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.
Review medical complications possibly associated with Cholesteatoma: 1  Labyrinthitis. 2  Hearing loss. 3  Permanent hearing loss (see Hearing impairment) 4  Deafness. more complications...Â».
Most of the time, patients do not know a cholesteatoma is present. The expanding sac generally causes destruction of the ear drum and ossicles (bones of hearing). This causes hearing loss. There can be discharge from the ear. It is usually intermittent (comes and goes), but can be persistent.