Cholesteatoma Surgery at DRHC Dubai ENT Clinic

Overview of Cholesteatoma

Cholesteatoma is an abnormal, noncancerous skin growth that develops in the middle ear behind the eardrum. Left untreated, it can lead to hearing loss, infections, dizziness, and damage to nearby structures such as the facial nerves and brain. Surgery is the primary treatment to remove the cholesteatoma and prevent further complications.

Causes of Cholesteatoma

• Chronic Ear Infections: Recurrent infections can lead to improper eardrum function, creating a pocket for skin cells to accumulate.
• Eustachian Tube Dysfunction: Poor ventilation in the middle ear can cause negative pressure, leading to the formation of a cholesteatoma.
• Congenital Cholesteatoma: A rare condition where cholesteatoma is present at birth due to trapped skin cells.
• Ear Trauma or Previous Surgeries – Perforations or past procedures can increase the risk of developing cholesteatoma.

Symptoms of Cholesteatoma

• Persistent ear drainage (often foul-smelling)
• Hearing loss
• Ear pressure or fullness
• Dizziness or balance issues
• Ear pain or recurrent infections
• Facial muscle weakness (in advanced cases)
• Tinnitus (ringing in the ear)
• Sensation of ear blockage or fullness

Diagnosis of Cholesteatoma

At DRHC Dubai, our ENT specialists use advanced diagnostic techniques, including:

• Otoscopy & Microscopy: Visual examination of the ear for abnormalities.
• CT Scan of the Temporal Bone: Helps assess the extent of bone erosion and involvement of nearby structures.
• MRI (If Needed): To evaluate any complications affecting the brain or facial nerves.
• Audiometry (Hearing Test): Evaluates hearing loss associated with cholesteatoma.

Cholesteatoma Surgery: Treatment Approach

Surgical removal of cholesteatoma is essential to prevent serious complications. At DRHC Dubai, we offer:

1. Tympanomastoidectomy

• Removes the cholesteatoma and infected tissue from the middle ear and mastoid bone.
• Can be performed as a canal wall up (CWU) or canal wall down (CWD) procedure, depending on the severity.

2. Ossicular Chain Reconstruction

• If hearing bones (ossicles) are damaged, they may be repaired or replaced to restore hearing function.

3. Second Look Surgery (If Needed)

• In cases where residual cholesteatoma is a concern, a follow-up surgery may be planned.

4. Endoscopic Ear Surgery

• A minimally invasive approach that allows better visualization and removal of cholesteatoma with minimal scarring.

Recovery and Postoperative Care

• Hospital Stay: Usually performed as an outpatient procedure, but complex cases may require an overnight stay.
• Recovery Time: Most patients recover within 2-4 weeks.
• Hearing Improvement: Depending on the extent of damage, hearing restoration may take time.
• Regular Follow-Ups: Essential to monitor healing and detect recurrence.
• Ear Protection: Patients should avoid water exposure and loud noises during recovery.
• Medications: Antibiotics and pain relievers may be prescribed to manage infection and discomfort.

Possible Complications if Left Untreated

• Progressive hearing loss
• Persistent ear infections
• Balance issues or vertigo
• Facial nerve damage leading to weakness or paralysis
• Brain abscess or meningitis (in rare severe cases)

Why Choose DRHC Dubai for Cholesteatoma Surgery?

• Experienced ENT Surgeons specialized in cholesteatoma treatment.
• State-of-the-art Facilities with advanced imaging and surgical techniques.
• Minimally Invasive Options for faster recovery and better outcomes.
• Personalized Treatment Plans tailored to each patient’s condition.
• Comprehensive Aftercare to ensure long-term ear health.

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Dubai ENT clinic—If you are looking for an ENT specialist in Dubai, DRHC provides experienced and leading ENT doctors in Dubai for healthy treatment. To book an appointment, please call +97142798200 today!