Cholesteatoma either by metaplasia of the middle ear mucosa or by traumatic implantation of ear canal or tympanic membrane skin. In addition, cholesteatoma inadvertently left by a surgeon usually regrows as an epidermal cyst. Some authors have also suggested hereditary factors. More commonly, keratin accumulates in a pouch of tympanic membrane which extends into the middle ear space. This abnormal folding or 'retraction' of the tympanic membrane arises in one of the following ways: Cholesteatoma may also arise as a result of metaplasia of the middle ear mucosa or implantation following trauma. Cholesteatoma is diagnosed by a doctor by physical examination
Tympanic part of the temporal bone part of the temporal bone. In all extant and extinct primates, including humans, the auditory bulla is formed by the petrosal bone (the petrous part of the temporal bone). This is a diagnostic trait that can be used to distinguish primates, including anthropoids, tarsiers, lemurs, and lorises, from all other mammals. Tympanic part of the temporal bone The tympanic part of the temporal bone is a curved plate of bone lying below the squamous part of the temporal bone, in front of the mastoid process, and surrounding the external part of the ear canal. It originates as a separate bone