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.
What Is Cholesteatoma? A cholesteatoma is a benign, cystlike tumor in the eardrum or middle ear. Most commonly, a cholesteatoma develops when the eustachian tube (the passage between the ear and nose) is blocked for a prolonged period. Gradually, the air trapped in the middle ear is absorbed by surrounding tissue, resulting in greater air pressure outside the eardrum than inside.