{"id":2317,"date":"2017-07-05T22:53:20","date_gmt":"2017-07-05T20:53:20","guid":{"rendered":"http:\/\/orl-chu-caen.fr\/?page_id=2317"},"modified":"2024-08-18T21:04:43","modified_gmt":"2024-08-18T19:04:43","slug":"cholesteatome","status":"publish","type":"page","link":"https:\/\/orl-chu-caen.fr\/?page_id=2317","title":{"rendered":"CHOLESTEATOME"},"content":{"rendered":"<p>[et_pb_section fb_built=\u00a0\u00bb1&Prime; fullwidth=\u00a0\u00bbon\u00a0\u00bb _builder_version=\u00a0\u00bb4.24.2&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_fullwidth_header title=\u00a0\u00bbLE CHOLESTEATOME\u00a0\u00bb subhead=\u00a0\u00bbOtologie, Base du Cr\u00e2ne Lat\u00e9rale\u00a0\u00bb _builder_version=\u00a0\u00bb4.24.2&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb title_font=\u00a0\u00bbAbel||||||||\u00a0\u00bb title_text_align=\u00a0\u00bbcenter\u00a0\u00bb title_font_size=\u00a0\u00bb54px\u00a0\u00bb content_text_align=\u00a0\u00bbcenter\u00a0\u00bb subhead_font=\u00a0\u00bbAbel||||||||\u00a0\u00bb subhead_text_align=\u00a0\u00bbcenter\u00a0\u00bb subhead_font_size=\u00a0\u00bb24px\u00a0\u00bb background_color=\u00a0\u00bb#8c1515&Prime; global_colors_info=\u00a0\u00bb{}\u00a0\u00bb min_height=\u00a0\u00bb288.8px\u00a0\u00bb][\/et_pb_fullwidth_header][\/et_pb_section][et_pb_section fb_built=\u00a0\u00bb1&Prime; fullwidth=\u00a0\u00bbon\u00a0\u00bb _builder_version=\u00a0\u00bb4.24.2&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_fullwidth_image src=\u00a0\u00bbhttps:\/\/orl-chu-caen.fr\/wp-content\/uploads\/2024\/08\/IMG_7614.jpg\u00a0\u00bb title_text=\u00a0\u00bbIMG_7614&Prime; _builder_version=\u00a0\u00bb4.24.2&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb custom_padding=\u00a0\u00bb||0px|||\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][\/et_pb_fullwidth_image][\/et_pb_section][et_pb_section fb_built=\u00a0\u00bb1&Prime; admin_label=\u00a0\u00bbsection\u00a0\u00bb _builder_version=\u00a0\u00bb4.16&Prime; global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_row admin_label=\u00a0\u00bbrow\u00a0\u00bb _builder_version=\u00a0\u00bb4.16&Prime; background_size=\u00a0\u00bbinitial\u00a0\u00bb background_position=\u00a0\u00bbtop_left\u00a0\u00bb background_repeat=\u00a0\u00bbrepeat\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_column type=\u00a0\u00bb4_4&Prime; _builder_version=\u00a0\u00bb4.16&Prime; custom_padding=\u00a0\u00bb|||\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb custom_padding__hover=\u00a0\u00bb|||\u00a0\u00bb][et_pb_text admin_label=\u00a0\u00bbText\u00a0\u00bb _builder_version=\u00a0\u00bb4.24.2&Prime; background_size=\u00a0\u00bbinitial\u00a0\u00bb background_position=\u00a0\u00bbtop_left\u00a0\u00bb background_repeat=\u00a0\u00bbrepeat\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n<div id=\"gt-res-content\">\n<div id=\"gt-res-dir-ctr\" class=\"trans-verified-button-small\" dir=\"ltr\">\n<p>&nbsp;<\/p>\n<p><span id=\"result_box\" class=\"\" lang=\"fr\"><span title=\"Cholesteatoma is an abnormal skin growth.\">Le cholest\u00e9atome est la pr\u00e9sence anormale d&rsquo;\u00e9piderme au niveau de l&rsquo;oreille moyenne, derri\u00e8re le tympan. <\/span><span title=\"Skin is a normal part of the ear canal and the outside part of the ear drum (tympanic membrane). \">La peau est une partie normale du conduit auditif et de la partie externe du tympan.<\/span><\/span><\/p>\n<p><span title=\"When this skin grows behind the ear drum or it grows into the bone behind the ear (mastoid bone), it is called a cholesteatoma.\">Lorsque cette peau se d\u00e9veloppe derri\u00e8re tympan\u00a0 ou qu&rsquo;elle pousse dans l&rsquo;os derri\u00e8re l&rsquo;oreille (os de la masto\u00efde), on l&rsquo;appelle cholest\u00e9atome. <\/span><span title=\"This skin grows at a much faster rate than regular skin and destroys the structures around it. \">Cette peau se d\u00e9veloppe \u00e0 un rythme beaucoup plus rapide que la peau normale et d\u00e9truit les structures qui l&rsquo;entourent.<\/span><\/p>\n<p>&nbsp;<\/p>\n\n<div class=\"ngg-galleryoverview ngg-slideshow\"\n\tid=\"ngg-slideshow-f87df8429866635a97d19cb1e78ee791-9910737390\"\n\tdata-gallery-id=\"f87df8429866635a97d19cb1e78ee791\"\n\tstyle=\"max-width: 584px;\n\t\t\tmax-height: 400px;\n\t\t\tdisplay: none;\">\n\n\t\n\t\t<a href=\"https:\/\/orl-chu-caen.fr\/wp-content\/gallery\/cholesteatome\/5a-11.jpg\"\n\t\t\ttitle=\"\"\n\t\t\tdata-src=\"https:\/\/orl-chu-caen.fr\/wp-content\/gallery\/cholesteatome\/5a-11.jpg\"\n\t\t\tdata-thumbnail=\"https:\/\/orl-chu-caen.fr\/wp-content\/gallery\/cholesteatome\/thumbs\/thumbs_5a-11.jpg\"\n\t\t\tdata-image-id=\"195\"\n\t\t\tdata-title=\"5a-11\"\n\t\t\tdata-description=\"\"\n\t\t\tclass=\"ngg-fancybox\" rel=\"f87df8429866635a97d19cb1e78ee791\">\n\n\t\t\t<img data-image-id='195'\n\t\t\t\ttitle=\"\"\n\t\t\t\talt=\"5a-11\"\n\t\t\t\tsrc=\"https:\/\/orl-chu-caen.fr\/wp-content\/gallery\/cholesteatome\/5a-11.jpg\"\n\t\t\t\tstyle=\"max-height: 380px;\"\/>\n\t\t<\/a>\n\n\t\t\n\t\t<a href=\"https:\/\/orl-chu-caen.fr\/wp-content\/gallery\/cholesteatome\/7a-7.jpg\"\n\t\t\ttitle=\"Mastoid initail drilling\"\n\t\t\tdata-src=\"https:\/\/orl-chu-caen.fr\/wp-content\/gallery\/cholesteatome\/7a-7.jpg\"\n\t\t\tdata-thumbnail=\"https:\/\/orl-chu-caen.fr\/wp-content\/gallery\/cholesteatome\/thumbs\/thumbs_7a-7.jpg\"\n\t\t\tdata-image-id=\"196\"\n\t\t\tdata-title=\"Mastoid initail drilling\"\n\t\t\tdata-description=\"Mastoid