Cholesteatoma is a serious medical problem. Early treatment is vital for the best outcome. Serious complications may occur if the tumor goes untreated, including
hearing loss, muscle weakness, and vertigo. If there is infection it may spread to the brain leading to meningitis and brain abscess.
Cholesteatoma responds well to surgical treatment. Patients are likely to recover fully without complications if the tumor is caught and treated early with surgery.
Surgery prevents complications such as hearing loss and balance problems. Thorough cleaning of the ear is necessary to remove fluid and bacteria. It is done with a scalpel or a needle and a syringe. Eardrops are also usually given to prevent the infection from returning.
Medications are necessary to dry the fluid in the ear if allergies or other causes are producing excess fluid.
Cholesteatomas caused by defects at birth cannot be prevented. However, proper treatment and close follow-up of ear infections can help prevent cholesteatoma.
Cholesteatoma. ENT Health Information: Ears. American Academy of Otolaryngology—Head and Neck Surgery website. Available at: http://www.entnet.org/content/cholesteatoma. Accessed August 22, 2017.
Levenson M. Cholesteatoma. Ear Surgery Information Center website. Available at: http://www.earsurgery.org/conditions/cholesteatoma. Accessed August 22, 2017.
4/29/2014 DynaMed Plus Systematic Literature Surveillancehttp://www.dynamed.com/topics/dmp~AN~T115151/Cholesteatoma: Angtuaco EJ, Wippold FJ, et al. American College of Radiology (ACR) Appropriateness Criteria for hearing loss and/or vertigo. Available at: http://www.acr.org/~/media/ACR/Documents/AppCriteria/Diagnostic/HearingLossVertigo.pdf. Updated 2013. Accessed September 11, 2014.
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