This is because negative pressure in the middle ear can cause pockets of weakened areas in the eardrum to be pulled into the middle ear. If a pocket remains in the middle ear, it can become a nodule that increases in size as it sheds old layers of skin. As the cholesteatoma continues to grow, it puts pressure on the middle ear bones, facial nerve and surrounding structures. A secondary infection which speads may ensue causing erosion of the bones and surrounding tissues. Left untreated, the cholesteatoma and infection may extend down the eustacian tube, nasopharynx and into the brain cavity. Because of these factors, a cholesteatoma is considered to be a very serious condition. Symptoms may include:
  • Drainage from the ear Fullness Hearing loss Pain in or around the ear Imbalance Facial weakness
Several tests ordered by an ENT doctor aid in diagnosis including otoscopy, hearing tests, ENGs, and CAT scans. Treatment generally couples antibiotics to rid the ear of infection and surgery to remove the growth.

79. Health Matters - New York Eye & Ear Infirmary
cholesteatoma. What is a cholesteatoma? A cholesteatoma is a skin growth thatoccurs in an abnormal location, the middle ear behind the eardrum.
http://www.nyee.edu/faqlist.html?tablename=faq&key=89

80. Common Ear, Nose And Throat Problems
cholesteatoma and other Chronic Ear Problems. What Causes Hearing Lossin a Normal Ear? The ear What is cholesteatoma? Sometimes, a
http://www.pediatric-ent.com/learning/problems/cholesteatoma.htm
Cholesteatoma and other Chronic Ear Problems What Causes Hearing Loss in a Normal Ear? The ear is commonly divided into three segments: the external ear which includes the ear lobe and ear canal, the middle ear which includes the ear drum and the ear bones, and the inner ear which houses the hearing organ and the nerve that travels from the ear to the brain. the middle and inner ear represent delicate structures that, when exposed to long term infection and disease, can lead to hearing loss. This hearing loss can either be temporary or permanent. Many times, your doctor will be unable to guarantee the return of your child's hearing loss. However, many times a good estimate of hearing "reserve" can be made from the initial hearing test. What are Ear Drum Perforations and Ear Drainage? The ear drum may develop a hole, (or perforation), due to trauma or infection. In most instances, ear drum perforations caused by infection will close after the infection resolves. However, some perforations are too large to close spontaneously and will become infected causing drainage from the ear. When this occurs, your doctor's first priority is to treat the infection and provide your child with a "safe" ear. This will prevent further hearing loss and damage to the ear due to infection.

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