The main clinical symptoms of cholesteatoma otitis media are: 1) hearing loss and tinnitus: caused by cholesteatoma destroying the auditory ossicles chain, which is the earliest symptom and the most frequent clinical occurrence; 2) recurrent infections and pus; 3) dizziness: when cholesteatoma destroys the semicircular canals or vestibule; 4) facial nerve paralysis: caused by cholesteatoma compressing the facial nerves; 5) intracranial complications: such as meningitis and brain abscess, which is relatively rare nowadays with the improvement of medical standards. Rarely seen. If patients are diagnosed with cholesteatoma otitis media, they should be treated in time to avoid delaying the condition. If the corresponding complications occur after encroaching on the bone of the skull base, the prognosis of surgical treatment is poor, which may cause permanent hearing loss or facial paralysis.