This is a cholesteatoma that has formed.
Ear attic defect.
If untreated a cholesteatoma can eat into the three small bones located in the middle ear the malleus incus and stapes collectively called ossicles which can result in nerve deterioration deafness imbalance and vertigo.
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.
35 mastoid cholesteatoma.
Bone defect of the attic wall eustachian tubal dysfunction and middle ear inflammation among others are proposed as factors that can cause the pocket.
Autologous incus is a reliable method to use with an intact stapes.
These chambers are also referred to as the atrium and the attic respectively.
A slight constriction divides it into an upper and a lower chamber the tympanum tympanic cavity proper below and the epitympanum above.
Abstract recurrent cholesteatoma after closed techniques occurs in four patterns.
No middle ear ossicles are observed.
A large attic defect is seen with accumulation of keratinous material.
Reconstructing the attic defect is usually done with tragal cartilage with perichondrium as an island graft type fashion.
The ossicular chain reconstruction depends on the surgeon s preference.
A defect by erosion is seen in the posterior superior aspect of the eardrum with accumulation of keratinous material.
A large plug of keratin filling an attic defect.
The area of the superior portion of the eardrum is retracted or sucked in trapping skin cells and debris and eating away at the hearing bones and ear canal bone.
Group 2 included 31 patients with extensive disease within the mastoid cavity proper.
Residual attic and tympanic membrane defects were reconstructed with a composite tragal graft.
Wide transcanal atticotomy was performed and the bony defect was enlarged into the antrum and was packed and left open.
The attic is just above the eardrum.
The pars tensa is diffusely tympanosclerotic secondary to past middle ear disease.
1 through an attic defect 2 via erosions in the canal wall 3 as a pars tensa invagination and 4 as a.
Attic retraction pocket cholesteatoma case 1.
It may be a birth defect but it s most commonly caused by repeated.
The defect in the ear drum is seen and indicated with the black arrow.
Depending on the defect size more than one piece of cartilage may be used.
