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Cholesteatoma

Jacob M. Burdett, DO, Paul Papajohn, DO and Seth Zwillenberg, MD Reviewed 06/2019
 


BASICS

DESCRIPTION

  • Cholesteatoma is a misnomer for a collection of pearly skin cells found in the mastoid, middle ear, or external auditory canal. These cells, once in place and growing, can lead to ot...

DIAGNOSIS

HISTORY

  • Patients with cholesteatoma may present with multiple chronic symptoms or a few subtle findings. Symptoms are usually slowly progressive. The most common symptom is recurrent painless...

TREATMENT

GENERAL MEASURES

  • Cholesteatoma is frequently identified in the setting of chronic ear disease. Initial workup includes treatment of existing ear abnormalities per clinical standards. The pati...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

  • Follow-up recommendations vary based on the surgical procedure used. If cholesteatoma is not completely excised and externalization is mandated, frequent otolaryn...

REFERENCES

1
Nevoux J, Lenoir M, Roger G, et al. Childhood cholesteatoma. Eur Ann Otorhinolaryngol Head Neck Dis.  2010;127(4):143–150. [View Abstract on OvidMedline]
2
Kuo CL, Shiao AS, Yung M, et ...

ADDITIONAL READING

  • Chandrasekhar S. Controversies in aetiology and management of cholesteatoma (N675): managing cholesteatoma: something old, something new, and something borrowed. J Laryngol Otol. &#...

CODES

ICD10

  • H71.9 Unspecified cholesteatoma

  • H71.91 Unspecified cholesteatoma, right ear

  • H71.93 Unspecified cholesteatoma, bilateral

  • H71.90 Unspecified cholesteatoma

  • H71.92 Unspecified cholesteatoma

  • H71.32 D...

CLINICAL PEARLS

  • Middle ear disease refractory to medical management should raise suspicion of cholesteatoma.

  • Complete examination of the ear includes inspection of the pars flaccida of the tympanic mem...

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