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.
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.
Cholesteatomas usually continue to grow if not removed. Surgery usually works, but you may need the ear cleaned every once in a way. Additional surgery may be needed if the cholesteatoma recurs.
Call your health care provider if ear pain, drainage from the ear, or other symptoms occur or worsen, or if hearing loss occurs.
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