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Not sure. I had a CT scan to evaluate mine. I had a retraction/pocket/collapsed drum, which amounted to a fair bit of damage to the ‘bones’ they attempted the first time to try and reconstruct it, which didn’t go well.
Obviously mine is a kind of worse case scenario. But it is important to get it checked out.
Left ear post op.
Cholesteatoma will present with symptoms like tinnitus and progressive hearing loss. Definitely best to get checked out. Completely ruined my hearing, so really one not to ignore.