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 General ENT

Cholesteatoma

Cholesteatoma

Tympanic membrane
Tympanic membrane

Definition:

Cholesteatoma is a type of cyst located in the middle ear.

Causes, incidence, and risk factors:

Cholesteatoma can be a birth defect (congenital), but it more commonly occurs as a complication of chronic ear infection.

Long-term swelling in the eustachian tube leads to negative pressure in the middle ear. This pulls a part of the eardrum (tympanic membrane) in the wrong way, creating a sac or cyst that fills with old skin cells and other waste material. The cyst becomes infected. The cyst may cause the some ear bones to waste away.

Symptoms:
Signs and tests:

An ear exam may show a pocket or perforation (opening) in the eardrum, often with drainage. The deposit of old skin cells may be visible with an otoscope, a special instrument to view the ear.

The following tests may be performed to rule out other causes of dizziness.


Review Date: 8/3/2006
Reviewed By: Alden J. Pearl, M.D., Clinical Assistant Professor, Department of Otolaryngology, State University of New York Health Science Center atBrooklyn, Brooklyn, NY. Review provided by VeriMed Healthcare Network.

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