{
  "id": 8019,
  "label": "cholesteatoma of middle ear",
  "model": {
    "label": "Mondo Disease Ontology (MONDO)",
    "source": 0
  },
  "type_id": 0,
  "reference_id": "MONDO:0006533",
  "properties": {
    "xrefs": [
      "DOID:10964",
      "EFO:1000678",
      "ICD10CM:H71",
      "ICD10WHO:H71",
      "ICD9:385.3",
      "ICD9:385.32",
      "ICD9:385.33",
      "MEDGEN:57836",
      "MESH:D018424",
      "NCIT:C3654",
      "SCTID:194339007",
      "UMLS:C0155490",
      "icd11.foundation:2134365487"
    ],
    "synonyms": [
      "Epidermosis of ear",
      "Epidermosis of middle ear",
      "cholesteatoma (disease) of middle ear",
      "cholesteatoma of middle ear",
      "cholesteatoma of middle ear and mastoid",
      "cholesteatoma of the middle ear",
      "middle ear cholesteatoma",
      "middle ear cholesteatoma (disease)",
      "unspecified cholesteatoma (morphologic abnormality)"
    ],
    "categories": [
      {
        "ref": "MONDO:0002051",
        "name": "integumentary system disorder"
      },
      {
        "ref": "MONDO:0002409",
        "name": "auditory system disorder"
      },
      {
        "ref": "MONDO:0024623",
        "name": "otorhinolaryngologic disease"
      }
    ],
    "definition": "A non-neoplastic lesion characterized by the proliferation of keratinizing squamous epithelium in the middle ear that results in the accumulation of keratin and cells. It is usually caused by repeated infections. If left untreated, it may increase in size and destroy the adjacent delicate bones of the middle ear."
  },
  "isLeaf": false,
  "isRoot": false,
  "child_count": 1,
  "parents": [
    {
      "id": 5217,
      "label": "middle ear disorder",
      "isLeaf": false,
      "isRoot": false,
      "parents": [
        4499,
        20423
      ],
      "type_id": 0,
      "properties": {
        "xrefs": [
          "DOID:5100",
          "ICD10CM:H65-H75",
          "MEDGEN:124401",
          "NCIT:C27065",
          "SCTID:68996008",
          "UMLS:C0271428"
        ],
        "synonyms": [
          "disease of middle ear",
          "disease or disorder of middle ear",
          "disorder of middle ear",
          "middle Ear disorder",
          "middle ear disease",
          "middle ear disease or disorder"
        ],
        "categories": [
          {
            "ref": "MONDO:0002409",
            "name": "auditory system disorder"
          },
          {
            "ref": "MONDO:0024623",
            "name": "otorhinolaryngologic disease"
          }
        ],
        "definition": "A disease involving the middle ear."
      },
      "child_count": 12,
      "reference_id": "MONDO:0003276"
    },
    {
      "id": 8016,
      "label": "cholesteatoma",
      "isLeaf": false,
      "isRoot": false,
      "parents": [
        8047
      ],
      "type_id": 0,
      "properties": {
        "xrefs": [
          "DOID:869",
          "EFO:1000675",
          "HP:0009797",
          "ICD9:385.30",
          "MEDGEN:3043",
          "MESH:D002781",
          "NCIT:C2944",
          "SCTID:363668000",
          "UMLS:C0008373"
        ],
        "synonyms": [
          "cholesteatoma",
          "cholesteatoma (disease)",
          "congenital cholesteatoma (type)",
          "primary acquired cholesteatoma (type)",
          "secondary acquired cholesteatoma (type)"
        ],
        "categories": [
          {
            "ref": "MONDO:0002051",
            "name": "integumentary system disorder"
          }
        ],
        "definition": "A pathologic process characterized by the proliferation of keratinizing squamous epithelium resulting in the accumulation of keratin and cells in the middle ear and/or mastoid. It may be congenital or acquired. If left untreated, it may increase in size and destroy adjacent structures."
      },
      "child_count": 3,
      "reference_id": "MONDO:0006530"
    }
  ],
  "children": [
    {
      "id": 8017,
      "label": "cholesteatoma of attic",
      "isLeaf": true,
      "isRoot": false,
      "parents": [
        8019
      ],
      "type_id": 0,
      "properties": {
        "xrefs": [
          "DOID:10963",
          "EFO:1000676",
          "ICD10CM:H71.0",
          "ICD9:385.31",
          "MEDGEN:509986",
          "SCTID:38708003",
          "UMLS:C0155489"
        ],
        "categories": [
          {
            "ref": "MONDO:0002051",
            "name": "integumentary system disorder"
          },
          {
            "ref": "MONDO:0002409",
            "name": "auditory system disorder"
          },
          {
            "ref": "MONDO:0024623",
            "name": "otorhinolaryngologic disease"
          }
        ],
        "definition": "A cholesteatoma in the attic"
      },
      "child_count": 0,
      "reference_id": "MONDO:0006531"
    }
  ],
  "roots": [
    {
      "id": 5217,
      "label": "middle ear disorder"
    },
    {
      "id": 8016,
      "label": "cholesteatoma"
    }
  ]
}