Ensuring the safety of our patients is our utmost priority. We want you to know that we are closely monitoring the COVID- 19 situation and taking steps to keep everyone as safe as possible. At this time, in order to protect the safety of our patients and preserve our ability to staff our sites with our talented specialty doctors and teams, ENTA will be limiting patient access at several clinical locations. For a complete list, click here.

Many of our locations will be open for allergy shots and biologic therapies during this time, but also on a limited schedule. Please contact your office for the availability of these hours. For complete information on the latest restrictions and screening process, please click here.

In response to the current emergency situation all our locations will be offering Virtual Office Visits with your local ENTA doctors. For more information, please click here.



Ear and Dizziness Centers logoADVANCED EAR SERVICES

A cholesteatoma is an epithelial (skin-based) cyst originating from the tympanic membrane, and is usually associated with eustachian tube dysfunction. Chronic negative pressure in the middle ear space pulls the tympanic membrane inward, creating a pocket or cyst that accumulates epithelial debris. The pocket then grows slowly, and can erode surrounding structures such as the ossicles (middle ear bones), the facial nerve, the inner ear, or even the bone against the brain. The pocket also becomes a source of chronic infection, which usually does not resolve until the cyst is removed. As such, cholesteatomas can cause conductive (mechanical) and/or sensorineural (nerve-damage) hearing loss, facial paralysis, or even meningitis. Cholesteatomas may affect all age groups, and as a fundamentally mechanical problem, usually must be treated surgically with a procedure called a tympanomastoidectomy. A tympanostomy tube may also be inserted to address the underlying eustachian tube dysfunction. A second surgery is often required 6 months after the first to check for regrowth and to correct any ossicular (ear bone) damage. A significant amount of hearing loss can usually be recovered at the second surgery. The recovery from surgery is usually relatively benign, and the risks are usually quite low.

Rarely, children may be born with a so-called congenital cholesteatoma, which is the result of an error of development. These are not usually detected until about 3-6 years of age, and may be mistaken for years as a chronic ear infection. Congenital cholesteatomas generally behave similarly to the more common acquired cholesteatomas described above, with the exception that they are infected less frequently.