define
this is the presence of keratin within the middle ear (dead skin cells on the surface of the eardrum is sucked inwards and collected)
what does the keratin cells contain?
enzymes that can erodes surrounding bone
what does the keratin provide the perfect medium for?
bacterial growth
two types of cholesteatoma
acquired
congenital (born with a collection of skin producing cells behind the middle ear drum)
diagnosis
pearly white masses on otoscopy
foul smelling
cheesy discharge
management
surgical excision and reconstruction