initail drilling\"\n\t\t\tclass=\"ngg-fancybox\" rel=\"f87df8429866635a97d19cb1e78ee791\">\n\n\t\t\t<img data-image-id='196'\n\t\t\t\ttitle=\"Mastoid initail drilling\"\n\t\t\t\talt=\"Mastoid initail drilling\"\n\t\t\t\tsrc=\"https:\/\/orl-chu-caen.fr\/wp-content\/gallery\/cholesteatome\/7a-7.jpg\"\n\t\t\t\tstyle=\"max-height: 380px;\"\/>\n\t\t<\/a>\n\n\t\t\n\t\t<a href=\"https:\/\/orl-chu-caen.fr\/wp-content\/gallery\/cholesteatome\/8c-6.jpg\"\n\t\t\ttitle=\"\"\n\t\t\tdata-src=\"https:\/\/orl-chu-caen.fr\/wp-content\/gallery\/cholesteatome\/8c-6.jpg\"\n\t\t\tdata-thumbnail=\"https:\/\/orl-chu-caen.fr\/wp-content\/gallery\/cholesteatome\/thumbs\/thumbs_8c-6.jpg\"\n\t\t\tdata-image-id=\"197\"\n\t\t\tdata-title=\"8c-6\"\n\t\t\tdata-description=\"\"\n\t\t\tclass=\"ngg-fancybox\" rel=\"f87df8429866635a97d19cb1e78ee791\">\n\n\t\t\t<img data-image-id='197'\n\t\t\t\ttitle=\"\"\n\t\t\t\talt=\"8c-6\"\n\t\t\t\tsrc=\"https:\/\/orl-chu-caen.fr\/wp-content\/gallery\/cholesteatome\/8c-6.jpg\"\n\t\t\t\tstyle=\"max-height: 380px;\"\/>\n\t\t<\/a>\n\n\t\t\n\t\t<a href=\"https:\/\/orl-chu-caen.fr\/wp-content\/gallery\/cholesteatome\/8k-5.jpg\"\n\t\t\ttitle=\"\"\n\t\t\tdata-src=\"https:\/\/orl-chu-caen.fr\/wp-content\/gallery\/cholesteatome\/8k-5.jpg\"\n\t\t\tdata-thumbnail=\"https:\/\/orl-chu-caen.fr\/wp-content\/gallery\/cholesteatome\/thumbs\/thumbs_8k-5.jpg\"\n\t\t\tdata-image-id=\"198\"\n\t\t\tdata-title=\"8k-5\"\n\t\t\tdata-description=\"\"\n\t\t\tclass=\"ngg-fancybox\" rel=\"f87df8429866635a97d19cb1e78ee791\">\n\n\t\t\t<img data-image-id='198'\n\t\t\t\ttitle=\"\"\n\t\t\t\talt=\"8k-5\"\n\t\t\t\tsrc=\"https:\/\/orl-chu-caen.fr\/wp-content\/gallery\/cholesteatome\/8k-5.jpg\"\n\t\t\t\tstyle=\"max-height: 380px;\"\/>\n\t\t<\/a>\n\n\t\t\n\t\t<a href=\"https:\/\/orl-chu-caen.fr\/wp-content\/gallery\/cholesteatome\/8a-14.jpg\"\n\t\t\ttitle=\"\"\n\t\t\tdata-src=\"https:\/\/orl-chu-caen.fr\/wp-content\/gallery\/cholesteatome\/8a-14.jpg\"\n\t\t\tdata-thumbnail=\"https:\/\/orl-chu-caen.fr\/wp-content\/gallery\/cholesteatome\/thumbs\/thumbs_8a-14.jpg\"\n\t\t\tdata-image-id=\"199\"\n\t\t\tdata-title=\"8a-14\"\n\t\t\tdata-description=\"\"\n\t\t\tclass=\"ngg-fancybox\" rel=\"f87df8429866635a97d19cb1e78ee791\">\n\n\t\t\t<img data-image-id='199'\n\t\t\t\ttitle=\"\"\n\t\t\t\talt=\"8a-14\"\n\t\t\t\tsrc=\"https:\/\/orl-chu-caen.fr\/wp-content\/gallery\/cholesteatome\/8a-14.jpg\"\n\t\t\t\tstyle=\"max-height: 380px;\"\/>\n\t\t<\/a>\n\n\t\t\n\t\t<a href=\"https:\/\/orl-chu-caen.fr\/wp-content\/gallery\/cholesteatome\/8c-1.jpg\"\n\t\t\ttitle=\"\"\n\t\t\tdata-src=\"https:\/\/orl-chu-caen.fr\/wp-content\/gallery\/cholesteatome\/8c-1.jpg\"\n\t\t\tdata-thumbnail=\"https:\/\/orl-chu-caen.fr\/wp-content\/gallery\/cholesteatome\/thumbs\/thumbs_8c-1.jpg\"\n\t\t\tdata-image-id=\"200\"\n\t\t\tdata-title=\"8c-1\"\n\t\t\tdata-description=\"\"\n\t\t\tclass=\"ngg-fancybox\" rel=\"f87df8429866635a97d19cb1e78ee791\">\n\n\t\t\t<img data-image-id='200'\n\t\t\t\ttitle=\"\"\n\t\t\t\talt=\"8c-1\"\n\t\t\t\tsrc=\"https:\/\/orl-chu-caen.fr\/wp-content\/gallery\/cholesteatome\/8c-1.jpg\"\n\t\t\t\tstyle=\"max-height: 380px;\"\/>\n\t\t<\/a>\n\n\t\t\n\t\t<a href=\"https:\/\/orl-chu-caen.fr\/wp-content\/gallery\/cholesteatome\/8a-15.jpg\"\n\t\t\ttitle=\"\"\n\t\t\tdata-src=\"https:\/\/orl-chu-caen.fr\/wp-content\/gallery\/cholesteatome\/8a-15.jpg\"\n\t\t\tdata-thumbnail=\"https:\/\/orl-chu-caen.fr\/wp-content\/gallery\/cholesteatome\/thumbs\/thumbs_8a-15.jpg\"\n\t\t\tdata-image-id=\"201\"\n\t\t\tdata-title=\"8a-15\"\n\t\t\tdata-description=\"\"\n\t\t\tclass=\"ngg-fancybox\" rel=\"f87df8429866635a97d19cb1e78ee791\">\n\n\t\t\t<img data-image-id='201'\n\t\t\t\ttitle=\"\"\n\t\t\t\talt=\"8a-15\"\n\t\t\t\tsrc=\"https:\/\/orl-chu-caen.fr\/wp-content\/gallery\/cholesteatome\/8a-15.jpg\"\n\t\t\t\tstyle=\"max-height: 380px;\"\/>\n\t\t<\/a>\n\n\t\t\n\t\t<a href=\"https:\/\/orl-chu-caen.fr\/wp-content\/gallery\/cholesteatome\/7a-2.jpg\"\n\t\t\ttitle=\"\"\n\t\t\tdata-src=\"https:\/\/orl-chu-caen.fr\/wp-content\/gallery\/cholesteatome\/7a-2.jpg\"\n\t\t\tdata-thumbnail=\"https:\/\/orl-chu-caen.fr\/wp-content\/gallery\/cholesteatome\/thumbs\/thumbs_7a-2.jpg\"\n\t\t\tdata-image-id=\"202\"\n\t\t\tdata-title=\"7a-2\"\n\t\t\tdata-description=\"\"\n\t\t\tclass=\"ngg-fancybox\" rel=\"f87df8429866635a97d19cb1e78ee791\">\n\n\t\t\t<img data-image-id='202'\n\t\t\t\ttitle=\"\"\n\t\t\t\talt=\"7a-2\"\n\t\t\t\tsrc=\"https:\/\/orl-chu-caen.fr\/wp-content\/gallery\/cholesteatome\/7a-2.jpg\"\n\t\t\t\tstyle=\"max-height: 380px;\"\/>\n\t\t<\/a>\n\n\t\t<\/div>\n\n\n\n<p>\u00a0<span title=\"This skin grows at a much faster rate than regular skin and destroys the structures around it. \"><\/span><\/p>\n<p><span title=\"The treatment of a cholesteatoma is its removal by surgery.\">Le traitement d&rsquo;un cholest\u00e9atome est UNIQUEMENT chirurgical. <\/span><span title=\"Close follow-up is necessary to monitor for recurrence. \">Un suivi \u00e9troit est n\u00e9cessaire pour surveiller son \u00e9ventuelle r\u00e9cidive.<\/span><\/p>\n<h3><span title=\"Close follow-up is necessary to monitor for recurrence. \"><br \/>Quels sont les s<\/span><span title=\"Symptoms \">ympt\u00f4mes du cholest\u00e9atome?