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People with chronic infections of the outer ear (ear canal) and the middle ear (area behind the ear drum) can benefit from BAHA. Generally, people with these conditions have a chronic unpleasant drainage from their ears. The infection responds to conventional therapy with medications and surgery most of the time. However, sometimes it may recur and is deemed non-threatening. In these cases or when the infection recurs with the use of regular hearing aids that are placed in the ear canal, the BAHA is a suitable choice for hearing improvement
The inner ear (hearing and balance organs) is encased in bone and communicates with the middle ear (the space behind the ear drum) in two locations. These two areas are covered with a thin membrane and are termed the round and oval windows. If for some reason a communication develops between the inner ear fluid and the middle ear space, it is called a perilymphatic fistula. See Anatomy of the Ear for reference.
Cholesteatoma, in its simplest definition, is skin in the wrong place. Skin is a normal part of the ear canal and the outside part of the ear drum (tympanic membrane). When this skin grows behind the ear drum or it grows into the bone behind the ear (mastoid bone), it is called a cholesteatoma. This skin grows at a much faster rate than regular skin and destroys the structures around it. The treatment of a cholesteatoma is its removal by surgery. Close follow-up is necessary to monitor for recurrence.
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