4 The Definition of Professional Boundaries â¢ Mutually understood, unspoken physical and emotional limits of the relationship between the client and the counselor. â¢ When altered, what is allowed in the relationship becomes ambiguous.
Cholesteatoma usually affects only one ear (it is unilateral). The most common initial symptoms are a smelly discharge from the ear, and some hearing loss. You are also likely to have had previous problems with ear infections. Other symptoms that may occur include a ringing sound in the ear (tinnitus) and headache.
This can make the ear wet, cause recurrent or chronic ear drainage, irritation, pain, hearing loss and other possible complications. Cholesteatoma is a cyst of skin that can form in the ear and frequently accompanies chronic ear disease. Chronic infection and cholesteatomas frequently cause problems with the bones of hearing and cause more hearing loss than the ear drum perforation alone can cause. When chronic infection or cholesteatoma is present in the ear, tympanoplasty surgery is frequently not enough to address the problems of the ear.