What Is Cholesteatoma, and How Is It Treated? - #15207
A friend of mine was recently diagnosed with cholesteatoma, and I had never heard of it before. From what I understand, it’s an abnormal skin growth in the middle ear, but what causes it, and how serious is it? I read that cholesteatoma can develop due to chronic ear infections or eustachian tube dysfunction, but does it always require surgery? Are there any symptoms to watch for before it becomes severe? I’m also wondering if Ayurveda offers any natural treatments for ear health that might help prevent cholesteatoma. Can herbal ear drops or dietary changes help reduce the risk of ear infections that might lead to this condition? If anyone has dealt with cholesteatoma, I’d love to hear how it was treated and whether surgery was necessary.
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Doctors’ responses
Cholesteatoma is an abnormal skin growth in the middle ear that occurs due to chronic ear infections or eustachian tube dysfunction, leading to trapped skin cells that expand and damage surrounding structures. Symptoms include persistent ear discharge, hearing loss, ear fullness, dizziness, and foul odor. If left untreated, it can cause bone erosion, infections, or even facial nerve damage, often requiring surgical removal to prevent complications. Ayurveda focuses on preventing chronic ear infections with herbal ear drops (like Bilva, Neem, or Dashamoola oil), Nasya therapy (medicated nasal drops), and steam inhalation to clear congestion. Strengthening digestion and immunity with Turmeric, Giloy, and Tulsi can also reduce infection risk. Early diagnosis is key to avoiding severe complications.
Cholesteatoma’s one of those things that can sneak up on you. You’re right, it’s an abnormal skin growth in the middle ear, and is usually due to repeated ear infections or issues with the eustachian tube. These problems cause negative pressure which suck in part of the ear drum and form a growth. It’s serious if left untreated as it can lead to hearing loss, dizziness, even infections that spread to nearby structures.
Surgery is often necessary to remove cholesteatoma completely. That’s because it doesn’t won’t resolve on it’s own and can keep growing, causing more issues. Symptoms might include ear discharge, hearing loss, earache, a sensation of pressure in the ear or possibly a strange smell emanating from the ear. Important to catch it early to avoid complications.
Okay, now on the Ayurvedic side of things… There’s good stuff for maintaining general ear health. Focus on keeping vata balanced, since it governs movement and could be linked to eustachian tube function. Practices like oiling (like nasya or even applying sesame oil) can be gentle and nourishing. Herbal ear drops with ingredients like neem oil or triphala decoction might help maintain ear hygiene, but always check with an Ayurvedic doctor before trying anything new in the ears.
Work on boosting your immunity and digestion; a strong agni (digestive fire) helps the body fight infections. Foods that are warming and easy to digest, like ginger or turmeric, can be allies here. And avoid excessive dairy if you tend to get congestion—could aggravate kapha, leading to more mucus buildup.
Ultimately though, if symptoms of ear imbalance are noticed, a visit to an ENT specialist is vital. Ayurveda can complement by upholding wellness, but monitoring the situation with modern medicine’s necessary. Hope that helps! Be well.

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