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Cholesteatoma ENT Medicine Physiotherapy

Short Note on Cholesteatoma

In this article we will discuss Short Note on Cholesteatoma

In this article, we will discuss Short Note on Cholesteatoma. So, let’s get started.

Cholesteatoma

It occurs in dangerous type otitis media. It is a sac line by keratinizing stratified squamous epithelium in the middle ear cleft and contains desquamated epithelium arranged like onion skin layer. It has got consistency of a tooth paste with high destructive power. Hence it is defined as a “nonmalignant bone destroying disease of the ear.”

Symptoms

• Otorrhoea
• Deafness (mild to moderate degree)
• Earache
• Tinnitus
• Giddiness (may be due to labyrinthitis)
• Bleeding (due to granulations or polyps)
• Swelling in the mastoid region due to mastoid abscess
• Complications may be indicated by pain, fever, giddiness, vomiting, neck region localizing neurological signs, loss of orientation and gradual loss of consciousness
• Perforation
– Benign type: Central perforate
– Dangerous type: Attic or marginal perforate

Investigations

• Examinations of nose/pharynx
• Hearing tests
• Bacteriological examination
• X-rays
• CT scan
• Testing the patency of Eustachian tube
– If the ear drops reaches the throat, the tube is patent.
– Valsalva manoeuvre
– Otomicroscopy

Treatment

Conservative Treatment

• Removal of septic foci like adenoid and tonsils.
• Treatment for sinusitis and deviated nasal septum.
• Aural toilet (water should not be used) dry clean swab stick or by snetior.
• Antiseptic ear drops.
• Antibiotic ear drops.
• Chemical cautery
• Good nutrition.
• Anti-tetanus immunization.

Surgical Treatment

• Removal of polyps of granulation followed by chemical cauterization or by tympanoplasty.
• Tympanoplasty- Reconstruction of the ear drum and the Ossicular chain is performed
• In severe cases Mastoidectomy also performed.

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