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.
There are 2 causes of cholesteatoma: 1  Congenital cholesteatomal â this is a less common cause. 2  Acquired-this is the more common cause which is due to the tear or retraction of the eardrum.efinition of Cholesteatoma. Cholesteatoma is a condition wherein there is a benign growth of skin in the middle or petrous apex. This growth is considered abnormal.