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Jay:

I think all Otologists want to take it one surgery at a time. Yours will be able to tell you after this surgery. Hopefully, only one.

Just diagnosed...

Told that I will have to have surgery. I'm going tomorrow night for a CT scan to get a better look at what's going on in there. I know I can't get a truly exact number on this, but, on average, how many surgeries are needed to correct this sort of thing. I was told that I would need surgery, not surgeries.Thanks...Jay

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Jay,

Prepare for having at least 2 surgeries - one for the removal and

one for an exploratory follow up anywhere from 6-12 months after the

first one. The number of surgeries will also depend on the size and

location of the c-toma. Also, you should plan on going to the ear

doc for the rest of your life to receive the proper care.

Good luck!

> Told that I will have to have surgery. I'm going tomorrow night

for

> a CT scan to get a better look at what's going on in there.

>

> I know I can't get a truly exact number on this, but, on average,

how

> many surgeries are needed to correct this sort of thing. I was

told

> that I would need surgery, not surgeries.

>

> Thanks...

> Jay

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Hi ,

Ugh. I was hoping you wouldn't say that. :-( This stuff has me

freaked out. Weird thing is; one day my hearing in my right ear went

to nil. It was not a gradual thing at all. I was starting to notice

this nasty odor from my ear. So, I go to my ENT. He gets his noisy

little ear vacuum and cleans out my ear. Apparently, I have a " super-

infected chlosteatoma. " Now, I wonder if the infection was a

blessing in disguise, since there was barely any hearing loss before

it, and it ended up scaring me into going to the doctor. (My doc's

got me on Ceftin pills and Cipro drops to keep the infection down.)

I guess what I'm saying is, I just hope that we caught it early

enough, that it didn't really cause too much damage in there....

sorry for running on and on.

I appreciate your comments,

Jay

> > Told that I will have to have surgery. I'm going tomorrow night

> for

> > a CT scan to get a better look at what's going on in there.

> >

> > I know I can't get a truly exact number on this, but, on average,

> how

> > many surgeries are needed to correct this sort of thing. I was

> told

> > that I would need surgery, not surgeries.

> >

> > Thanks...

> > Jay

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  • 3 years later...

Steve

Fear not, your normal run of the mill Family Doc's do

not see this enough to know what they found. The only

thing they can do is to try to treat it for a amount

of time then send you to a ENT. Don't know where you

live but I would seak out a Otologist, they are ENT's

that only work on ears. In general Otologist's are

trained the best to treat c-toma, don't get me wrong

ENT's can do this but an Otologist knows this stuff

inside and out. Odds are you will lose some hearing,

it all depends on what the damage has been caused by

the c-toma and what damage the surgery will cause.

Let us know where you live, someone will likely chim

in and point you in the direction of a Otologist.

Tom Hansen

--- <str8boyscantcompare@...> wrote:

> My ENT told me a little bit about this and

> recommended surgery right

> away. I can hardly hear out of either ear but after

> CT tests and a

> painful prodding n chipping of something in my ear

> with a slender

> metal instrument, I am left today with the

> following fears:

>

> On March 26, he is putting a tube in my left ear and

> correcting a

> deviated septum. Once healed, we are to schedule

> the surgery for the

> cholesteatoma. I can't even pronounce this word.

> I'm looking at

> pictures and just as nauseated as today in his

> office with the

> instrument. I nearly threw up in his chair. Ok, so

> I'm overreacting

> but my hearing is so horrible at this point its

> unbearable! At least

> out of 3 practitioners and 2 ENT's, he's the only

> one who has been

> able to determine what it is I have. He also said I

> may need surgery

> in my left ear in the future but not at this point.

> He wants to just

> put a tube in that ear.

>

> I'm sure there's a thousand and one posts about how

> to calm my fears

> but I'm really quite sick searching without meaning

> or direction on

> this " disease " . Please, someone explain to me the

> effects on my

> hearing...the pain involved and what degree...and

> perhaps the

> recovery time if possible. Any other pertinent info

> will definitely

> qualm my fears - hopefully.

>

> Thanks fellas!

>

>

________________________________________________________________________________\

____

Never miss a thing. Make your home page.

http://www./r/hs

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Please, someone explain to me the effects on my hearing...the pain involved and what degree...and perhaps the recovery time if possible. Any other pertinent info will definitely qualm my fears - hopefully.Hi

The purpose of the surgery is to eradicate the disease and make the ear safe and dry because you would end up far worse problems if it were left untreated. Your hearing, I'm afraid, is really a secondary concern. The three small sound conduction bones in the middle ear are usually the first things to be affected by cholesteatoma which is why you end up with hearing loss. If these bones are damaged or eroded then you will usually be given a reconstruction surgery at some later stage. Sometimes they do at the same time as the main surgery but usually it will after a period six months to a year to make the ear has fully healed and that the disease has not returned. Reconstruction generally involves placing a prosthetic inside the ear which will replace the bones and fixing the eardrum if necessary. In most cases the reconstruction will give you back a good level of hearing.

