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.
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 :
How the Procedure Works
Surgery for cholesteatoma is usually performed as an inpatient or day-care procedure.
1. Examination & Imaging
- Detailed evaluation with audiometry and CT scan to understand the size and location of the cholesteatoma.
2. Anesthesia
- Performed under general anesthesia for comfort and precision.
3. Microsurgical Removal
- Using a high-powered microscope, the surgeon removes the cholesteatoma completely, ensuring no residual disease is left behind.
4. Reconstruction
- If needed, the ossicles or eardrum are reconstructed to restore hearing and maintain ear function.
4. Closure & Packing
- Ear canal and mastoid are packed gently, and the patient is monitored during recovery.
Complete Removal Of Growth
Eliminates the cholesteatoma safely
Reduced Infection Risk
Stops recurring ear infections and discharge
Prevents Complication
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
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.
Professional Qualifications
Experience across multiple clinical departments during internship and residency
Years of Experience
15+ years performing complex ear surgeries including cholesteatoma
Comprehensive Training
Expertise in identifying early signs of infections, growths, and skin disorders
Modern Technology & Approach
Advanced equipment and techniques for accurate diagnosis and effective treatment.
Patient Safety & Comfort
Ensures minimal trauma, controlled anesthesia, and pain-free experience
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.
