Cholesteatoma of tympanum, left ear
ICD-10 H71.12 is a billable code used to indicate a diagnosis of cholesteatoma of tympanum, left ear.
Cholesteatoma of the tympanum is a destructive and expanding growth of skin cells in the middle ear and/or mastoid process. It typically arises from chronic otitis media, where repeated infections lead to the accumulation of skin debris and the formation of a cystic lesion. Patients may present with symptoms such as hearing loss, ear discharge, and a sensation of fullness in the ear. The condition can lead to complications, including erosion of surrounding structures, such as the ossicles and mastoid bone, potentially resulting in more severe hearing loss or even intracranial complications. Diagnosis is primarily made through otoscopic examination, which may reveal a retracted tympanic membrane or a visible cholesteatoma. Imaging studies, such as CT scans, may be utilized to assess the extent of the disease and plan surgical intervention. Management typically involves surgical removal of the cholesteatoma to prevent further complications and restore hearing, often necessitating tympanoplasty or mastoidectomy procedures.
Detailed clinical notes including history of ear infections, audiometric evaluations, and imaging results.
Patients presenting with chronic ear infections, hearing loss, or post-operative follow-ups after cholesteatoma surgery.
Ensure clear documentation of the extent of cholesteatoma and any surgical interventions performed.
Audiometric test results and assessments of hearing loss related to cholesteatoma.
Patients undergoing hearing evaluations pre- and post-surgery for cholesteatoma.
Document the impact of cholesteatoma on hearing and any recommendations for hearing aids or rehabilitation.
Used for surgical intervention in cases of cholesteatoma.
Document the extent of the cholesteatoma and any ossicular reconstruction performed.
Otolaryngologists must ensure detailed operative notes are provided.
Common symptoms include hearing loss, ear discharge, a feeling of fullness in the ear, and sometimes pain. In advanced cases, dizziness or balance issues may occur.
Diagnosis is typically made through a combination of patient history, otoscopic examination, and imaging studies such as CT scans to assess the extent of the disease.
The primary treatment for cholesteatoma is surgical removal. This may involve tympanoplasty or mastoidectomy, depending on the extent of the disease.