<\/span><\/h3>\n<p><span title=\"Cholesteatomas are often present when there is hearing loss or drainage from one ear. \">Les signes de cholest\u00e9atomes peuvent \u00eatre:<\/span><\/p>\n<ul>\n<li><span title=\"Cholesteatomas are often present when there is hearing loss or drainage from one ear. \"> une perte auditive <\/span><\/li>\n<li><span title=\"Cholesteatomas are often present when there is hearing loss or drainage from one ear. \">un \u00e9coulement chronique d&rsquo;une oreille<br \/><\/span><\/li>\n<\/ul>\n<p><span title=\"In its advanced stages, facial paralysis or dizziness can be a sign of trouble. \">Dans ses stades avanc\u00e9s:<\/span><\/p>\n<ul>\n<li><span title=\"In its advanced stages, facial paralysis or dizziness can be a sign of trouble. \">une paralysie faciale<\/span><\/li>\n<li><span title=\"In its advanced stages, facial paralysis or dizziness can be a sign of trouble. \"> des vertiges<br \/><\/span><\/li>\n<\/ul>\n<h3><span title=\"In its advanced stages, facial paralysis or dizziness can be a sign of trouble. \"><br \/>Quelles sont les c<\/span><span title=\"Causes and complications \u00a0\u00a0\u00a0\u00a0\">auses?<br \/><\/span><\/h3>\n<ul>\n<li><span title=\"Eardrum perforation.\"><strong>Perforation tympanique<\/strong>:\u00a0 <\/span><span title=\"When the eardrum becomes perforated, skin can grow through the hole into the space behind the ear drum. \u00a0\u00a0\u00a0\u00a0\">Lorsque le tympan est perfor\u00e9, la peau peut pousser \u00e0 travers le trou dans l&rsquo;espace derri\u00e8re le tympan.<\/span><\/li>\n<\/ul>\n<div id=\"attachment_3642\" style=\"width: 298px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-3642\" class=\"wp-image-3642 size-medium\" src=\"https:\/\/orl-chu-caen.fr\/wp-content\/uploads\/2017\/07\/5a-9-288x300.jpg\" width=\"288\" height=\"300\" srcset=\"https:\/\/orl-chu-caen.fr\/wp-content\/uploads\/2017\/07\/5a-9-288x300.jpg 288w, https:\/\/orl-chu-caen.fr\/wp-content\/uploads\/2017\/07\/5a-9-768x799.jpg 768w, https:\/\/orl-chu-caen.fr\/wp-content\/uploads\/2017\/07\/5a-9-985x1024.jpg 985w, https:\/\/orl-chu-caen.fr\/wp-content\/uploads\/2017\/07\/5a-9.jpg 1204w\" sizes=\"(max-width: 288px) 100vw, 288px\" \/><p id=\"caption-attachment-3642\" class=\"wp-caption-text\">Perforation tympanique post\u00e9rieure (d&rsquo;apr\u00e8s Jackler)<\/p><\/div>\n<p>&nbsp;<\/p>\n<\/div>\n<\/div>\n<div id=\"gt-res-content\">\n<div id=\"gt-res-dir-ctr\" class=\"trans-verified-button-small\" dir=\"ltr\">\n<ul>\n<li><strong>\u00a0<span title=\"When the eardrum becomes perforated, skin can grow through the hole into the space behind the ear drum. \u00a0\u00a0\u00a0\u00a0\">C<\/span><\/strong><span title=\"Congential defect.\"><strong>ong\u00e9nitale<\/strong>:\u00a0 <\/span><span title=\"Sometimes skin behind the ear drum is present at birth. \u00a0\u00a0\u00a0\u00a0\">Rarement le cholest\u00e9atome est pr\u00e9sent d\u00e8s la naissance.<\/span><\/li>\n<\/ul>\n<\/div>\n<div id=\"attachment_3646\" style=\"width: 310px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-3646\" class=\"wp-image-3646 size-medium\" src=\"https:\/\/orl-chu-caen.fr\/wp-content\/uploads\/2017\/07\/8k-4-300x262.jpg\" alt=\"8k-4\" width=\"300\" height=\"262\" srcset=\"https:\/\/orl-chu-caen.fr\/wp-content\/uploads\/2017\/07\/8k-4-300x262.jpg 300w, https:\/\/orl-chu-caen.fr\/wp-content\/uploads\/2017\/07\/8k-4-768x670.jpg 768w, https:\/\/orl-chu-caen.fr\/wp-content\/uploads\/2017\/07\/8k-4.jpg 1013w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><p id=\"caption-attachment-3646\" class=\"wp-caption-text\">Cholest\u00e9atome cong\u00e9nital (d\u2019apr\u00e8s Jackler)<\/p><\/div>\n<p>&nbsp;<\/p>\n<div id=\"gt-res-dir-ctr\" class=\"trans-verified-button-small\" dir=\"ltr\">\n<ul>\n<li><span title=\"Ear drum retraction.\">R\u00e9traction du tympan:\u00a0 <\/span><span title=\"The ear drum can pull back when ear disease is present for a long time.\">Le tympan peut se r\u00e9tracter lorsqu&rsquo;il existe une maladie de l&rsquo;oreille pendant une longue p\u00e9riode. <\/span><span title=\"As the ear drum retracts, skin grows into the space. \">\u00c0 mesure que l&rsquo;oreille se r\u00e9tracte, la peau se d\u00e9veloppe dans l&rsquo;espace formant le cholest\u00e9atome.<\/span><\/li>\n<\/ul>\n<div id=\"attachment_3648\" style=\"width: 266px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-3648\" class=\"wp-image-3648 size-medium\" src=\"https:\/\/orl-chu-caen.fr\/wp-content\/uploads\/2017\/07\/8a-15-256x300.jpg\" alt=\"8a-15\" width=\"256\" height=\"300\" srcset=\"https:\/\/orl-chu-caen.fr\/wp-content\/uploads\/2017\/07\/8a-15-256x300.jpg 256w, https:\/\/orl-chu-caen.fr\/wp-content\/uploads\/2017\/07\/8a-15-768x900.jpg 768w, https:\/\/orl-chu-caen.fr\/wp-content\/uploads\/2017\/07\/8a-15-874x1024.jpg 874w, https:\/\/orl-chu-caen.fr\/wp-content\/uploads\/2017\/07\/8a-15.jpg 1504w\" sizes=\"(max-width: 256px) 100vw, 256px\" \/><p id=\"caption-attachment-3648\" class=\"wp-caption-text\">R\u00e9traction tympanique (d&rsquo;apr\u00e8s Jackler)<\/p><\/div>\n<p>&nbsp;<\/p>\n<div id=\"attachment_3650\" style=\"width: 310px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-3650\" class=\"wp-image-3650 size-medium\" src=\"https:\/\/orl-chu-caen.fr\/wp-content\/uploads\/2017\/07\/8a-14-300x237.jpg\" alt=\"8a-14\" width=\"300\" height=\"237\" srcset=\"https:\/\/orl-chu-caen.fr\/wp-content\/uploads\/2017\/07\/8a-14-300x237.jpg 300w, https:\/\/orl-chu-caen.fr\/wp-content\/uploads\/2017\/07\/8a-14-768x606.jpg 768w, https:\/\/orl-chu-caen.fr\/wp-content\/uploads\/2017\/07\/8a-14-1024x808.jpg 1024w, https:\/\/orl-chu-caen.fr\/wp-content\/uploads\/2017\/07\/8a-14.jpg 1058w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><p id=\"caption-attachment-3650\" class=\"wp-caption-text\">Cholest\u00e9atome masto\u00efdien (d&rsquo;apr\u00e8s Jackler)<\/p><\/div>\n<p>&nbsp;<\/p>\n<h3>Quelles sont les complications possibles du cholest\u00e9atome?