Cholesteatoma
Cholesteatoma · Cholesteatom
What it is
Skin grows into the middle ear and erodes bone. It does not stop on its own.
Symptoms & signs
- Smelly persistent ear discharge
- hearing loss
- earache
- dizziness
- facial weakness if late
🚩 Get help if…
- call 112 / 911 now Weakness of one side of the face
- call 112 / 911 now Severe headache, stiff neck, high fever or confusion with ear discharge
- see a doctor soon Swelling, redness or pain behind the ear
- see a doctor soon Spinning dizziness or sudden worse hearing with a smelly discharge
Where it strikes
Medical treatment
- Surgical removal (mastoidectomy) — the only cure
- regular follow-up for recurrence
- hearing reconstruction
Natural & lifestyle
- Keep the ear dry
- treat ear infections promptly
- attend follow-up scans
Emerging & experimental
- Non-echo-planar diffusion MRI instead of second-look surgery
Alternative, off-label & anecdotal
Approaches used outside the guidelines, with what their supporters report and what testing has found so far.
- Ear drops and natural remedies — cannot remove it; only surgery does anecdotal / traditional
- Ear candling — burns and blockages; no benefit not confirmed in trials
ICD codes
- ICD-10 H71
- ICD-11 AB12 Cholesteatoma of middle ear