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
Common name nomenclature is a global system that attempts to denote particular organisms or taxa uniquely and , on the assumption that such organisms or taxa are well-defined and generally also have well-defined interrelationships; accordingly the ICZN has formal rules for biological nomenclature and convenes periodic international meetings to further that purpose. The form of scientific names for organisms that are called binomial nomenclature is superficially similar to the noun-adjective form of vernacular names or common names which were used by prehistoric cultures. A collective name such as "owl" was made more precise by the addition of an adjective such as "screech".