{"id":237,"date":"2021-08-10T13:48:56","date_gmt":"2021-08-10T18:48:56","guid":{"rendered":"https:\/\/dubuqueent.fm1.dev\/providing-comprehensive-ear-nose-throat-care\/cholesteatoma\/"},"modified":"2021-11-17T15:45:45","modified_gmt":"2021-11-17T21:45:45","slug":"cholesteatoma","status":"publish","type":"page","link":"https:\/\/dubuqueent.com\/ent\/cholesteatoma\/","title":{"rendered":"Cholesteatoma"},"content":{"rendered":"\n<script type=\"application\/ld+json\">\n{\n  \"@context\": \"https:\/\/schema.org\",\n  \"@type\": \"FAQPage\",\n  \"mainEntity\": [{\n    \"@type\": \"Question\",\n    \"name\": \"What is a Cholesteatoma?\",\n    \"acceptedAnswer\": {\n      \"@type\": \"Answer\",\n      \"text\": \"A cholesteatoma sometimes referred to as a benign ear cyst is an abnormal skin growth in the middle ear behind the eardrum that may also affect the mastoid (skull bone). It begins as a cyst that gradually increases in size, destroying the bones of the middle ear and causing hearing loss.\"\n    }\n  }, {\n    \"@type\": \"Question\",\n    \"name\": \"What Causes Cholesteatoma?\",\n    \"acceptedAnswer\": {\n      \"@type\": \"Answer\",\n      \"text\": \"When the Eustachian tube is functioning normally, it equalizes ear pressure by moving air from the back of the nose into the middle ear. Allergies and viruses can affect performance, leading to a partial vacuum in the ear. This negative pressure stretches the eardrum, creating a pocket or cyst that fills with old skin cells and waste material, which can become easily infected. In rare cases, cholesteatoma can be congenital (present at birth).\"\n    }\n  }, {\n    \"@type\": \"Question\",\n    \"name\": \"What Are the Symptoms of Cholesteatoma?\",\n    \"acceptedAnswer\": {\n      \"@type\": \"Answer\",\n      \"text\": \"Symptoms of cholesteatoma include drainage from the ear, a feeling of fullness, hearing loss, earache and dizziness. Since these are also present in other conditions, tests such as CT scans and electronystagmography can be used to rule out other conditions and confirm the diagnosis. Cholesteatomas continue to grow if not treated and can lead to complications such as: Deafness, facial paralysis, brain abscess, meningitis.\"\n    }\n  }, {\n    \"@type\": \"Question\",\n    \"name\": \"How is a cholesteatoma diagnosed?\",\n    \"acceptedAnswer\": {\n      \"@type\": \"Answer\",\n      \"text\": \"A cholesteatoma diagnosis typically begins with a medical history and visual inspection with an otoscope. An audiogram or tympanogram hearing test may be administered to determine the level of hearing loss and a CT scan of the temporal bone may need to be ordered. Some of the symptoms that can lead a physician to suspect a cholesteatoma include: History of past middle ear infections or fluid buildup, discharge from the ear, gradual loss of hearing.\"\n    }\n  }, {\n    \"@type\": \"Question\",\n    \"name\": \"How Is Cholesteatoma Treated?\",\n    \"acceptedAnswer\": {\n      \"@type\": \"Answer\",\n      \"text\":\"An otolaryngologist will determine the size and growth rate of the cholesteatoma and recommend treatment based on these findings. Controlling the infection with antibiotics or eardrops is a crucial first step. If you have a large cholesteatoma it may be treated surgically. Performed under general anesthesia on an outpatient basis, the cholesteatoma is removed in order to eliminate the infection. Follow-up surgery to ensure the cholesteatoma is gone and to reconstruct damaged middle ear bones may be necessary.\"\n}\n    }]\n  }\n<\/script>\n\n\n\n<h2 class=\"wp-block-heading\">Insight into Ear Growths<\/h2>\n\n\n\n<ul><li>What causes a cholesteatoma?<\/li><li>How is cholesteatoma treated?<\/li><li>Symptoms and dangers<\/li><li>and more\u2026<\/li><\/ul>\n\n\n\n<p>An abnormal skin growth in the middle ear behind the eardrum is called cholesteatoma. Repeated infections and\/or and a tear or retraction of the eardrum can cause the skin to toughen and form an expanding sac. Cholesteatomas often develop as cysts or pouches that shed layers of old skin, which build up inside the middle ear. Over time, the cholesteatoma can 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.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What Causes a Cholesteatoma?<\/h2>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" width=\"1280\" height=\"854\" src=\"https:\/\/dubuqueent.com\/wp-content\/uploads\/2021\/10\/iStock-845307818-1280x854.jpg\" alt=\"\" class=\"wp-image-1085\" srcset=\"https:\/\/dubuqueent.com\/wp-content\/uploads\/2021\/10\/iStock-845307818-1280x854.jpg 1280w, https:\/\/dubuqueent.com\/wp-content\/uploads\/2021\/10\/iStock-845307818-768x513.jpg 768w, https:\/\/dubuqueent.com\/wp-content\/uploads\/2021\/10\/iStock-845307818-1536x1025.jpg 1536w, https:\/\/dubuqueent.com\/wp-content\/uploads\/2021\/10\/iStock-845307818.jpg 2048w\" sizes=\"(max-width: 1280px) 100vw, 1280px\" \/><\/figure>\n\n\n\n<p>A cholesteatoma usually occurs because of poor eustachian tube function as well as infection in the middle ear. The eustachian tube conveys air from the back of the nose into the middle ear to equalize ear pressure (\u201cclear the ears\u201d). When the eustachian tubes work poorly, perhaps due to allergy, a cold, or sinusitis, the air in the middle ear is absorbed by the body, creating a partial vacuum in the ear. The vacuum pressure sucks in a pouch or sac by stretching the eardrum, especially areas weakened by previous infections. This can develop into a sac and become a cholesteatoma. A rare congenital form of cholesteatoma (one present at birth) can occur in the middle ear and elsewhere, such as in the nearby skull bones. However, the type of cholesteatoma associated with ear infections is most common.