cholesteatoma

What is a cholesteatoma?
It is a skin growth that should not be present in the middle ear behind the eardrum. eardrum skin
It begins with its inward growth due to recurrent inflammations. Cholesteatomas cyst or sac
They form, the skin of the skin folds in them and expands like a snowball. Cholesteatomas over time
they can grow and damage the very delicate ossicles around. Rare due to continued growth
, hearing loss, drowsiness, and facial muscle paralysis may develop.

How is it formed?
Mostly, the ‘Eustachian tube’, which extends between the nasal cavity and the middle ear, does not do its job properly and it is frequent.
occurs due to recurrent inflammation. The Eustachian tube provides ventilation of the middle ear. This pipe allergy,
vacuum in the middle ear (negative
pressure) occurs. This negative pressure pulls the eardrum, which has already thinned due to inflammation, inward.
Usually, cholesteatoma starts in this formed sac. Another rare familial form of cholesteatoma
It can be seen in the middle ear as well as in other skull bones. With ear infections
Associated cholesteatoma is the most common type.

What Kinds of Inconvenience Does It Cause?
Initially, the ear drains, sometimes with a foul smell. With hearing loss as the cholesteatoma enlarges
Along with this, a feeling of fullness or pressure in the ear may occur. (pain in or behind the ear, especially at night)
It can be quite annoying). Dizziness and facial muscle on the same side as the diseased ear
may have weakness. Each of these complaints are good reasons to seek medical help.

Is it dangerous?
Ear cholesteatomas can be dangerous and should never be neglected. Bone resorption, brain and internal
It can cause inflammation to spread to surrounding tissues such as the ear. If left untreated, deafness, brain abscess,
meningitis and, rarely, death.

What Kind of Treatment Can Be Applied?
Examination of the otolaryngologist and head and neck surgeon and, if necessary, of the ear region
A cholesteatoma can be detected by CT scan. The first treatment is to thoroughly clean the ear,
antibiotics and ear drops. The purpose of this is to prevent inflammation and to stop the flow.
The size and characteristics of the cholesteatoma should also be evaluated.
Large and other damaging cholesteatomas should be avoided so that the patient is not exposed to significant risks.
They usually require operations. Hearing and balance tests, X-rays of the ear may be necessary. This
tests are done to determine the degree of hearing and how much damage the cholesteatoma has caused.

The operation is performed under general anesthesia in most cases. The main purpose is to remove cholesteatoma and dry,
is the creation of an inflamed ear.
Preserving or improving hearing is the second goal.

Hearing may not be corrected in advanced damage. Dizziness or weakness in facial muscles
Treatment is rarely required. Reconstruction of the ear may not be possible with an operation.
Therefore, a second operation may be required 6 to 12 months after the first operation. This is the second operation hearing.
It aims to correct the cholesteatoma and to re-examine the cholesteatoma, if it remains.
Admission to the hospital is usually made on the day of the operation, and if the operation was performed in the early hours, it is normal.
Under these circumstances, the patient can be discharged on the same day. Some patients may need to stay overnight. with severe inflammation
In cases, a longer stay in the hospital and serum and antibiotic treatment may be required. Back to work approx.
takes a couple of weeks.
Sometimes cholesteatoma may recur, post-operative follow-ups, especially cholesteatoma control.
very important for In operations where an open area is left in the ear, this cavity is filled every few months.
needs to be cleaned. Some patients require lifelong ear monitoring.

Summary

“Cholesteatoma” is an important but treatable condition that can be revealed by examination. persevering ear
pain, discharge from the ear, feeling of pressure in the ear, hearing loss, lightheadedness, or facial muscle weakness
You should be examined by an ear, nose, throat and head and neck surgeon.

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