It can be a birth defect congenital problem but usually occurs as a complication of long standing chronic ear infection.
Attic perforation cholesteatoma.
This is the most common and widely considered as the main reason for cholesteatoma.
The most common symptoms are loss of hearing and a foul smelling discharge from the ear.
The vast majority of acquired cholesteatomas develop as a result of chronic middle ear infection and are usually associated with perforation of the tympanic membrane.
Clinical presentation usually consists of conductive hearing loss often with purulent discharge from the ear 6.
Invagination of the tympanic membrane of the attic to form retraction pockets to be filled with desquamated epithelium and keratin to form cholesteatoma.
Cholesteatoma is condition whereby there is entrapment of squamous epithelium which eventually expands and cause effects to nearby structures.
If the cholesteatoma has been dry the cholesteatoma may present the appearance of wax over the attic.
Eustachian tube theory.
Patients may also present due to one of many complications which include.
Cholesteatoma with attic perforation youtube.