تعريف
A cholesteatoma is a type of cyst found in the middle ear behind the eardrum. Cholesteatoma is a noncancerous tumor that forms when the skin of a punctured eardrum grows through the hole in the middle ear. If there is an ear infection, the skin will continue to grow into a cholesteatoma.
While the tumors are benign, the growths can cause damage to the ears by destroying bones in the ear and causing hearing problems. The tumors may also cause nerve damage, hearing loss, deafness, dizziness, and balance problems.
Cholesteatoma is a serious medical problem, and early treatment is crucial for the best outcome. Serious complications may occur if the tumor goes untreated, including destruction of both the middle ear structures causing hearing loss, and inner ear structures causing vertigo (feeling of spinning or whirling). Spreading of infection to the brain can lead to meningitis and brain abscess.
Cholesteatoma responds well to treatments. Patients are likely to recover fully without complications if the tumor is caught and treated early.
أسباب
Cholesteatomas are most often caused by:
- Ear infections
- العيوب الخلقية
- Poorly functioning eustachian tube
عوامل الخطر
A risk factor is something that increases your chance of getting a disease or condition. Chronic ear infections increase your chance of developing cholesteatoma.
الأعراض
تشمل الأعراض ما يلي:
- Discharge from the ear, sometimes foul-smelling
- Pressure in the ear
- فقدان السمع
- ألم الأذن
- Numbness of the ear
- الدوخة
- Muscle weakness in the face on the affected side
التشخيص
سوف يسألك طبيبك عن الأعراض والتاريخ الطبي، وسيقوم بإجراء فحص بدني.
وقد تشمل الاختبارات التالية:
- Hearing tests
- Balance tests
- التصوير المقطعي المحوسب - نوع من الأشعة السينية يستخدم جهاز كمبيوتر لعمل صور لهياكل داخل الجسم
- Electronystagmography—used to test the function of the nerves related to hearing
- Caloric stimulation—a test which diagnoses nerve damage to the ear
- X-ray —a test that uses radiation to take a picture of structures inside the body
العلاج
Talk with your doctor about the best treatment plan for you. Treatment options include:
Cleaning
Thorough cleaning of the ear is necessary to remove fluid and bacteria. Eardrops are also usually administered.
جراحة
Surgery may be necessary if the tumor is threatening hearing or balance.
الأدوية
Medications are necessary to dry up the fluid in the ear and include ear drops and oral antibiotics. Antibiotics are prescribed to eliminate any infection in the ear.
الوقاية
Cholesteatomas caused by congenital defects cannot be prevented. However, proper treatment of ear infections can prevent cholesteatoma.