Diffuse cholesteatosis, right ear
ICD-10 H71.31 is a billable code used to indicate a diagnosis of diffuse cholesteatosis, right ear.
Diffuse cholesteatosis of the right ear is a condition characterized by the abnormal accumulation of skin cells and other debris in the middle ear and/or mastoid process. This condition often arises from chronic otitis media, where repeated infections lead to the formation of a cyst-like structure filled with keratin and other materials. Patients may present with symptoms such as hearing loss, ear fullness, and recurrent ear infections. The presence of cholesteatoma can lead to further complications, including erosion of surrounding structures, facial nerve paralysis, and intracranial infections if left untreated. Diagnosis typically involves a thorough clinical examination, audiometric testing, and imaging studies such as CT scans to assess the extent of the disease. Management often requires surgical intervention to remove the cholesteatoma and repair any associated damage to the ear structures. Post-operative care and regular follow-up are essential to monitor for recurrence and manage any residual hearing loss.
Detailed clinical notes, imaging results, and surgical reports are essential.
Management of chronic ear infections, cholesteatoma surgeries, and hearing loss evaluations.
Ensure clear documentation of the extent of cholesteatosis and any complications.
Audiometric evaluations and hearing loss assessments must be documented.
Assessment of hearing loss related to cholesteatosis and post-operative hearing evaluations.
Link audiological findings to the diagnosis of cholesteatosis for accurate coding.
Used for surgical intervention in cases of cholesteatosis.
Surgical reports must detail the procedure and findings.
Otolaryngologists must document the extent of disease and any complications.
Diffuse cholesteatosis is primarily caused by chronic otitis media, leading to the accumulation of skin cells and debris in the middle ear.
Diagnosis is made through clinical examination, audiometric testing, and imaging studies such as CT scans.
Treatment typically involves surgical intervention to remove the cholesteatoma and repair any damage to the ear structures.
