Cholesteatoma: diagnosis, management and follow-up, and an interesting case report

Cholesteatomas are benign tumors composed of skin-related substances. They can extensively infiltrate the ear and compromise surrounding structures, requiring surgical removal. Computed tomography can assist with surgical planning by illustrating the position and impact of the cholesteatoma. Recent advancements in magnetic resonance imaging have demonstrated enhanced visualization of cholesteatomas. Whereas additional surgical intervention was formerly necessary to identify cholesteatoma recurrence, magnetic resonance imaging can now often serve as an alternative. This paper reviews the current evidence on diagnosing, managing, and following up with patients with cholesteatoma. It also presents an interesting case that highlights the value of diffusion-weighted imaging (DWI), even in cases of initial diagnosis.