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 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 (tympanic bone), which in some mammals stays separate through life. Evolutionarily, a portion of it is derived from the angular bone of the reptilian lower jaw. Its postero-superior surface is concave, and forms the anterior wall, the floor, and part of the posterior wall of the bony ear canal. Medially, it