Ear Attic Defect

Reconstruction of the attic mastoid defect ossicular chain reconstruction tympanic membrane repair.

Ear attic defect.

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. Group 2 included 31 patients with extensive disease within the mastoid cavity proper. 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.

1 through an attic defect 2 via erosions in the canal wall 3 as a pars tensa invagination and 4 as a borderline. 6 status post tubulation. The middle ear is free of evident pathology but the presence of an attic cholesteatoma cannot be excluded. A serous effusion is present.

A defect by erosion is seen in the posterior superior aspect of the eardrum with accumulation of keratinous material. It may be a birth defect but it s most commonly caused. Residual attic and tympanic membrane defects were reconstructed with a composite tragal graft. Depending on the defect size more than one piece of cartilage may be used.

The defect in the ear drum is seen and indicated with the black arrow. 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. There is an attic retraction. Overt attic cholesteatoma plus pars tensa collapse.

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. 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. Attic retraction pocket cholesteatoma case 1.

A dark middle ear effusion is noticed in the middle ear. 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. 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.