There are different grades of ctoma surgery depending upon how far the disease has spread and how much damage has been done. The two main types being known as canal wall up and canal wall down. The fiirst one is more conservative but there is a greater chance that the disease may return in the future. The second is a more radical surgery which is better at getting rid of the disease completely but there are longterm consequences such as the ear needs to be cleaned out every so often by a surgenn and you would need to greater care to avoid getting water in your ear. Most surgeries these days are canal wall up and it may be worth asking your doctor which one he plans though he may not know for sure what is required until he as actually looked directly inside your ear. If you haven't got any major symptoms apart from hearing loss and probably ear pain then your surgery should not be to difficult. The surgery itself may last several hours - this is because a fairly painstaking procedure on a small scale.

Most people will need about two weeks to rest folllowing surgery. You will normally have a sore head, of course, for which you will likely be given pain killers. There is usually some discharge and bleeding for a few days after the srugery and you may also experience some of dizziness. You are generally required to avoid heavy exertion or travelling by plane for about month or so after the surgery.

Ctoma is potentially a very serious disease and it's absolutely normal to be anxious about surgery. It is curable however and the best part is always the relief you feel when you wake up and it's all over. The time running up to surgery is aleays the maot awful part .

Phil

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Hi ,

Phil gives a very good and thorough account. I'll just add to this

with some of my own personal experiences.

I am currently 4 weeks post-op after my second Cholesteatoma

operation (my first, 6 years ago was on my other ear). I can

currently hear to an acceptable level through both ears without the

use of a hearing aid.

In my left ear, I have a prosthesis that was put in place during the

first surgery, but the surgery in my right ear was done soon enough

that I did not need to have a prosthesis placed in there.

Pain was negligable, but for sure the first few days and weeks after

the surgery you need to take it easy.

Most important consideration is the quality of your surgeon.

Good luck!

>

> Please, someone explain to me the effects on my

> hearing...the pain involved and what degree...and perhaps the

> recovery time if possible. Any other pertinent info will definitely

> qualm my fears - hopefully.

>

> Hi

>

> The purpose of the surgery is to eradicate the disease and make the

ear safe and dry because you would end up far worse problems if it

were left untreated. Your hearing, I'm afraid, is really a secondary

concern. The three small sound conduction bones in the middle ear are

usually the first things to be affected by cholesteatoma which is why

you end up with hearing loss. If these bones are damaged or eroded

then you will usually be given a reconstruction surgery at some later

stage. Sometimes they do at the same time as the main surgery but

usually it will after a period six months to a year to make the ear

has fully healed and that the disease has not returned.

Reconstruction generally involves placing a prosthetic inside the ear

which will replace the bones and fixing the eardrum if necessary. In

most cases the reconstruction will give you back a good level of

hearing.

>

> There are different grades of ctoma surgery depending upon how far

the disease has spread and how much damage has been done. The two

main types being known as canal wall up and canal wall down. The

fiirst one is more conservative but there is a greater chance that

the disease may return in the future. The second is a more radical

surgery which is better at getting rid of the disease completely but

there are longterm consequences such as the ear needs to be cleaned

out every so often by a surgenn and you would need to greater care to

avoid getting water in your ear. Most surgeries these days are canal

wall up and it may be worth asking your doctor which one he plans

though he may not know for sure what is required until he as actually

looked directly inside your ear. If you haven't got any major

symptoms apart from hearing loss and probably ear pain then your

surgery should not be to difficult. The surgery itself may last

several hours - this is because a fairly painstaking procedure on a

small scale.

>

> Most people will need about two weeks to rest folllowing surgery.

You will normally have a sore head, of course, for which you will

likely be given pain killers. There is usually some discharge and

bleeding for a few days after the srugery and you may also

experience some of dizziness. You are generally required to avoid

heavy exertion or travelling by plane for about month or so after the

surgery.

>

> Ctoma is potentially a very serious disease and it's absolutely

normal to be anxious about surgery. It is curable however and the

best part is always the relief you feel when you wake up and it's all

over. The time running up to surgery is aleays the maot awful part .

>

> Phil

>

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Guest guest

My ENT is an otologist and I'm glad. He's very confident and knew

from the beginning what he found but waited to tell me after the CT

tests were finished. He then did some procedure in the office that

hurt quite a bit and pulled some of the c-toma out with an instrument

just to be sure, I guess.

>

> > My ENT told me a little bit about this and

> > recommended surgery right

> > away. I can hardly hear out of either ear but after

> > CT tests and a

> > painful prodding n chipping of something in my ear

> > with a slender

> > metal instrument, I am left today with the

> > following fears:

> >

> > On March 26, he is putting a tube in my left ear and

> > correcting a

> > deviated septum. Once healed, we are to schedule

> > the surgery for the

> > cholesteatoma. I can't even pronounce this word.