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">How is Cholesteatoma Treated?<\/h2>\n\n\n\n<p>An examination by an otolaryngologist-head and neck surgeon can confirm the presence of a cholesteatoma. Initial treatment may consist of a careful cleaning of the ear, antibiotics, and ear drops. Therapy aims to stop drainage in the ear by controlling the infection. The growth characteristics of a cholesteatoma must also be evaluated.<\/p>\n\n\n\n<p>A large or complicated cholesteatoma usually requires surgical treatment to protect the patient from serious complications. Hearing and balance tests, x-rays of the mastoid (the skull bone next to the ear), and CAT scans (3-D x-rays) of the mastoid may be necessary. These tests are performed to determine the hearing level in the ear and the extent of destruction the cholesteatoma has caused.<\/p>\n\n\n\n<p>Surgery is performed under general anesthesia in most cases. The primary purpose of surgery is to remove the cholesteatoma so that the ear will dry and the infection will be eliminated. Hearing preservation or restoration is the second goal of surgery. In cases of severe ear destruction, reconstruction may not be possible. Facial nerve repair or procedures to control dizziness are rarely required. Reconstruction of the middle ear is not always possible in one operation; therefore, a second operation may be performed six to 12 months later. The second operation will attempt to restore hearing and, at the same time, allow the surgeon to inspect the middle ear space and mastoid for residual cholesteatoma.<\/p>\n\n\n\n<p>Surgery can often be done on an out-patient basis. For some patients, an overnight stay is necessary. In rare cases of serious infection, prolonged hospitalization for antibiotic treatment may be necessary. Time off from work is typically one to two weeks.<\/p>\n\n\n\n<p>After surgery, follow-up office visits are necessary to evaluate results and to check for recurrence. In cases where an open mastoidectomy cavity has been created, office visits every few months are needed to clean out the mastoid cavity and prevent new infections. Some patients will need lifelong periodic ear examinations.<\/p>\n\n\n\n<p>Cholesteatoma is a serious but treatable ear condition which can be diagnosed only by medical examination. Persistent earache, ear drainage, ear pressure, hearing loss, dizziness, or facial muscle weakness need to be evaluated by an otolaryngologist.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Symptoms and Dangers<\/h2>\n\n\n\n<p>Initially, the ear may drain fluid with a foul odor. As the cholesteatoma pouch or sac enlarges, it can cause a feeling of fullness or pressure in the ear, along with hearing loss. An ache behind or in the ear, especially at night, may cause significant discomfort.<\/p>\n\n\n\n<p>Dizziness, or muscle weakness on one side of the face (the side of the infected ear) can also occur. Any or all of these symptoms are good reasons to seek medical evaluation.<\/p>\n\n\n\n<p>An ear cholesteatoma can be dangerous and should never be ignored. Bone erosion can cause the infection to spread into the surrounding areas, including the inner ear and brain. If untreated, deafness, brain abscess, meningitis, and, rarely, death can occur.<\/p>\n\n\n<p class=\"content-cta-wrap\">Call <span class=\"company-name \">Dubuque ENT<\/span> at <a href=\"tel:+15635880506\" class=\"phone \"> <span class=\"phNum\">(563) 588-0506<\/span><\/a> for more information or to schedule an appointment.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Insight into Ear Growths What causes a cholesteatoma? How is cholesteatoma treated? Symptoms and dangers and more\u2026 An abnormal skin growth in the middle ear behind the eardrum is called cholesteatoma. Repeated infections and\/or and a tear or retraction of the eardrum can cause the skin to toughen and form an expanding sac. Cholesteatomas often&#8230;<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":233,"menu_order":29,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_seopress_robots_primary_cat":"","_seopress_titles_title":"","_seopress_titles_desc":"","_seopress_robots_index":"","schema":"","fname":"","lname":"","position":"","credentials":"","placeID":"","no_match":false,"name":"","company":"","review":"","address":"","city":"","state":"","zip":"","lat":"","lng":"","phone1":"","phone2":"","fax":"","mon1":"","mon2":"","tue1":"","tue2":"","wed1":"","wed2":"","thu1":"","thu2":"","fri1":"","fri2":"","sat1":"","sat2":"","sun1":"","sun2":"","hours-note":"","footnotes":""},"service_tags":[],"_links":{"self":[{"href":"https:\/\/dubuqueent.com\/wp-json\/wp\/v2\/pages\/237"}],"collection":[{"href":"https:\/\/dubuqueent.com\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/dubuqueent.com\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/dubuqueent.com\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/dubuqueent.com\/wp-json\/wp\/v2\/comments?post=237"}],"version-history":[{"count":0,"href":"https:\/\/dubuqueent.com\/wp-json\/wp\/v2\/pages\/237\/revisions"}],"up":[{"embeddable":true,"href":"https:\/\/dubuqueent.com\/wp-json\/wp\/v2\/pages\/233"}],"wp:attachment":[{"href":"https:\/\/dubuqueent.com\/wp-json\/wp\/v2\/media?parent=237"}],"wp:term":[{"taxonomy":"service_tags","embeddable":true,"href":"https:\/\/dubuqueent.com\/wp-json\/wp\/v2\/service_tags?post=237"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}