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
Inferior tympanic artery Inferior tympanic artery The inferior tympanic artery is a small branch of the ascending pharyngeal artery. It is a small branch which passes through a minute foramen in the petrous portion of the temporal bone which is called tympanic canaliculus or inferior tympanic canaliculus, in company with the tympanic branch of the glossopharyngeal nerve, to supply the medial wall of the tympanic cavity and anastomose with the other tympanic arteries. In the case of a missing or underdeveloped cervical ICA, the Inferior tympanic artery can provide collateral ICA circulation by reversing flow of the caroticotympanic artery (embryologic hyoid artery). This