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In this episode, we dive deep into a query from one of our subscribers about Cholesteatoma. While I've previously covered what Cholesteatoma is, this video expands on the topic, exploring its effects not just on the ear but also on the brain, where it’s known as Epidermoid. Cholesteatoma is a severe ear condition where abnormal skin growth causes pus, a distinct smell, or blood from the ear, often leading to hearing loss. This aggressive disease can destroy bones and requires surgical intervention—there is no medical treatment available. We discuss the differences between adult and pediatric Cholesteatoma, highlighting how pediatric cases are particularly aggressive, often causing extensive bone destruction early on. Understanding the importance of early diagnosis and treatment is crucial in preventing complications. Additionally, I explain the concept of second-look surgery, a necessary follow-up procedure to ensure Cholesteatoma hasn't recurred, particularly in children. We also touch on the two-stage approach to treating this disease—first, removing the disease, and second, improving hearing. If you or someone you know has been diagnosed with Cholesteatoma, this video provides valuable insights into the importance of timely treatment and close follow-up.