A patient with chronic otitis media is diagnosed with a cholesteatoma. The nurse realizes that what would be the treatment of choice for this patient?
1. surgery
2. nothing; it will resolve on its own
3. antibiotics
4. tympanostomy tubes
Correct Answer: 1
Cholesteatomas are benign and slow-growing tumors that can enlarge to fill the entire middle ear. Untreated, the cholesteatoma can progressively destroy the ossicles and erode into the inner ear and cause profound hearing loss. A cholesteatoma may require delicate surgery for its removal. If at all possible, radical mastoidectomy with removal of the tympanic membrane, ossicles, and tumor is avoided. Antibiotics are not appropriate treatment. Tympanostomy tubes are not used to treat a cholesteatoma.
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