Cholesteatomatous otitis media is a special variety of chronic otitis media; it can be classified into several types: congenital, primary and secondary acquired, recurrent and residual types. The congenital cholesteatoma is a pearly white mass medial to an intact tympanic membrane with normal tympanic membrane, without any ear discharge or ear drum perforation or any otological procedure in the past [1]. Primary acquired cholesteatoma starts with an intact pars tensa and proceeds to the formation of retraction pockets in the attic and then to attic cholesteatoma, in the other hand, the secondary acquired cholesteatoma starts as acute otitis media, then progresses to chronic otitis media, and with time, granulation tissue, polyp, and cholesteatoma
