Ear Attic Retraction Pocket

5 ruedi s theory.

Ear attic retraction pocket.

A retraction pocket seen in the attic or posterosuperior quadrant of a tympanic membrane is the hallmark of an acquired cholesteatoma. This retraction pocket is still cleaning itself but the extent of the pocket can not be seen. The the photo 3 you can see the uncontrolled retraction pocket in epitympanum. However if it retracts enough to press on the bones or other structures within your ear it can cause.

The ear drum has worn away a lot of the middle hearing bone. Skin material often accumulates in this pocket and becomes infected causing drainage and potential severe complications. Attic retraction pocket in the left ear white arrow with atelectatic prussak s space red circle and eroded scutum yellow arrow. Often there is an accumulation of squamous debris within the pocket figure 6a b.

Invagination of tympanic membrane from the attic or part of pars tensa in the form of retraction pockets lead to the formation of cholesteatoma. 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 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.

Many of theses eardrums have tympanosclerosis or white plaques on the eardrum. Further progression of retraction pockets can cause destruction of the eardrum. 1 attic retraction pocket cholesteatoma is clearly visualized white arrow. The basal cells of germinal layer of skin proliferate under the influence of infection and lay down keratinising squamous epithelium.

A retracted eardrum usually doesn t cause any symptoms. The picture on the far right shows a severely retracted eardrum with attic retraction pocket formation. The eardrum comprises two parts the pars tensa which is the main part of the eardrum and the pars flaccida which is a smaller part of the eardrum located above the pars tensa either or both of these parts may become retracted. Fluid draining from the ear.