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Doctor insights on: How Rare Is A Cholesteatoma

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Dr. Nader Kalantar
86 Doctors shared insights

Cholesteatoma (Definition)

Is a benign skin cyst of the middle ear. They most often are acquired secondary to chronic middle ear disease. There are rarer congenital types which ...Read more


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How rare is it for a patient with cochlear implants to acquire cholesteatoma?

How rare is it for a patient with cochlear implants to acquire cholesteatoma?

Rare: Assuming you have regular follow up with your ENT surgeon, it would be rare for cholesteatoma to occur in a cochlear implant patient. Most ear surgeons will make sure this risk is very low and manageable prior to the surgery. However, the level of risk of cholesteatoma is relatively the same in a implant vs non-implant patient. ...Read more

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How common or uncommon is facial nerve paralysis after a Cholesteatoma operation please?

How common or uncommon is facial nerve paralysis after a Cholesteatoma operation please?

Interesting: Already answered this myself a number of hours ago and saw 2 other responses from other colleagues as well...but I'll take another shot at it for BONUS POINTS! LOL. This is a rare but well known possible risk with this type of surgery. Intraoperative monitoring as well as careful surgical dissection avoids the complication. Stated statistic is about 1/500 cases result in facial nerve problem. ...Read more

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Can cholesteatoma be cured?

Can cholesteatoma be cured?

Yes: Cholesteatoma is a condition that occurs in the ear canal or more commonly behind the ear drum in which the bony structures can be eroded. It is not a tumor but rather a destructive process that often is a result of previous infection. Surgery is curative. However, often more than one surgery is needed depending its extent at the time it is diagnosed. An ENT is the surgeon to seek for treatment. ...Read more

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How can cholesteatoma originate?

Cystic collection: Cholesteatoma is caused by a poorly functioning eustachian tube leads from the back of the nose to the middle of ear, allowing air to equalizing ear pressure. Eustachian tube may not work properly due to chronic ear or, sinus infections, colds, etc. Partial vacuum may be middle ear. This can cause a section of your eardrum to be pulled into the middle ear, creating a cyst, that grows larger. ...Read more

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I've got cholesteatoma. Now what?

You need surgery: Cholesteatoma is a problem that can be solved only by surgery. An ear nose and throat doctor should be able to take care of it for you. You want to see an ear nose and throat doctor who has special interest in chronic ear disease and does a lot of ear surgery. ...Read more

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What are the tests for cholesteatoma?

What are the tests for cholesteatoma?

ENT exam: First have an ENT specialist (otolaryngologist) exam your ear. If needed the ENT physician can order a ct scan of the temporal bone to check for choleasteatoma, a soft tissue mass, inside the middle ear cavity. ...Read more

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What are the symptoms of cholesteatoma?

What are the symptoms of cholesteatoma?

Varied: The symptoms while not specific for only this condition could include hearing loss, draining ear, ear fullness, dizziness. If suspected, go see an ENT to check it out. ...Read more

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What sort of problem is a cholesteatoma?

Cholesteatoma: Poor function in the eustachian tube leads to negative pressure in the middle ear. This pulls a part of the eardrum (tympanic membrane) into the middle ear, creating a pocket or cyst that fills with old skin cells and other waste material (cholesteatoma). The cyst may get bigger and break down some of the middle ear bones. More at: http://www. Ncbi. Nlm. Nih. Gov/pubmedhealth/pmh0002045/. ...Read more

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Is anyone familiar with a cholesteatoma?

Is anyone familiar with a cholesteatoma?

Skin cyst in ear: Cholesteatoma is something ents see quite often, though primary doctors only rarely come across it. It is skin (epidermal) cells where they shouldn't be, usually on the middle ear side of the eardrum and in the mastoid cavity behind the ear. You can be born with it, or more commonly it comes with chronic ear infections. It requires surgery to be cured or could lead to serious complications. ...Read more

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Diagnosed with a cholesteatoma. Is that bad?

Requires treatment: A cholesteatoma is a deposit of skin cells that forms a mass in the middle ear and can erode various portions of the middle ear resulting in hearing loss and other complications. It requires surgical treatment to prevent progression. ...Read more

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What causes Cholesteatoma? How is it treated?

