Cholesteatoma

• Facts:
  Destructive and expanding growth consisting of keratinizing squamous epithelium in the middle ear and/or mastoid process
  
  Can be congenital or acquired
• History / PE:
  Continued ear drainage
  Hearing loss
  
• Diagnosis:
  CT scan
  Referral to ENT
• Complications:
  Hearing loss
  Cranial nerve palsies
  Vertigo
  Brain abscesses, meningitis