Ear Attic Retraction Pocket

Many of theses eardrums have tympanosclerosis or white plaques on the eardrum.

Ear attic retraction pocket.

The the photo 3 you can see the uncontrolled retraction pocket in epitympanum. Attic retraction pocket cholesteatoma january 4 2020 by zamira leave a comment situations that arise at surgery cholesteatoma diagnosing the unsafe ear cholesteatoma case photo education 12 2 123 000 140m top 1 154 4 900. Attic retraction pocket in the left ear white arrow with atelectatic prussak s space red circle and eroded scutum yellow arrow. Skin material often accumulates in this pocket and becomes infected causing drainage and potential severe complications.

The basal cells of germinal layer of skin proliferate under the influence of infection and lay down keratinising squamous epithelium. 5 ruedi s theory. Invagination of tympanic membrane from the attic or part of pars tensa in the form of retraction pockets lead to the formation of cholesteatoma. The picture on the far right shows a severely retracted eardrum with attic retraction pocket formation.

The ear drum has dropped further in and has worn through the middle hearing bone arrow 1 and is now lying against the inner wall of the middle ear space. Tympanic membrane retraction describes a condition in which a part of the eardrum lies deeper within the ear than its normal position. Granulation tissue may arise from the mucosa adjacent to the cholesteatoma figure 6c. The eardrum is draped over the incus stapes and round window.

This retraction pocket is still cleaning itself but the extent of the pocket can not be seen. However if it retracts enough to press on the bones or other structures within your ear it can cause. Fluid draining from the ear. 1 attic retraction pocket cholesteatoma is clearly visualized white arrow.

Further progression of retraction pockets can cause destruction of the eardrum. The ear drum has worn away a lot of the middle hearing bone. Often there is an accumulation of squamous debris within the pocket figure 6a b. There has been significant bone erosion of the ear canal wall above the eardrum.

A retraction pocket seen in the attic or posterosuperior quadrant of a tympanic membrane is the hallmark of an acquired cholesteatoma.