<\/h3>\n<p><span title=\"As the cholesteatoma grows, it destroys the bone around it. \">\u00c0 mesure que le cholest\u00e9atome grandi, il d\u00e9truit l&rsquo;os autour de lui.<\/span><\/p>\n<p><span title=\"The structures that can be invaded by the cholesteatoma include the little bones of the ear (ossicles), which causes hearing loss, inner ear (which would cause complete deafness and dizziness), the facial nerve (which would cause facial paralysis), or invade\">Les structures qui peuvent \u00eatre envahies par le cholest\u00e9atome comprennent <\/span><\/p>\n<ul>\n<li><span title=\"The structures that can be invaded by the cholesteatoma include the little bones of the ear (ossicles), which causes hearing loss, inner ear (which would cause complete deafness and dizziness), the facial nerve (which would cause facial paralysis), or invade\">les petits os de l&rsquo;oreille (osselets) ce qui provoquent une perte auditive<\/span><\/li>\n<li><span title=\"The structures that can be invaded by the cholesteatoma include the little bones of the ear (ossicles), which causes hearing loss, inner ear (which would cause complete deafness and dizziness), the facial nerve (which would cause facial paralysis), or invade\">l&rsquo;oreille interne (ce qui donne une surdit\u00e9 compl\u00e8te et des vertiges) <\/span><\/li>\n<li><span title=\"The structures that can be invaded by the cholesteatoma include the little bones of the ear (ossicles), which causes hearing loss, inner ear (which would cause complete deafness and dizziness), the facial nerve (which would cause facial paralysis), or invade\">le nerf facial (peut donner une paralysie faciale) <\/span><\/li>\n<li><span title=\"The structures that can be invaded by the cholesteatoma include the little bones of the ear (ossicles), which causes hearing loss, inner ear (which would cause complete deafness and dizziness), the facial nerve (which would cause facial paralysis), or invade\">l<\/span><span title=\"the bone covering the brain and cause meningitis. \">&lsquo;os recouvrant le cerveau ce qui peut provoquer une m\u00e9ningite ou un abc\u00e8s c\u00e9r\u00e9bral<br \/><\/span><\/li>\n<\/ul>\n<p><strong><span title=\"If left untreated, these complications will occur with time. \">Si le cholest\u00e9atome n&rsquo;est pas trait\u00e9, ces complications se produiront avec le temps.<\/span><\/strong><\/p>\n<h3><span title=\"If left untreated, these complications will occur with time. \"><br \/>Comment diagnostique t&rsquo;on le cholest\u00e9atome?<\/span><\/h3>\n<p><span title=\"Generally after a complete history and physical exam, some tests need to be performed to diagnose and plan for the treatment of cholesteatomas. \">G\u00e9n\u00e9ralement apr\u00e8s un interrogatoire complet et un examen physique, dont un examen des oreilles (otoscopie) certains tests doivent \u00eatre effectu\u00e9s pour diagnostiquer et planifier le traitement du cholest\u00e9atome.<\/span><\/p>\n<div id=\"attachment_3654\" style=\"width: 228px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-3654\" class=\"wp-image-3654 size-medium\" src=\"https:\/\/orl-chu-caen.fr\/wp-content\/uploads\/2017\/07\/8a-9-218x300.jpg\" alt=\"8a-9\" width=\"218\" height=\"300\" srcset=\"https:\/\/orl-chu-caen.fr\/wp-content\/uploads\/2017\/07\/8a-9-218x300.jpg 218w, https:\/\/orl-chu-caen.fr\/wp-content\/uploads\/2017\/07\/8a-9.jpg 423w\" sizes=\"(max-width: 218px) 100vw, 218px\" \/><p id=\"caption-attachment-3654\" class=\"wp-caption-text\">Diff\u00e9rentes localisations du cholest\u00e9atome \u00e0 l&rsquo;otoscopie (d&rsquo;apr\u00e8s Jackler)<\/p><\/div>\n<p><span title=\"A test of the hearing (audiogram and tympanogram) and CT scan (special x-ray) of the temporal bone (ear bone) is necessary for diagnosis and planning of treatment. \">Un test d&rsquo;audition (audiogramme et tympanogramme) et\u00a0 un scanner de l&rsquo;os temporal (os de l&rsquo;oreille) sont n\u00e9cessaires pour le diagnostic et la planification du traitement.<\/span><\/p>\n<p><div style=\"width: 490px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"irc_mi\" src=\"https:\/\/www.laboratoires-unisson.com\/blog\/wp-content\/uploads\/2017\/03\/497146864.jpg\" alt=\"R\u00e9sultat de recherche d'images pour &quot;audiogramme test&quot;\" width=\"480\" height=\"239\" \/><p class=\"wp-caption-text\">Exemple d&rsquo;audiogramme tonal<\/p><\/div><div id=\"attachment_2334\" style=\"width: 364px\" class=\"wp-caption aligncenter\"><a href=\"https:\/\/orl-chu-caen.fr\/?attachment_id=2334\" rel=\"attachment wp-att-2334\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-2334\" class=\"wp-image-2334\" src=\"https:\/\/orl-chu-caen.fr\/wp-content\/uploads\/2017\/07\/Image2.png\" alt=\"Image2\" width=\"354\" height=\"385\" srcset=\"https:\/\/orl-chu-caen.fr\/wp-content\/uploads\/2017\/07\/Image2.png 564w, https:\/\/orl-chu-caen.fr\/wp-content\/uploads\/2017\/07\/Image2-276x300.png 276w\" sizes=\"(max-width: 354px) 100vw, 354px\" \/><\/a><p id=\"caption-attachment-2334\" class=\"wp-caption-text\">Scanner de l&rsquo;os temporal avec cholest\u00e9atome (*)<\/p><\/div><\/p>\n<h3><span title=\"A test of the hearing (audiogram and tympanogram) and CT scan (special x-ray) of the temporal bone (ear bone) is necessary for diagnosis and planning of treatment. \"><br \/>Comment traite t&rsquo;on un cholest\u00e9atome?