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- $Unique_ID{BRK00730}
- $Pretitle{}
- $Title{Surgery in a Child's Ear for Cholesterol?}
- $Subject{ears infection tumor Sense senses middle ear infections Cholesteatoma
- eustachian tube partial vacuum skin growth hearing loss dizziness facial
- muscle paralysis discharge foul odor antibiotics surgery surgeries surgical
- operations operation dizzy}
- $Volume{F-21, A-21}
- $Log{
- Anatomy of the Inner Ear*0003301.scf}
-
- Copyright (c) 1991-92,1993 Tribune Media Services, Inc.
-
-
- Surgery in a Child's Ear for Cholesterol?
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-
- QUESTION: We are anxious about a telephone call telling us that our son may
- require surgery in his ear for cholesterol. We were unaware that this could
- happen, and need further explanations. You seem closer to us than the
- children's doctor, so we thought you might answer our letter.
-
- ------------------------------------------------------------------------------
-
- ANSWER: From your letter, I am assuming your adult son living in another city
- is the person facing the surgery, and I will try to give you the explanations
- you seek. To start with it is not cholesterol that is the cause of the
- problem, but a condition that can result from repeated middle ear infections
- that is called "Cholesteatoma", a name that is easily confused with
- cholesterol, but the two conditions are not related in any way. When the
- chronic ear infections block the eustachian tube, which leads from the middle
- ear to the back of the nose, the air in the middle ear is absorbed by the
- body, and a partial vacuum is created. Normally the eustachian tube maintains
- the normal ear air pressure necessary for the little bones contained here to
- function properly and conduct sounds to the inner ear. When a vacuum forms,
- it causes a pouch or sac to form by stretching the ear drum and sucking in the
- tissue. As the pouch sheds its outer layers, it creates a skin growth made up
- of old cells and tissue debris, and begins to grow much as a tumor might.
- When this growing mass presses on the delicate structures contained in the
- middle ear the tissues may be destroyed, and hearing loss, dizziness and even
- facial muscle paralysis can result. The first symptoms usually are a
- discharge from the ear, customarily with a foul odor, and a feeling of
- fullness or pressure in the ear. Fortunately, the condition is treatable. At
- first, antibiotics are used to stop the infection, and the ear is carefully
- cleaned to stop the drainage. If the cholesteatoma is large, it must be
- removed surgically, to prevent the complications from progressing. Once the
- mass is completely removed and the infection eradicated, there are special
- surgical techniques available to reconstruct the middle ear structures and
- restore hearing--if not completely, at least in part. The sooner the
- operation can be performed, the better the results may be. I am sure your son
- will do well.
-
- ----------------
-
- The material contained here is "FOR INFORMATION ONLY" and should not replace
- the counsel and advice of your personal physician. Promptly consulting your
- doctor is the best path to a quick and successful resolution of any medical
- problem.
-
-