An older adult with a recent history of mixed hearing loss has been diagnosed with a cholesteatoma. What should this patient be taught about this diagnosis? Select all that apply
A) Cholesteatomas are benign and self-limiting, and hearing loss will resolve spontaneously.
B) Cholesteatomas are usually the result of metastasis from a distant tumor site.
C) Cholesteatomas are often the result of chronic otitis media.
D) Cholesteatomas, if left untreated, result in intractable neuropathic pain.
E) Cholesteatomas usually must be removed surgically.
Ans: C, E
Feedback:
Cholesteatoma is a tumor of the external layer of the eardrum into the middle ear, often resulting from chronic otitis media. They usually do not cause pain; however, if treatment or surgery is delayed, they may burst or destroy the mastoid bone. They are not normally the result of metastasis and are not self-limiting.
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