Ear Attic Defect

Overt attic cholesteatoma plus pars tensa collapse.

Ear attic defect.

Wide transcanal atticotomy was performed and the bony defect was enlarged into the antrum and was packed and left open. Attic retraction pocket cholesteatoma case 1. Recurrent cholesteatoma after closed techniques occurs in four patterns. Reconstructing the attic defect is usually done with tragal cartilage with perichondrium as an island graft type fashion.

It is our experience 1 that with staged cwu tympanoplasty the retraction pocket has already occurred and is observable at the time of the second stage operation. Residual attic and tympanic membrane defects were reconstructed with a composite tragal graft. The middle ear is free of evident pathology but the presence of an attic cholesteatoma cannot be excluded. This is a cholesteatoma that has formed.

The majority 98 of people with cholesteatoma have ear discharge or conductive hearing loss or both in the affected ear. The long process of the incus is eroded with only fibrous attachment to the stapes head. It may be a birth defect but it s most commonly caused. 5 status post tubulation there is a ventilating tube located in the anterior inferior quadrant.

A defect by erosion is seen in the posterior superior aspect of the eardrum with accumulation of keratinous material. The defect in the ear drum is seen and indicated with the black arrow. 1 through an attic defect 2 via erosions in the canal wall 3 as a pars tensa invagination and 4 as a borderline. 6 status post tubulation.

There is an attic retraction. Otitis externa may also present with these symptoms but cholesteatoma is much more serious and should not be overlooked if a patient presents to a doctor with ear discharge and hearing loss the. Citation needed other more common conditions e g. A cholesteatoma is an abnormal noncancerous skin growth that can develop in the middle section of your ear behind the eardrum.

Hard dry keratin debris in a small attic defect probable developing attic cholesteatoma. Reconstruction of the attic mastoid defect ossicular chain reconstruction tympanic membrane repair. A serous effusion is present. Group 2 included 31 patients with extensive disease within the mastoid cavity proper.

Bone defect of the attic wall eustachian tubal dysfunction and middle ear inflammation among others are proposed as factors that can cause the pocket.