Cholesteatoma Questions & Answers

Updated: Oct 26, 2020
  • Author: Vijay A Patel, MD; Chief Editor: Arlen D Meyers, MD, MBA  more...
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Questions & Answers

Overview

How are cholesteatomas treated?

What are cholesteatomas?

What are the signs and symptoms of cholesteatomas?

How are cholesteatomas diagnosed?

How has the treatment of cholesteatomas evolved?

What is the pathophysiology of cholesteatomas?

What are congenital cholesteatomas?

What are primary acquired cholesteatomas?

What are secondary acquired cholesteatomas?

What is the prevalence of cholesteatomas?

What is the prognosis for cholesteatomas?

How common is cholesteatoma-related fatality?

Presentation

What causes otorrhea in patients with cholesteatomas?

What causes hearing loss in patients with cholesteatomas?

What causes vertigo in patients with cholesteatomas?

How common is facial nerve palsy in cholesteatomas?

Which central nervous system (CNS) findings are characteristic of cholesteatomas?

Which craniofacial abnormality is associated with cholesteatomas?

Which physical findings are characteristic of cholesteatomas?

What causes mastoiditis in patients with cholesteatomas and how is it treated?

What causes facial nerve palsy in patients with cholesteatomas and how is it treated?

What are the possible intracranial complications of cholesteatomas?

DDX

What is the role of imaging in differentiating cholesteatomas from other otologic conditions?

What conditions are included in the differential diagnosis of cholesteatomas?

What are the differential diagnoses for Cholesteatoma?

Workup

What is the role of lab testing in the workup for cholesteatoma?

What is the role of audiometry in the workup for cholesteatoma?

What is the role of CT scanning in the workup for cholesteatoma?

Which cholesteatoma findings on CT increase the risk of nonsurgical management?

Which cholesteatoma findings on CT increase the risk of postsurgical hearing loss?

What is the role of MRI in the workup for cholesteatoma?

Treatment

What is the role of surgery in the treatment of cholesteatoma?

What is the role of mastoidectomy in the treatment of cholesteatoma?

How do the advantages and disadvantages of canal wall-up and canal wall-down procedures for cholesteatoma compare?

Which intraoperative findings favor a canal-down surgical approach for cholesteatoma?

How is mastoidectomy performed for cholesteatoma?

What is the efficacy of canal wall-reconstruction (CWR) tympanomastoidectomy for the treatment of cholesteatoma?

How is a labyrinthine fistula treated in patients with cholesteatoma?

How is brain herniation treated in patients with cholesteatoma?

How soon after cholesteatoma surgery is a follow-up office visit required?

What is included in postoperative care following cholesteatoma surgery?

How is granulation tissue controlled following cholesteatoma surgery?

How are infections controlled following cholesteatoma surgery?

What is the role of endoscopic surgery in the treatment of cholesteatoma?

How is cholesteatoma surgery-related stenosis treated?

How is the risk of postsurgical cholesteatoma facial nerve injury reduced?

How is postsurgical cholesteatoma facial nerve injury evaluated?

How is postsurgical cholesteatoma facial nerve injury treated?

What is the role of facial nerve monitoring in the treatment of cholesteatoma?

What is the incidence of hearing loss following cholesteatoma removal?

What is the incidence of surgical graft failure following cholesteatoma removal?

What is the incidence of balance disturbances following cholesteatoma removal?

How is cholesteatoma surgery-related perichondritis diagnosed and treated?

What causes otorrhea following cholesteatoma removal?

How do foreign bodies become retained in the mastoid cavity during cholesteatoma removal?

What causes dysgeusia following cholesteatoma removal?

What is included in the long-term care following cholesteatoma removal?

What is the role of medications in the treatment of a cholesteatoma?

Which specialist consultations are beneficial to patients with a cholesteatoma?

Medications

What is the role of antibiotics in the treatment of cholesteatoma?