Cholesteatoma Primary

Primary Cholesteatoma: Understanding and Treatment

Primary cholesteatoma (c. primarium) is a rare disease that affects the auditory and balance structures within the ear. Cholesteatoma is an abnormal collection of epithelial cells that form an abnormal cyst inside the middle ear. Primary cholesteatoma differs from secondary cholesteatoma, which develops as a result of injury, infection, or surgery.

The causes of primary cholesteatoma are not fully understood, but there are several suspected factors that may contribute to its occurrence. Genetic predisposition, congenital abnormalities of auditory structures and chronic inflammatory processes in the ear may play a role in the development of primary cholesteatoma. It is also known that damage to the eardrum can be a triggering factor for the occurrence of this disease.

One of the main symptoms of primary cholesteatoma is constant or regular discharge of purulent fluid from the ear. Patients may also experience hearing problems, dizziness, tinnitus, and frequent middle ear infections. If cholesteatoma is not treated, it can progress and cause serious complications such as damage to the auditory nerve, brain and facial nerve.

The diagnosis of primary cholesteatoma can be made through a physical examination of the ear, audiometry (a hearing test), and a computed tomography (CT) scan to visualize the structures inside the ear. Determining the stage and extent of cholesteatoma also requires radiography of the temporal bones and magnetic resonance imaging (MRI).

Treatment for primary cholesteatoma usually involves surgery to remove the pathological cyst and restore damaged ear structures. The purpose of the operation is to completely remove the cholesteatoma and prevent its recurrence. Depending on the extent of the lesion and the individual characteristics of the patient, different surgical methods may be required.

After surgery, patients are advised to undergo regular monitoring and monitoring of the ear to detect recurrences or complications. Physical therapy and hearing rehabilitation may be prescribed to restore hearing function after cholesteatoma removal.

Primary cholesteatoma is a serious disease that requires timely intervention and treatment. Patients who have a suspicion of primary cholesteatoma or an already established diagnosis are advised to consult a specialist - an otolaryngologist or a surgeon specializing in ear diseases to receive professional advice and prescribe appropriate treatment.

It is important to note that this article is general information about primary cholesteatoma and does not replace consultation with a medical professional. Each patient has unique characteristics and requires an individual approach to diagnosis and treatment.

In conclusion, primary cholesteatoma is a rare but serious ear disease. Early consultation with a doctor and timely treatment play an important role in preventing complications and maintaining hearing function. Patients are advised to be alert to any ear-related symptoms and consult a specialist for diagnosis and appropriate treatment.