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Author: admin, 22.03.2015
When checked, Shutterstock's safe search screens restricted content and excludes it from your search results. Both the acquired as well as the congenital types of the disease can affect the facial nerve that reaches from the brain to the face and leads through the inner and middle ear and leaves at the forward tip of the mastoid bone, and then rises to the front of the ear and extends into the upper and lower face.
If untreated, a cholesteatoma can eat into the three small bones located in the middle ear (the malleus, incus and stapes, collectively called ossicles), which can result in nerve deterioration, deafness, imbalance and vertigo.


A history of ear infection or flooding of the ear during swimming should be taken seriously and investigated as cholesteatoma should be considered a possible outcome.
Granulation tissue and a discharge (through a marginal perforation of the ear drum) may be seen on examination. It can also affect and erode, through the enzymes it produces, the thin bone structure that isolates the top of the ear from the brain, as well as lay the covering of the brain open to infection with serious complications.


A cholesteatoma cyst consists of desquamating (peeling) layers of scaly or keratinised (horny) layers of epithelium, which may also contain cholesterol crystals.



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