Cholesteoma
Defination
It is an abnormal collection of skin cells deep inside the ear
Pathophysiology
Is a ingrowth of the skin of the external layer of the eardrum into the middle ear. It usually caused by a chronic reaction pocket of the tympanic membrane, creating a persistenctly high negative pressure of the middle ear and then the skin forms a sac that fills with degenerated skin and sebaceous materials. That sac can attach to the structures of the middle ear or pain, but sometimes if treatment or surgery take long time to occur, the condition may spread and destroy structures of temporal bones
Treatment
Tympanoplasty
Ocsiculoplasty
Mastoidectomy
Analgesia
Antibiotics
Clinical manifestation
Hearing loss
Sensation of ear fullness
Recurrent ear infection
Facial muscle weakness on the side of the infection
Dizziness
Ear pain or itching
Ear drainage
Nursing care plan
Nursing diagnosis
Possible outcome
Nursing intervention
Nursing intervention
Possible outcome
Nursing diagnosis
Anxiety related to upcoming surgical procedure, potential loss of hearing, potential disturbance and potential loss of facial movement
Anxiety must be decreased within 12 hours
Allow patient to ask questions and raising opinions about his condition
Discuss with patient about anesthesia, location of incision and possible negative results
Allow patient to express feelings
Verbalizes the reasons for and methods of care and treatment
Disturbed auditory sensory perception related to ear disorders or surgery
Reducing environmental noise
Facing patient when talking with him
Speak clearly without shouting
Providing good lighting if the patient relies on speech readings and using verbal clues