Surgery is not necessary for congenital cholesteatoma, a cystic structure composed of multiple layers of squamous epithelium with an outer layer of fibrous tissue of varying thickness. Cholesteatoma does not require surgery if it is asymptomatic or can be ruled out on its own. Surgery is required if it damages the nerve. 1. If the cholesteatoma is on the external auditory canal, and the symptoms are not serious, you can do ear canal cleaning in the outpatient clinic; cholesteatoma patients in the body of cholesteatoma self-expulsion, the residual less, then there is no need for surgery. 2. If the cholesteatoma affects the neighboring tissues and structures, such as the cholesteatoma affects the facial nerve, resulting in shallow nasolabial folds, crooked corners of the mouth, and leakage of wind in the speech, etc., then surgical resection is necessary. Surgery is a better treatment for cholesteatoma. It is recommended to go to the hospital for diagnosis in order to make a treatment plan.