<\/span><\/h3>\n<p><span title=\"Initial treatment is with antibiotic drops, which help settle the infection causing the drainage. \">Le traitement initial consiste en des gouttes d&rsquo;antibiotiques, qui aident \u00e0 r\u00e9gler l&rsquo;infection causant l&rsquo;\u00e9coulement, mais ne traitent pas le cholest\u00e9atome.<br \/><\/span><\/p>\n<p><span title=\"However, cholesteatomas can only definitively be treated by surgical removal.\"><strong>Le cholest\u00e9atome ne peut \u00eatre trait\u00e9 de mani\u00e8re d\u00e9finitive que par une ex\u00e9r\u00e8se chirurgicale. <\/strong><\/span><span title=\"This generally requires an incision inside the ear canal or in the back of the ear. \">Cela n\u00e9cessite g\u00e9n\u00e9ralement une incision \u00e0 l&rsquo;int\u00e9rieur du conduit auditif ou \u00e0 l&rsquo;arri\u00e8re de l&rsquo;oreille.<\/span><\/p>\n<p><span title=\"A second surgery is often required six to twelve months later to ensure that the cholesteatoma has not recurred and for reconstruction of hearing. \">Une deuxi\u00e8me chirurgie est parfois n\u00e9cessaire six \u00e0 douze mois plus tard pour s&rsquo;assurer que le cholest\u00e9atome n&rsquo;a pas r\u00e9cidiv\u00e9 et pour la reconstruction de l&rsquo;audition.<\/span><\/p>\n<p><span title=\"Because there is usually an infection in the ear during the first surgery, hearing reconstruction is generally performed at the second surgery. \">Parce qu&rsquo;il y a g\u00e9n\u00e9ralement une infection dans l&rsquo;oreille pendant la premi\u00e8re intervention chirurgicale, la reconstruction de l&rsquo;audition se fait g\u00e9n\u00e9ralement \u00e0 la deuxi\u00e8me op\u00e9ration.<\/span><\/p>\n<p>Cette chirurgie dure de 1h \u00e0 4h, se d\u00e9roule sous anesth\u00e9sie g\u00e9n\u00e9rale.Elle est r\u00e9alis\u00e9e \u00e0 l&rsquo;aide d&rsquo;un microscope sous monitoring du nerf facial (alarme qui sonne lorsque le chirurgien s&rsquo;approche du nerf), et si n\u00e9cessaire neuronavigation (GPS\u00a0 qui guide le chirurgien gr\u00e2ce au scanner). Elle peut \u00eatre r\u00e9alis\u00e9e en chirurgie ambulatoire ou en hospitalisation classique (une nuit \u00e0 l\u2019h\u00f4pital).<\/p>\n<p><div id=\"attachment_3655\" style=\"width: 296px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-3655\" class=\"wp-image-3655 size-medium\" src=\"https:\/\/orl-chu-caen.fr\/wp-content\/uploads\/2017\/07\/7e-1-286x300.jpg\" alt=\"Facial nerve injuries iatrogenic\" width=\"286\" height=\"300\" srcset=\"https:\/\/orl-chu-caen.fr\/wp-content\/uploads\/2017\/07\/7e-1-286x300.jpg 286w, https:\/\/orl-chu-caen.fr\/wp-content\/uploads\/2017\/07\/7e-1-768x805.jpg 768w, https:\/\/orl-chu-caen.fr\/wp-content\/uploads\/2017\/07\/7e-1-977x1024.jpg 977w, https:\/\/orl-chu-caen.fr\/wp-content\/uploads\/2017\/07\/7e-1.jpg 1741w\" sizes=\"(max-width: 286px) 100vw, 286px\" \/><p id=\"caption-attachment-3655\" class=\"wp-caption-text\">Monitoring du nerf facial (d&rsquo;apr\u00e8s Jackler)<\/p><\/div><div id=\"attachment_3656\" style=\"width: 310px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-3656\" class=\"wp-image-3656 size-medium\" src=\"https:\/\/orl-chu-caen.fr\/wp-content\/uploads\/2017\/07\/7a-19-e1632603117338-300x225.jpg\" alt=\"Sinodural angle drilling\" width=\"300\" height=\"225\" srcset=\"https:\/\/orl-chu-caen.fr\/wp-content\/uploads\/2017\/07\/7a-19-e1632603117338-300x225.jpg 300w, https:\/\/orl-chu-caen.fr\/wp-content\/uploads\/2017\/07\/7a-19-e1632603117338-768x576.jpg 768w, https:\/\/orl-chu-caen.fr\/wp-content\/uploads\/2017\/07\/7a-19-e1632603117338-1024x768.jpg 1024w, https:\/\/orl-chu-caen.fr\/wp-content\/uploads\/2017\/07\/7a-19-e1632603117338.jpg 2000w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><p id=\"caption-attachment-3656\" class=\"wp-caption-text\">Fraisage mastoidien (d&rsquo;apr\u00e8s Jackler)<\/p><\/div><\/p>\n<p>&nbsp;<\/p>\n<h3><span title=\"Because there is usually an infection in the ear during the first surgery, hearing reconstruction is generally performed at the second surgery. \"> Qu&rsquo;est ce que l&rsquo;o<\/span><span title=\"Otoendoscopy \">toendoscopie?<\/span><\/h3>\n<p><span title=\"The use of otoendoscopy (small angled cameras) has been shown to significantly reduce the recurrence of cholesteatomas, from nearly 50 percent to 5 percent. \">L&rsquo;utilisation de l&rsquo;otoendoscopie (petites cam\u00e9ras angul\u00e9es) a permis de r\u00e9duire consid\u00e9rablement la r\u00e9cidive des cholest\u00e9atomes, passant de pr\u00e8s de 50% \u00e0 5%.<\/span><\/p>\n<p><span title=\"At UC Irvine Health, otoendoscopy (in addition to a microscope) is used routinely in the removal of cholesteatomas for a less invasive approach.\">Au CHU de Caen,\u00a0 l&rsquo;otoendoscopie (en plus d&rsquo;un microscope) est utilis\u00e9e si besoin dans l&rsquo;\u00e9limination des cholest\u00e9atomes pour une approche moins invasive.