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"Surgical removal is necessary once a cholesteatoma has formed." That's not necessarily true! I once had a cholesteatoma in my left ear. By the time they were doing the surgery, it had gone on its own! It was assumed recently that it had returned, but I went to the hospital this month and, as there's no growth, it was assumed that now, it's a scarball from the surgery before! 24.113.11.218 (talk) 23:24, 27 March 2012 (UTC)