Male 27 have had hearing problems my entire life in 2014 I had surgery for a cholesteatoma in my ear and tubes every year just about. It’s impacted my life so much that I have no social life and it’s making life super hard for me idk what to do. This was my report from last dr visit. Can this be fixed or will I have to just settle for hearing aids ?

You have a retraction of your ear drum on the left but no evidence of cholesteatoma in either ear based on your scan. To fix the left eardrum, we recommend surgery with a left tympanoplasty with cartilage graft and possible reconstruction of your ossicular chain (hearing bones). Your ear is safe and there is no rush for surgery, however we recommend performing surgery before any complications develop down the road. To assist hearing in your right ear, we recommend using a hearing aid. We have placed a consult to audiology to get you set up with a hearing aid.

EXAM: CT Temporal Bones without contrast HISTORY: evaluate bilateral temporal bones, histoyr of cholesteatoma COMPARISON: None. TECHNIQUE: CT temporal bones without contrast with coronal reformations. FINDINGS: Right temporal bone: Sequela of previous right canal wall up mastoidectomy. Calcifications along the right tympanic membrane are consistent with tympanosclerosis. No residual or recurrent soft tissue pacification is noted in the tympanic cavity to suggest cholesteatoma by CT.The cochlea, vestibule, and semicircular canals are normal. There is no otosclerosis. The malleus, incus and, stapes are present. The incus- stapedial joint is normal. The oval and round windows are normal. Facial nerve is normal in its course. The vestibular aqueduct is not dilated.The tympanic membrane is normal. The internal carotid artery is normal in its course.

Left temporal bone: There is mild sclerosis of the left tympanic membrane correlating to tympanosclerosis. A small perforation is suggested. There is abnormal soft tissue attenuation within Prussak's space and mild blunting of the scutum. There is pacification of the oval window niche and round window niche. Soft tissue extends into the facial nerve recess and sinus tympani. Distal incus long process erosion is suggested. Stapes is not well visualized which may be due to erosion or surrounding soft tissue pacification. Facial nerve course appears normal. There is a tiny defect in the tegmen tympani just lateral to the ossicles. Small soft tissue pacification is noted here. Otic capsule is normal in density, without evidence for osseous erosion or labyrinthine fistula. Mastoids are developmentally underpneumatized with diffuse sclerosis and partial opacification.

IMPRESSION: 1. Postsurgical changes are noted in the right temporal bone with evidence of tympanosclerosis but no signs of recurrent cholesteatoma by CT. 2. Abnormal soft tissue pacification is noted in presacral space, the mesial and hypotympanum with associated erosion of the long process of incus and poor visualization of the stapes, concerning for recurrent cholesteatoma. I have personally reviewed the images and, if necessary, edited the report. I agree with the report as now presented.