<\/span><\/p>\n<\/div>\n<\/div>\n<p>&nbsp;<\/p>\n<p>M\u00e9decin r\u00e9f\u00e9rent au CHU dans la prise en charge des cholest\u00e9atomes: <a href=\"https:\/\/orl-chu-caen.fr\/?page_id=4578\">Pr Martin HITIER<\/a><\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>&nbsp; Le cholest\u00e9atome est la pr\u00e9sence anormale d&rsquo;\u00e9piderme au niveau de l&rsquo;oreille moyenne, derri\u00e8re le tympan. La peau est une partie normale du conduit auditif et de la partie externe du tympan. Lorsque cette peau se d\u00e9veloppe derri\u00e8re tympan\u00a0 ou qu&rsquo;elle pousse dans l&rsquo;os derri\u00e8re l&rsquo;oreille (os de la masto\u00efde), on l&rsquo;appelle cholest\u00e9atome. Cette peau [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"<div id=\"gt-res-content\">\r\n<div id=\"gt-res-dir-ctr\" class=\"trans-verified-button-small\" dir=\"ltr\">[ngg_images source=\"galleries\" container_ids=\"19\" display_type=\"photocrati-nextgen_basic_slideshow\" gallery_width=\"584\" gallery_height=\"400\" cycle_effect=\"fade\" cycle_interval=\"6\" show_thumbnail_link=\"0\" thumbnail_link_text=\"[Montrer sous forme de vignettes]\" order_by=\"sortorder\" order_direction=\"ASC\" returns=\"included\" maximum_entity_count=\"500\"]&nbsp;\r\n\r\n&nbsp;\r\n\r\n<span id=\"result_box\" class=\"\" lang=\"fr\"><span title=\"Cholesteatoma is an abnormal skin growth.\">Le cholest\u00e9atome est la pr\u00e9sence anormale d'\u00e9piderme au niveau de l'oreille moyenne, derri\u00e8re le tympan. <\/span><span title=\"Skin is a normal part of the ear canal and the outside part of the ear drum (tympanic membrane). \">La peau est une partie normale du conduit auditif et de la partie externe du tympan.<\/span><\/span>\r\n\r\n<span title=\"When this skin grows behind the ear drum or it grows into the bone behind the ear (mastoid bone), it is called a cholesteatoma.\">Lorsque cette peau se d\u00e9veloppe derri\u00e8re tympan&nbsp; ou qu'elle pousse dans l'os derri\u00e8re l'oreille (os de la masto\u00efde), on l'appelle cholest\u00e9atome. <\/span><span title=\"This skin grows at a much faster rate than regular skin and destroys the structures around it. \">Cette peau se d\u00e9veloppe \u00e0 un rythme beaucoup plus rapide que la peau normale et d\u00e9truit les structures qui l'entourent.<\/span>\r\n\r\n<span title=\"The treatment of a cholesteatoma is its removal by surgery.\">Le traitement d'un cholest\u00e9atome est UNIQUEMENT chirurgical. <\/span><span title=\"Close follow-up is necessary to monitor for recurrence. \">Un suivi \u00e9troit est n\u00e9cessaire pour surveiller son \u00e9ventuelle r\u00e9cidive.<\/span>\r\n<h3><span title=\"Close follow-up is necessary to monitor for recurrence. \">\r\nQuels sont les s<\/span><span title=\"Symptoms \">ympt\u00f4mes du cholest\u00e9atome?<\/span><\/h3>\r\n<span title=\"Cholesteatomas are often present when there is hearing loss or drainage from one ear. \">Les signes de cholest\u00e9atomes peuvent \u00eatre:<\/span>\r\n<ul>\r\n \t<li><span title=\"Cholesteatomas are often present when there is hearing loss or drainage from one ear. \"> une perte auditive <\/span><\/li>\r\n \t<li><span title=\"Cholesteatomas are often present when there is hearing loss or drainage from one ear. \">un \u00e9coulement chronique d'une oreille\r\n<\/span><\/li>\r\n<\/ul>\r\n<span title=\"In its advanced stages, facial paralysis or dizziness can be a sign of trouble. \">Dans ses stades avanc\u00e9s:<\/span>\r\n<ul>\r\n \t<li><span title=\"In its advanced stages, facial paralysis or dizziness can be a sign of trouble. \">une paralysie faciale<\/span><\/li>\r\n \t<li><span title=\"In its advanced stages, facial paralysis or dizziness can be a sign of trouble. \"> des vertiges\r\n<\/span><\/li>\r\n<\/ul>\r\n<h3><span title=\"In its advanced stages, facial paralysis or dizziness can be a sign of trouble. \">\r\nQuelles sont les c<\/span><span title=\"Causes and complications &nbsp;&nbsp;&nbsp;&nbsp;\">auses?\r\n<\/span><\/h3>\r\n<ul>\r\n \t<li><span title=\"Eardrum perforation.\"><strong>Perforation tympanique<\/strong>:&nbsp; <\/span><span title=\"When the eardrum becomes perforated, skin can grow through the hole into the space behind the ear drum. &nbsp;&nbsp;&nbsp;&nbsp;\">Lorsque le tympan est perfor\u00e9, la peau peut pousser \u00e0 travers le trou dans l'espace derri\u00e8re le tympan.<\/span><\/li>\r\n<\/ul>\r\n[caption id=\"attachment_3642\" align=\"aligncenter\" width=\"288\"]<img class=\"wp-image-3642 size-medium\" src=\"http:\/\/orl-chu-caen.fr\/wp-content\/uploads\/2017\/07\/5a-9-288x300.jpg\" width=\"288\" height=\"300\"> Perforation tympanique post\u00e9rieure (d'apr\u00e8s Jackler)[\/caption]\r\n\r\n&nbsp;\r\n\r\n<\/div>\r\n<\/div>\r\n<div id=\"gt-res-content\">\r\n<div id=\"gt-res-dir-ctr\" class=\"trans-verified-button-small\" dir=\"ltr\">\r\n<ul>\r\n \t<li><strong>&nbsp;<span title=\"When the eardrum becomes perforated, skin can grow through the hole into the space behind the ear drum. &nbsp;&nbsp;&nbsp;&nbsp;\">C<\/span><\/strong><span title=\"Congential defect.\"><strong>ong\u00e9nitale<\/strong>:&nbsp; <\/span><span title=\"Sometimes skin behind the ear drum is present at birth. &nbsp;&nbsp;&nbsp;&nbsp;\">Rarement le cholest\u00e9atome est pr\u00e9sent d\u00e8s la naissance.<\/span><\/li>\r\n<\/ul>\r\n<\/div>\r\n\r\n[caption id=\"attachment_3646\" align=\"aligncenter\" width=\"300\"]<img class=\"wp-image-3646 size-medium\" src=\"http:\/\/orl-chu-caen.fr\/wp-content\/uploads\/2017\/07\/8k-4-300x262.jpg\" alt=\"8k-4\" width=\"300\" height=\"262\"> Cholest\u00e9atome cong\u00e9nital (d\u2019apr\u00e8s Jackler)[\/caption]\r\n\r\n&nbsp;\r\n<div id=\"gt-res-dir-ctr\" class=\"trans-verified-button-small\" dir=\"ltr\">\r\n<ul>\r\n \t<li><span title=\"Ear drum retraction.