What causes Cholesteatoma? How is it treated?

Cholesteatoma: Cholesteatoma is a small growth in the middle ear. Behind the eardrum. Causes include prior infections or a torn eardrum or, rarely, kids are born with them.
If it is large or symptomatic, and ENT specialist can remove it surgically. ...Read more

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Any remedies for cholesteatoma I can try at home?

Any remedies for cholesteatoma I can try at home?

No: Sorry, cholesteatoma is a surgical, not a medical problem. The enzymes in cholesteatomas can erode bone and make this benign condition dangerous. You need to have it taken care of by an ENT doctor. ...Read more

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What symptoms of cholesteatoma are the most common?

What symptoms of cholesteatoma are the most common?

See below:: Symptoms: dizziness; drainage from the ear; hearing loss in one ear; pain or numbness in or around the ear. Cholesteatoma can be a birth defect (congenital), but it more commonly occurs as a complication of chronic ear infection. ...Read more

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How bad can it be to let a cholesteatoma go untreated?

Very Bad: Cholesteatomas produce chemicals that can erode bone. Depending on where the cholesteatoma is the bone at risk can be the bone separating the ear from the brain and potentially lead to a brain issue such as infection or brain fluid leak. You can also get erosion into the inner ear itself leading to permanent deafness and severe vertigo. ...Read more

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How horrible is it to let a cholesteatoma go untreated?

Can be harmful: Cholesteatoma is a destructive, abnormal tissue growth that typically occurs in the middle ear. Left untreated, cholesteatoma can eat into nearby bones, resulting in nerve deterioration, deafness, imbalance, and vertigo. Because of it’s potential to cause central nervous system complications by damaging the brain and/or spinal cord, it is a potentially fatal disease, ...Read more

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What is the definition or description of: cholesteatoma?

What is the definition or description of: cholesteatoma?

Cholesteatoma: Is a benign skin cyst of the middle ear. They most often are acquired secondary to chronic middle ear disease. There are rarer congenital types which are present at birth. ...Read more

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What is the treatment for a cholesteatoma?

What is the treatment for a cholesteatoma?

Surgery: I would see a local ENT in galveston or houston. There are ENT doctors who just specialize in just complex ear surgery called otologist or neuro-otologists. ...Read more

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Is cholesteatoma cancerous?

Is cholesteatoma cancerous?

No it is not: It is an inflammatory collection of material from chronic infection of the middle year/mastoid process. ...Read more

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How soon can I swim after cholesteatoma surgery?

Depends: There are many different operations for cholesteatoma. Given that we don't have exact details about what was done this is a question for your surgeon. ...Read more

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Kids' favorite aunt came to visit. Told me she has cholesteatoma. What should I tell my children?

Kids' favorite aunt came to visit. Told me she has cholesteatoma. What should I tell my children?

It is not that bad: Tell them that she has a problem with her ear that is very much like having very bad wax that has the ability to, over time, erode bone. It needs to be treated with surgery and afterwords she may have some problems hearing. ...Read more

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What is the hospital's treatment for cholesteatoma?

What is the hospital's treatment for cholesteatoma?

Cholesteatoma: Surgery involves Tympanoplasty, Mastoidectomy, Ossiculoplasty. Approach is through the ear canal or behind it. ...Read more

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If you have cholesteatoma, will surgery restore hearing?

If you have cholesteatoma, will surgery restore hearing?

Should: Comprehensive surgery including rebuilding the small chain of bones in the middle ear should help restore hearing. Yet it depends on the specific problem. ...Read more

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Do you think I should still be bleeding a day after my surgery for cholesteatoma?

Clarification: Small skin bleeding is not uncommon. If it is saturating through several bandages, should contact surgeon. ...Read more

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Please help! What is the difference between keratosis obturans and cholesteatoma?

Pathology and tx: Keratosis is a condition caused by keratin buildup in the ear canal and a cholesteatoma is squamous tissue building up in the wall of the canal. Keratosis can be treated with debridement of the keratin from the canal. Cholesteatomas can require surgery. ...Read more

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My mom tried to teach us ways to stay healthy, but I got cholesteatoma. Why is that?

