Management of Cholesteatoma with Constitutional Homoeopathic Treatment: A Detailed Case Report

Cholesteatoma is a locally destructive middle-ear disease for which surgery is considered definitive treatment. Reports on non-surgical homoeopathic management are scarce. This case report describes the constitutional homoeopathic management of a confirmed cholesteatoma case and its clinical and radiological outcome. Case Presentation :A 40-year-old male presented with chronic, purulent, foul-smelling right-sided otorrhoea for one year, associated with mild hearing impairment. HRCT of the temporal bone confirmed right-sided cholesteatoma with bony erosion. Intervention and Outcome :Based on constitutional assessment and repertorization, Tuberculinum was prescribed. Over follow-up, the patient showed marked reduction and eventual cessation of otorrhoea with improvement in general well-being. Follow-up HRCT demonstrated stability of previously noted bony destruction with no further progression. Conclusion: This report is unique in documenting constitutional homoeopathic management of HRCT-confirmed cholesteatoma with radiological stabilization assessed through follow-up imaging and MONARCH criteria. Further controlled studies are needed to validate these observations.