\">R\u00e9traction du tympan:&nbsp; <\/span><span title=\"The ear drum can pull back when ear disease is present for a long time.\">Le tympan peut se r\u00e9tracter lorsqu'il existe une maladie de l'oreille pendant une longue p\u00e9riode. <\/span><span title=\"As the ear drum retracts, skin grows into the space. \">\u00c0 mesure que l'oreille se r\u00e9tracte, la peau se d\u00e9veloppe dans l'espace formant le cholest\u00e9atome.<\/span><\/li>\r\n<\/ul>\r\n[caption id=\"attachment_3648\" align=\"aligncenter\" width=\"256\"]<img class=\"wp-image-3648 size-medium\" src=\"http:\/\/orl-chu-caen.fr\/wp-content\/uploads\/2017\/07\/8a-15-256x300.jpg\" alt=\"8a-15\" width=\"256\" height=\"300\"> R\u00e9traction tympanique (d'apr\u00e8s Jackler)[\/caption]\r\n\r\n&nbsp;\r\n\r\n[caption id=\"attachment_3650\" align=\"aligncenter\" width=\"300\"]<img class=\"wp-image-3650 size-medium\" src=\"http:\/\/orl-chu-caen.fr\/wp-content\/uploads\/2017\/07\/8a-14-300x237.jpg\" alt=\"8a-14\" width=\"300\" height=\"237\"> Cholest\u00e9atome masto\u00efdien (d'apr\u00e8s Jackler)[\/caption]\r\n\r\n&nbsp;\r\n<h3>Quelles sont les complications possibles du cholest\u00e9atome?<\/h3>\r\n<span title=\"As the cholesteatoma grows, it destroys the bone around it. \">\u00c0 mesure que le cholest\u00e9atome grandi, il d\u00e9truit l'os autour de lui.<\/span>\r\n\r\n<span title=\"The structures that can be invaded by the cholesteatoma include the little bones of the ear (ossicles), which causes hearing loss, inner ear (which would cause complete deafness and dizziness), the facial nerve (which would cause facial paralysis), or invade\">Les structures qui peuvent \u00eatre envahies par le cholest\u00e9atome comprennent <\/span>\r\n<ul>\r\n \t<li><span title=\"The structures that can be invaded by the cholesteatoma include the little bones of the ear (ossicles), which causes hearing loss, inner ear (which would cause complete deafness and dizziness), the facial nerve (which would cause facial paralysis), or invade\">les petits os de l'oreille (osselets) ce qui provoquent une perte auditive<\/span><\/li>\r\n \t<li><span title=\"The structures that can be invaded by the cholesteatoma include the little bones of the ear (ossicles), which causes hearing loss, inner ear (which would cause complete deafness and dizziness), the facial nerve (which would cause facial paralysis), or invade\">l'oreille interne (ce qui donne une surdit\u00e9 compl\u00e8te et des vertiges) <\/span><\/li>\r\n \t<li><span title=\"The structures that can be invaded by the cholesteatoma include the little bones of the ear (ossicles), which causes hearing loss, inner ear (which would cause complete deafness and dizziness), the facial nerve (which would cause facial paralysis), or invade\">le nerf facial (peut donner une paralysie faciale) <\/span><\/li>\r\n \t<li><span title=\"The structures that can be invaded by the cholesteatoma include the little bones of the ear (ossicles), which causes hearing loss, inner ear (which would cause complete deafness and dizziness), the facial nerve (which would cause facial paralysis), or invade\">l<\/span><span title=\"the bone covering the brain and cause meningitis. \">'os recouvrant le cerveau ce qui peut provoquer une m\u00e9ningite ou un abc\u00e8s c\u00e9r\u00e9bral\r\n<\/span><\/li>\r\n<\/ul>\r\n<strong><span title=\"If left untreated, these complications will occur with time. \">Si le cholest\u00e9atome n'est pas trait\u00e9, ces complications se produiront avec le temps.<\/span><\/strong>\r\n<h3><span title=\"If left untreated, these complications will occur with time. \">\r\nComment diagnostique t'on le cholest\u00e9atome?<\/span><\/h3>\r\n<span title=\"Generally after a complete history and physical exam, some tests need to be performed to diagnose and plan for the treatment of cholesteatomas. \">G\u00e9n\u00e9ralement apr\u00e8s un interrogatoire complet et un examen physique, dont un examen des oreilles (otoscopie) certains tests doivent \u00eatre effectu\u00e9s pour diagnostiquer et planifier le traitement du cholest\u00e9atome.<\/span>\r\n\r\n[caption id=\"attachment_3654\" align=\"aligncenter\" width=\"218\"]<img class=\"wp-image-3654 size-medium\" src=\"http:\/\/orl-chu-caen.fr\/wp-content\/uploads\/2017\/07\/8a-9-218x300.jpg\" alt=\"8a-9\" width=\"218\" height=\"300\"> Diff\u00e9rentes localisations du cholest\u00e9atome \u00e0 l'otoscopie (d'apr\u00e8s Jackler)[\/caption]\r\n\r\n<span title=\"A test of the hearing (audiogram and tympanogram) and CT scan (special x-ray) of the temporal bone (ear bone) is necessary for diagnosis and planning of treatment. \">Un test d'audition (audiogramme et tympanogramme) et&nbsp; un scanner de l'os temporal (os de l'oreille) sont n\u00e9cessaires pour le diagnostic et la planification du traitement.<\/span>\r\n\r\n[caption id=\"\" align=\"aligncenter\" width=\"480\"]<img class=\"irc_mi\" src=\"https:\/\/www.laboratoires-unisson.com\/blog\/wp-content\/uploads\/2017\/03\/497146864.jpg\" alt=\"R\u00e9sultat de recherche d'images pour &quot;audiogramme test&quot;\" width=\"480\" height=\"239\"> Exemple d'audiogramme tonal[\/caption]\r\n\r\n[caption id=\"attachment_2334\" align=\"aligncenter\" width=\"354\"]<a href=\"http:\/\/orl-chu-caen.fr\/?attachment_id=2334\" rel=\"attachment wp-att-2334\"><img class=\"wp-image-2334\" src=\"http:\/\/orl-chu-caen.fr\/wp-content\/uploads\/2017\/07\/Image2.png\" alt=\"Image2\" width=\"354\" height=\"385\"><\/a> Scanner de l'os temporal avec cholest\u00e9atome (*)[\/caption]\r\n<h3><span title=\"A test of the hearing (audiogram and tympanogram) and CT scan (special x-ray) of the temporal bone (ear bone) is necessary for diagnosis and planning of treatment. \">\r\nComment traite t'on un cholest\u00e9atome?