Ear Attic Defect

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.

Ear attic defect.

Depending on the defect size more than one piece of cartilage may be used. Attic retraction pocket cholesteatoma case 1. Probable large but dormant sac. The attic is just above the eardrum.

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 ossicular chain reconstruction depends on the surgeon s preference. Bone defect of the attic wall eustachian tubal dysfunction and middle ear inflammation among others are proposed as factors that can cause the pocket.

Abstract recurrent cholesteatoma after closed techniques occurs in four patterns. A cholesteatoma is an abnormal noncancerous skin growth that can develop in the middle section of your ear behind the eardrum. A large attic defect is seen with accumulation of keratinous material. The cavity of the middle ear is a narrow air filled space.

These chambers are also referred to as the atrium and the attic respectively. This is a cholesteatoma that has formed. Reconstructing the attic defect is usually done with tragal cartilage with perichondrium as an island graft type fashion. 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.

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. Autologous incus is a reliable method to use with an intact stapes. 35 mastoid cholesteatoma. 1 through an attic defect 2 via erosions in the canal wall 3 as a pars tensa invagination and 4 as a.

A large plug of keratin filling an attic defect. A defect by erosion is seen in the posterior superior aspect of the eardrum with accumulation of keratinous material. Group 2 included 31 patients with extensive disease within the mastoid cavity proper. It may be a birth defect but it s most commonly caused by repeated.

The pars tensa is diffusely tympanosclerotic secondary to past middle ear disease.