Ear Attic Defect

Recurrent cholesteatoma after closed techniques occurs in four patterns.

Ear attic defect.

5 status post tubulation there is a ventilating tube located in the anterior inferior quadrant. The majority 98 of people with cholesteatoma have ear discharge or conductive hearing loss or both in the affected ear. A cholesteatoma is an abnormal noncancerous skin growth that can develop in the middle section of your ear behind the eardrum. A serous effusion is present.

Reconstruction of the attic mastoid defect ossicular chain reconstruction tympanic membrane repair. Residual attic and tympanic membrane defects were reconstructed with a composite tragal graft. A defect by erosion is seen in the posterior superior aspect of the eardrum with accumulation of keratinous material. 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.

Bone defect of the attic wall eustachian tubal dysfunction and middle ear inflammation among others are proposed as factors that can cause the pocket. Citation needed other more common conditions e g. It may be a birth defect but it s most commonly caused. This is a cholesteatoma that has formed.

Hard dry keratin debris in a small attic defect probable developing attic cholesteatoma. There is an attic retraction. Overt attic cholesteatoma plus pars tensa collapse. The defect in the ear drum is seen and indicated with the black arrow.

A dark middle ear effusion is noticed in the middle ear. Wide transcanal atticotomy was performed and the bony defect was enlarged into the antrum and was packed and left open. The middle ear is free of evident pathology but the presence of an attic cholesteatoma cannot be excluded. 6 status post tubulation.

Attic retraction pocket cholesteatoma case 1. The long process of the incus is eroded with only fibrous attachment to the stapes head. 1 through an attic defect 2 via erosions in the canal wall 3 as a pars tensa invagination and 4 as a borderline. Reconstructing the attic defect is usually done with tragal cartilage with perichondrium as an island graft type fashion.

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.