<\/span><\/h3>\r\n<span title=\"Initial treatment is with antibiotic drops, which help settle the infection causing the drainage. \">Le traitement initial consiste en des gouttes d'antibiotiques, qui aident \u00e0 r\u00e9gler l'infection causant l'\u00e9coulement, mais ne traitent pas le cholest\u00e9atome.\r\n<\/span>\r\n\r\n<span title=\"However, cholesteatomas can only definitively be treated by surgical removal.\"><strong>Le cholest\u00e9atome ne peut \u00eatre trait\u00e9 de mani\u00e8re d\u00e9finitive que par une ex\u00e9r\u00e8se chirurgicale. <\/strong><\/span><span title=\"This generally requires an incision inside the ear canal or in the back of the ear. \">Cela n\u00e9cessite g\u00e9n\u00e9ralement une incision \u00e0 l'int\u00e9rieur du conduit auditif ou \u00e0 l'arri\u00e8re de l'oreille.<\/span>\r\n\r\n<span title=\"A second surgery is often required six to twelve months later to ensure that the cholesteatoma has not recurred and for reconstruction of hearing. \">Une deuxi\u00e8me chirurgie est parfois n\u00e9cessaire six \u00e0 douze mois plus tard pour s'assurer que le cholest\u00e9atome n'a pas r\u00e9cidiv\u00e9 et pour la reconstruction de l'audition.<\/span>\r\n\r\n<span title=\"Because there is usually an infection in the ear during the first surgery, hearing reconstruction is generally performed at the second surgery. \">Parce qu'il y a g\u00e9n\u00e9ralement une infection dans l'oreille pendant la premi\u00e8re intervention chirurgicale, la reconstruction de l'audition se fait g\u00e9n\u00e9ralement \u00e0 la deuxi\u00e8me op\u00e9ration.<\/span>\r\n\r\nCette chirurgie dure de 1h \u00e0 4h, se d\u00e9roule sous anesth\u00e9sie g\u00e9n\u00e9rale.Elle est r\u00e9alis\u00e9e \u00e0 l'aide d'un microscope sous monitoring du nerf facial (alarme qui sonne lorsque le chirurgien s'approche du nerf), et si n\u00e9cessaire neuronavigation (GPS&nbsp; qui guide le chirurgien gr\u00e2ce au scanner). Elle peut \u00eatre r\u00e9alis\u00e9e en chirurgie ambulatoire ou en hospitalisation classique (une nuit \u00e0 l\u2019h\u00f4pital).\r\n\r\n[caption id=\"attachment_3655\" align=\"aligncenter\" width=\"286\"]<img class=\"wp-image-3655 size-medium\" src=\"http:\/\/orl-chu-caen.fr\/wp-content\/uploads\/2017\/07\/7e-1-286x300.jpg\" alt=\"Facial nerve injuries iatrogenic\" width=\"286\" height=\"300\"> Monitoring du nerf facial (d'apr\u00e8s Jackler)[\/caption]\r\n\r\n[caption id=\"attachment_3656\" align=\"aligncenter\" width=\"300\"]<img class=\"wp-image-3656 size-medium\" src=\"http:\/\/orl-chu-caen.fr\/wp-content\/uploads\/2017\/07\/7a-19-e1632603117338-300x225.jpg\" alt=\"Sinodural angle drilling\" width=\"300\" height=\"225\"> Fraisage mastoidien (d'apr\u00e8s Jackler)[\/caption]\r\n\r\n&nbsp;\r\n<h3><span title=\"Because there is usually an infection in the ear during the first surgery, hearing reconstruction is generally performed at the second surgery. \"> Qu'est ce que l'o<\/span><span title=\"Otoendoscopy \">toendoscopie?<\/span><\/h3>\r\n<span title=\"The use of otoendoscopy (small angled cameras) has been shown to significantly reduce the recurrence of cholesteatomas, from nearly 50 percent to 5 percent. \">L'utilisation de l'otoendoscopie (petites cam\u00e9ras angul\u00e9es) a permis de r\u00e9duire consid\u00e9rablement la r\u00e9cidive des cholest\u00e9atomes, passant de pr\u00e8s de 50% \u00e0 5%.<\/span>\r\n\r\n<span title=\"At UC Irvine Health, otoendoscopy (in addition to a microscope) is used routinely in the removal of cholesteatomas for a less invasive approach.\">Au CHU de Caen,&nbsp; l'otoendoscopie (en plus d'un microscope) est utilis\u00e9e si besoin dans l'\u00e9limination des cholest\u00e9atomes pour une approche moins invasive.<\/span>\r\n\r\n<\/div>\r\n<\/div>\r\n[spacer size=\"40\"]\r\n\r\nM\u00e9decin r\u00e9f\u00e9rent au CHU dans la prise en charge des cholest\u00e9atomes: <a href=\"http:\/\/orl-chu-caen.fr\/?staff=dr-martin-hitier\">Pr Martin HITIER<\/a>\r\n\r\n&nbsp;\r\n\r\n&nbsp;\r\n\r\n&nbsp;\r\n\r\n&nbsp;\r\n\r\n&nbsp;\r\n\r\n&nbsp;\r\n\r\n&nbsp;\r\n\r\n&nbsp;\r\n\r\n&nbsp;","_et_gb_content_width":"","ngg_post_thumbnail":0,"footnotes":""},"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/orl-chu-caen.fr\/index.php?rest_route=\/wp\/v2\/pages\/2317"}],"collection":[{"href":"https:\/\/orl-chu-caen.fr\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/orl-chu-caen.fr\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/orl-chu-caen.fr\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/orl-chu-caen.fr\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=2317"}],"version-history":[{"count":35,"href":"https:\/\/orl-chu-caen.fr\/index.php?rest_route=\/wp\/v2\/pages\/2317\/revisions"}],"predecessor-version":[{"id":6203,"href":"https:\/\/orl-chu-caen.fr\/index.php?rest_route=\/wp\/v2\/pages\/2317\/revisions\/6203"}],"wp:attachment":[{"href":"https:\/\/orl-chu-caen.fr\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=2317"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}