It can be a birth defect congenital problem but usually occurs as a complication of long standing chronic ear infection.
Attic perforation cholesteatoma.
Cholesteatoma with attic perforation youtube.
Eustachian tube theory.
If the cholesteatoma has been dry the cholesteatoma may present the appearance of wax over the attic.
Clinical presentation usually consists of conductive hearing loss often with purulent discharge from the ear 6.
The vast majority of acquired cholesteatomas develop as a result of chronic middle ear infection and are usually associated with perforation of the tympanic membrane.
The most common symptoms are loss of hearing and a foul smelling discharge from the ear.
Cholesteatoma is an uncommon condition where a cyst like growth develops in the ear.
Invagination of the tympanic membrane of the attic to form retraction pockets to be filled with desquamated epithelium and keratin to form cholesteatoma.
This is the most common and widely considered as the main reason for cholesteatoma.
Patients may also present due to one of many complications which include.