Cholesteatoma of attic
ICD-10 H71.0 is a billable code used to indicate a diagnosis of cholesteatoma of attic.
Cholesteatoma of the attic is a destructive and expanding growth of skin cells in the middle ear and/or mastoid process. It typically arises from chronic otitis media and can lead to significant complications if left untreated. The attic, or epitympanic recess, is the upper part of the middle ear, and cholesteatomas can cause erosion of the surrounding structures, including the ossicles and mastoid bone. Patients may present with symptoms such as hearing loss, ear discharge, and a sensation of fullness in the ear. In some cases, there may be associated pain or dizziness. Diagnosis is primarily made through otoscopic examination, which may reveal a retraction or perforation of the tympanic membrane, and imaging studies like CT scans can help assess the extent of the disease. Management typically involves surgical intervention to remove the cholesteatoma and reconstruct the tympanic membrane and ossicular chain, with the goal of restoring hearing and preventing further complications.
Comprehensive documentation of patient history, physical examination findings, imaging results, and surgical notes.
Patients presenting with chronic ear infections, hearing loss, or complications from cholesteatoma.
Ensure accurate coding of any associated procedures, such as tympanoplasty or mastoidectomy.
Detailed audiometric evaluations and reports on hearing loss related to cholesteatoma.
Assessment of hearing loss in patients with diagnosed cholesteatoma.
Document the impact of cholesteatoma on hearing and any recommendations for rehabilitation.
Performed to remove cholesteatoma and reconstruct the tympanic membrane.
Surgical notes detailing the procedure and findings.
Otolaryngologists must document the extent of the cholesteatoma and any complications.
Common symptoms include hearing loss, ear discharge, a feeling of fullness in the ear, and in some cases, pain or dizziness.
Diagnosis is typically made through otoscopic examination and imaging studies, such as CT scans, to assess the extent of the disease.
Treatment usually involves surgical intervention to remove the cholesteatoma and reconstruct the tympanic membrane to restore hearing and prevent complications.
