Cholesteatoma of tympanum, right ear
ICD-10 H71.11 is a billable code used to indicate a diagnosis of cholesteatoma of tympanum, right ear.
Cholesteatoma of the tympanum is a destructive and expanding growth of skin cells in the middle ear and/or mastoid process. It often arises as a complication of chronic otitis media, where repeated infections lead to the accumulation of skin cells and debris. Patients may present with symptoms such as ear discharge, hearing loss, and a sensation of fullness in the ear. The condition can lead to serious complications, including hearing loss, erosion of the surrounding bone, and potential spread of infection to adjacent structures. Diagnosis is typically made through otoscopic examination, which may reveal a retracted tympanic membrane or a visible cholesteatoma sac. Imaging studies, such as CT scans, may be utilized to assess the extent of the disease and involvement of the mastoid process. Management often involves surgical intervention to remove the cholesteatoma and reconstruct the tympanic membrane to restore hearing and prevent recurrence. Postoperative care and follow-up are crucial to monitor for complications and ensure proper healing.
Detailed notes on patient history, physical examination findings, imaging results, and surgical details.
Patients presenting with chronic ear infections, hearing loss, or post-operative follow-ups.
Ensure accurate coding of any associated procedures, such as tympanoplasty or mastoidectomy.
Audiometric evaluations and reports detailing the degree of hearing loss.
Assessment of hearing loss in patients with known cholesteatoma.
Document the impact of cholesteatoma on hearing and any recommendations for hearing aids or rehabilitation.
Used during surgical intervention for cholesteatoma removal.
Document the surgical approach, findings, and any complications.
Otolaryngologists should ensure that the procedure is well-documented to support the diagnosis.
Common symptoms include ear discharge, hearing loss, and a feeling of fullness in the ear. Patients may also experience pain or pressure in the affected ear.
Diagnosis is typically made through otoscopic examination, which may reveal a retracted tympanic membrane or a visible cholesteatoma sac. Imaging studies like CT scans may also be used.
The primary treatment for cholesteatoma is surgical intervention to remove the growth and reconstruct the tympanic membrane. Follow-up care is essential to monitor for recurrence.