Mass in Middle ear: Cholesteatomas are benign growths that mostly occur in the temporal bone or middle ear. Rarely at other locations. They are acquired from middle ear disease or congenital meaning present at birth. Those producing symptoms require surgery. ...Read more

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I had a mastoidectomy operation six months ago. Can this cause a need for a cholesteatoma operation?

I had a mastoidectomy operation six months ago. Can this cause a need for a cholesteatoma operation?

Unlikely: Mastoidectomies are one of the surgical procedures to rid one of a cholesteatoma and they certainly don't cause them. Cholesteatomas have a reputation for being hard to eradicate, so most likely the operation simply failed to get it all out. See your ENT surgeon. ...Read more

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What is the medical name for cholesteatoma surgery please? And what precautions do I take before the surgery please?

Skin cyst: Cholesteatoma is a destructive and expanding growth consisting of keratinizing squamous epithelium in the middle ear and/or mastoid process.
For pre and postoperative instructions, ask your ENT surgeon. ...Read more

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Is it possible a local anaesthesia surgery for cholesteatoma? Compared to total anaesthesia. Which one is more secure?

Is it possible a local anaesthesia surgery for cholesteatoma? Compared to total anaesthesia. Which one is more secure?

See below: "safest" would be local anesthesia. That is to say you will not be exposed to many medications, and you will be in control of your body functions. However, the procedure is not really amenable to local anesthesia, or at least the procedure would be very uncomfortable for you. I would suggest a general anesthetic. ...Read more

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Is there an over-the-counter treatment for cholesteatoma?

Is there an over-the-counter treatment for cholesteatoma?

Not recommended: I personally would not recommend otc treatment for this condition. See an ent. ...Read more

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What is the difference between ak, keratosis obturans and cholesteatoma?

Good questions: Keratosis obturans is a hyperkeratotic growth of superficial skin of the bony ear canal skin and as such is seborrheic dermatitis of the bony ear canal skin. Cholesteatoma, primary or secondary is a growth of skin in the middle ear arising from either a migration of skin from a perforation or congenital. Cholesteatoma is potentially dangerous and can destroy bone and result in serious disease. ...Read more

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How many surgeries will my ten year old daughter have to have for this nasty cholesteatoma?

How many surgeries will my ten year old daughter have to have for this nasty cholesteatoma?

ENT: That question is best answered by a ear nose and throat specialist who has seen your daughter and evaluated her. ...Read more

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How do you pronounce 'Laryngopharyngeal' please? & can Laryngopharyngeal reflux cause Cholesteatoma?

Cholesteatoma: Its pronounced exactly as you would read it. No, refluxing your gastric content into your pharynx and larynx have absolutely nothing to do with developing keratinizing epidermal growth in the middle ear. ...Read more

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When I was little, my parents said I had cholesteatoma. I don't know many others who have had it. What is it?

Benign ear tumor: This tumor often arises from untreated middle ear infections.
It can be present from birth (congenital).
If you have normal hearing in that ear now, it probably was removed or did not grow large enough to cause problems. ...Read more

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What is it like to have cholesteatoma, a serious ear infection?

Growth: A cholesteatoma is a growth in the middle ear. It can be painless until it grows enough and then it can damage the middle ear causing hearing problems. If picked up early, by middle ear examinations, patient can avoid long term consequences with the help of the ENT doctor. ...Read more

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Can you tell me about john hopkins hospital treatment for cholesteatoma?

Cholesteatoma: The Johns Hopkins hospital has a multidisciplinary team of physicians to treat cholesteatomas and other lesions of the temporal bone (neuro-otology). Visit the Johns Hopkins website for an appointment to the appropriate medical specialist. ...Read more

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Some other opinions, do you think a cholesteatoma can will cause pulsatile tinnitus?

Cholesteatoma: Cholesteotoma may not itself cause tinnitus but the damage to the ossicles and ear drum by chronic otitis media can cause it. ...Read more