> > I'm looking at

> > pictures and just as nauseated as today in his

> > office with the

> > instrument. I nearly threw up in his chair. Ok, so

> > I'm overreacting

> > but my hearing is so horrible at this point its

> > unbearable! At least

> > out of 3 practitioners and 2 ENT's, he's the only

> > one who has been

> > able to determine what it is I have. He also said I

> > may need surgery

> > in my left ear in the future but not at this point.

> > He wants to just

> > put a tube in that ear.

> >

> > I'm sure there's a thousand and one posts about how

> > to calm my fears

> > but I'm really quite sick searching without meaning

> > or direction on

> > this " disease " . Please, someone explain to me the

> > effects on my

> > hearing...the pain involved and what degree...and

> > perhaps the

> > recovery time if possible. Any other pertinent info

> > will definitely

> > qualm my fears - hopefully.

> >

> > Thanks fellas!

> >

> >

>

>

>

>

______________________________________________________________________

______________

> Never miss a thing. Make your home page.

> http://www./r/hs

>

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Guest guest

Any way I can check the quality of my surgeon or find that out? He

seems very competent - but so do used car salesman!

> >

> > Please, someone explain to me the effects on my

> > hearing...the pain involved and what degree...and perhaps the

> > recovery time if possible. Any other pertinent info will

definitely

> > qualm my fears - hopefully.

> >

> > Hi

> >

> > The purpose of the surgery is to eradicate the disease and make

the

> ear safe and dry because you would end up far worse problems if it

> were left untreated. Your hearing, I'm afraid, is really a

secondary

> concern. The three small sound conduction bones in the middle ear

are

> usually the first things to be affected by cholesteatoma which is

why

> you end up with hearing loss. If these bones are damaged or eroded

> then you will usually be given a reconstruction surgery at some

later

> stage. Sometimes they do at the same time as the main surgery but

> usually it will after a period six months to a year to make the ear

> has fully healed and that the disease has not returned.

> Reconstruction generally involves placing a prosthetic inside the

ear

> which will replace the bones and fixing the eardrum if necessary.

In

> most cases the reconstruction will give you back a good level of

> hearing.

> >

> > There are different grades of ctoma surgery depending upon how

far

> the disease has spread and how much damage has been done. The two

> main types being known as canal wall up and canal wall down. The

> fiirst one is more conservative but there is a greater chance that

> the disease may return in the future. The second is a more radical

> surgery which is better at getting rid of the disease completely

but

> there are longterm consequences such as the ear needs to be cleaned

> out every so often by a surgenn and you would need to greater care

to

> avoid getting water in your ear. Most surgeries these days are

canal

> wall up and it may be worth asking your doctor which one he plans

> though he may not know for sure what is required until he as

actually

> looked directly inside your ear. If you haven't got any major

> symptoms apart from hearing loss and probably ear pain then your

> surgery should not be to difficult. The surgery itself may last

> several hours - this is because a fairly painstaking procedure on a

> small scale.

> >

> > Most people will need about two weeks to rest folllowing surgery.

> You will normally have a sore head, of course, for which you will

> likely be given pain killers. There is usually some discharge and

> bleeding for a few days after the srugery and you may also

> experience some of dizziness. You are generally required to avoid

> heavy exertion or travelling by plane for about month or so after

the

> surgery.

> >

> > Ctoma is potentially a very serious disease and it's absolutely

> normal to be anxious about surgery. It is curable however and the

> best part is always the relief you feel when you wake up and it's

all

> over. The time running up to surgery is aleays the maot awful part .

> >

> > Phil

> >

>

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  • 8 months later...

Hi!! and welcome!!

 

This group is the greatest thing....it makes you feel support and lends advice

from experience...plus it helps in the " lonely " feeling that most of us have as

parents of this terrible illness that our little ones deal with constantly.

 

I have a 3 yr old little girl that has been fevering monthly for 2 yrs.  Her

fevers usually start with leg pains waking her at night...clinginess...not

wanting to eat...her temps start at 100.5 and go up quickly from there.  I

cannot control her temps without using both motrin and tylenol together....to

bring the temp down to 101....she needs one in her system as the other wears off

or her temp spikes...her temps usually hit between 104-105...especially on day

2.....by day four the fever is gone.  She sports ulcers on the inside of her

little cheeks too.

 

I usually do motrin every 6 and tylenol every 4...(especially on day 2).  I

found that a cold wet washcloth (rinsing in bowl) when fever spikes while

waiting on medicine to work... helps bring fever down a little quicker.  LOTS of

popsicles....sometimes pedialyte if she isn't drinking well.  All she wants to

do is cuddle and have me hold her....so most of the 4 day period is spent

rocking.

 

By day 4 she's all better....fever is gone....she eats like nuts and starts

playing as usual.

 

All I do is count my little notebook ahead 14 days and 28 days and enjoy the

days inbetween.  :(

 

Our dr is prescribing prednisone for emergencies....and wants to put her on

cimetidine or colchicine to see if the fevers spread out some. 

 

Again, welcome....research the knowledge on here....and realize that you are NOT

alone.

 

Tammy

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