“…The incidence of cholesteatoma is estimated at 9 per 100,000 people. Many factors are involved in the pathophysiology, such as the presence of osteoclastic activity, cytokines, chronic inflammation, endotoxins and lipid peroxidation products, where these factors also lead to the production of free oxygen radicals (Serban, Badescu, Palade, Badescu, Filip, Diaconu, & Cobzeanu, 2019).…”