Ear Attic Defect

The middle ear is free of evident pathology but the presence of an attic cholesteatoma cannot be excluded.

Ear attic defect.

The defect in the ear drum is seen and indicated with the black arrow. 6 status post tubulation. A dark middle ear effusion is noticed in the middle ear. Overt attic cholesteatoma plus pars tensa collapse.

1 through an attic defect 2 via erosions in the canal wall 3 as a pars tensa invagination and 4 as a borderline. A serous effusion is present. Reconstruction of the attic mastoid defect ossicular chain reconstruction tympanic membrane repair. 5 status post tubulation there is a ventilating tube located in the anterior inferior quadrant.

Group 2 included 31 patients with extensive disease within the mastoid cavity proper. 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. Wide transcanal atticotomy was performed and the bony defect was enlarged into the antrum and was packed and left open. The long process of the incus is eroded with only fibrous attachment to the stapes head.

Citation needed other more common conditions e g. Recurrent cholesteatoma after closed techniques occurs in four patterns. Depending on the defect size more than one piece of cartilage may be used. Residual attic and tympanic membrane defects were reconstructed with a composite tragal graft.

It may be a birth defect but it s most commonly caused. 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. Hard dry keratin debris in a small attic defect probable developing attic cholesteatoma.

Attic retraction pocket cholesteatoma case 1. This is a cholesteatoma that has formed. Bone defect of the attic wall eustachian tubal dysfunction and middle ear inflammation among others are proposed as factors that can cause the pocket. The majority 98 of people with cholesteatoma have ear discharge or conductive hearing loss or both in the affected ear.

A defect by erosion is seen in the posterior superior aspect of the eardrum with accumulation of keratinous material.