Dr. Viral Prajapati
Surgery for Cholesteatoma
Surgery for cholesteatoma is the most effective way to remove this growth, prevent complications, and restore ear health.
About Surgery for Cholesteatoma
A cholesteatoma is an abnormal growth of skin cells in the middle ear behind the eardrum. Though non-cancerous, it can be dangerous because it gradually expands and damages nearby structures, including the bones of the middle ear. This can lead to hearing loss, ear discharge, dizziness, and even serious infections if left untreated. Using advanced microscopes and microsurgical techniques, the procedure carefully removes the cholesteatoma while preserving surrounding structures and improving hearing whenever possible.
A cholesteatoma is an abnormal growth of skin cells in the middle ear behind the eardrum. Though non-cancerous, it can be dangerous because it gradually expands and damages nearby structures, including the bones of the middle ear. This can lead to hearing loss, ear discharge, dizziness, and even serious infections if left untreated. Using advanced microscopes and microsurgical techniques, the procedure carefully removes the cholesteatoma while preserving surrounding structures and improving hearing whenever possible.
What is Surgery for Cholesteatoma?
Surgery for cholesteatoma involves removing the abnormal skin growth from the middle ear and, if necessary, reconstructing the small bones (ossicles) to restore hearing.
The operation is performed under a microscope, which allows the surgeon to see the delicate structures of the ear and remove the cholesteatoma completely. This precise approach reduces the risk of damage to the ear canal, eardrum, or inner ear while ensuring thorough cleaning.
Depending on the size and location of the cholesteatoma, different surgical approaches may be used, such as canal wall up or canal wall down mastoidectomy, both designed to completely remove the disease and prevent recurrence.
Who Needs This Procedure?
Timely surgery prevents further damage, preserves hearing, and reduces the risk of life-threatening complications. Surgery for cholesteatoma is recommended for patients with :
Microscopic Ear Examination & Suction Clearance
How the Procedure Works
Surgery for cholesteatoma is usually performed as an inpatient or day-care procedure.
Detailed evaluation with audiometry and CT scan to understand the size and location of the cholesteatoma.
Performed under general anesthesia for comfort and precision.
Using a high-powered microscope, the surgeon removes the cholesteatoma completely, ensuring no residual disease is left behind.
If needed, the ossicles or eardrum are reconstructed to restore hearing and maintain ear function.
Ear canal and mastoid are packed gently, and the patient is monitored during recovery.
Benefits OF
Surgery for Cholesteatoma

Complete Removal of Growth
Eliminates the cholesteatoma safely

Reduced Infection Risk
Stops recurring ear infections and discharge

Prevents Complications
Protects bones, inner ear, and surrounding structures

Safe & Precise
Microscope guided surgery minimizes tissue trauma
Recovery & Aftercare
Mild ear discomfort or drainage may occur for a few days
Keep the ear dry and avoid inserting objects or water exposure
Routine check-ups help detect any recurrence early
Long term ear care and hygiene prevent infections
Why Consult
Dr. Viral Prajapati?
Choosing the right ENT specialist is essential for accurate diagnosis, safe treatment, and long-term ear, nose, and throat health. With a strong medical foundation, years of hands-on clinical experience, and a patient-centered approach, this ENT practice offers reliable care backed by proven expertise.
MBBS and MS ENT with strong clinical expertise
Strong academic base with extensive practical exposure during training
Experience across multiple clinical departments during internship and residency
15+ years performing complex ear surgeries including cholesteatoma
Expertise in diagnosing both simple and complex ear, nose, and throat conditions
Trusted by patients for consistent and reliable treatment outcomes
- Hands-on experience at a high-volume government hospital
- Exposure to emergency care, pediatric cases, surgical procedures, and routine ENT management
- Skilled in microscope-guided ear surgery for precise outcomes
Gentle approach with a focus on patient comfort at every step
Ensures minimal trauma, controlled anesthesia, and pain-free experience
Uses safe, controlled techniques to avoid unnecessary discomfort
Frequently Asked Questions
No, it is performed under anesthesia, ensuring a painless procedure.
Mild discomfort may last a few days; full recovery and hearing improvement may take several weeks.
Yes, cholesteatoma surgery is safe for children with proper assessment.
Hearing may improve if the ossicles are intact or reconstructed successfully.
Recurrence is possible, which is why regular follow-ups are essential.