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CHOLESTEATOMA

Gabrielle Smith

Department of Speech and Hearing Sciences

Cholesteatoma

Defined by Friedmann in 1959 as a cystic structure covered with stratified squamous epithelium that leans over a fibrous stroma containing some elements from the original mucous membrane

Cholesteatoma

Cholesteatoma

cont..

Cholesteatoma cont..

As time pasts, doctors found that a cholesteatoma is formed due to the continuing of middle ear infections, also known as Otitis Media and the dysfunction of a persons Eustachian tube over a period of time.

Symptoms

If a child has a Cholesteatoma,

they may have all or some of these symptoms:

Symptoms

  • Symptoms:
  • Bad smelling fluid leaking from the ear
  • A feeling of "Fullness" in the ear
  • Pressure in the ear that can cause pain
  • Dizziness
  • Tinnitus
  • Slight hearing loss, depending on the size of the cholesteatoma

Diagnosis

Diagnosis

Diagnosis

  • Doctor to visit: Otolaryngologist
  • They are specialized for problems in your ears, nose, or throat, in addition to problems in the neck.
  • Instrument used: Otoscope
  • If there are no obvious signs of a cholesteatoma, the doctor may need to order a CT scan
  • Cholesteatomas are serious conditions, but if they are caught before they start to spread, they are controllable.

Treatment

Treatment:

  • When first diagnosed with the cholesteatoma, patient will be given anti-biotic, and ear drops to help treat and bring the swelling down.
  • There is no other way exactly to heal a cholesteatoma other than surgery
  • Two ways to get the cholesteatoma removed, which are a mastiodectomy and tympanoplasty

Tympanoplasty & Mastoidectomy

Complications of Surgery:

  • Hearing loss
  • allergic reactions
  • Tinnitus
  • Ear Discharge
  • Damage to the Facial Nerve
  • Dizziness
  • Change of taste

Whats Inside???

Whats Inside?

Whats Inside?

Cholesteatomas form a cysts or sacs that shed skin into the middle ear space.

Hearing

Hearing

Hearing:

15dB up to 60dB is how much hearing may be lost and is usually more affective with low pitch sounds rather than high pitched

Statistics

Statistics

Statistics:

  • Ages: 1-4, 45-59 and 75+
  • Race: (1st)African Americans, (2nd)Hispanics, (3rd)Caucasians
  • Gender: Predominantly MEN

Affects of a Cholesteatoma

Affects

Affects:

  • Meningitis
  • Abrasion of the ossicles
  • Peforation of the tympanic membrane
  • Total hearing loss
  • Balance Mechanism
  • Death

Review of Topics:

Review

  • Learned the original thought of a cholesteatoma
  • Realize the symptoms to pay attention for if you have a cholesteatoma
  • Know how to go and get diagnosed for a cholesteatoma
  • Understand the treatment that has to be done for a cholesteatoma
  • Know whats actually growing inside of your ear
  • Learned statistics of cholesteatoma and where you may stand in those stats if you have a cholesteatoma
  • Affects that may come from having a cholesteatoma

REFERENCES:

REFERENCES

  • Kennedy, Kenneth L., Singh, A. K. (2017). Middle Ear, Cholesteatoma. Treasure Island (FL): Stat Pearls Publishing.
  • Yildirim, Nadir, Kulekci, Semra, Sivas, Z.Z, Kucur, Cuneyt (2014). Comparison of Primary and Secondary Cholesteatomas in Terms of Ossicular Destruction and Complications: Turkish Archives of Otolaryngology. Turk Otolaryngology, 52: 121-5.
  • Mastoidectomy to treat cholesteatoma or ear infection. (2009, November 10). Sick Kids Hospital Staff, pp. 2.
  • Blumsack, Judith, Anderson, Karen. (2012). Cholesteatoma-What is it? How can it affect learning? Tampa, FL.Supporting Success for Children with Hearing Loss.
  • Levenson, Mark. (2016). Cholesteatoma: Risk and Complications. Saratoga Springs, New York Ear Surgery Information Center. pp 2.
  • Blahd, William. (2017). WebMD (Cholesteatoma Medical Reference). How Common Are Cholesteatomas. pp 1.

QUESTIONS?

QUESTIONS?

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