Ear Attic Defect

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

Ear attic defect.

Residual attic and tympanic membrane defects were reconstructed with a composite tragal graft. Probable large but dormant sac. It may be a birth defect but it s most commonly caused by repeated. Depending on the defect size more than one piece of cartilage may be used.

Attic retraction pocket cholesteatoma case 1. 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. A large plug of keratin filling an attic defect. This is a cholesteatoma that has formed.

Wide transcanal atticotomy was performed and the bony defect was enlarged into the antrum and was packed and left open. Abstract recurrent cholesteatoma after closed techniques occurs in four patterns. 1 through an attic defect 2 via erosions in the canal wall 3 as a pars tensa invagination and 4 as a. The cavity of the middle ear is a narrow air filled space.

Reconstructing the attic defect is usually done with tragal cartilage with perichondrium as an island graft type fashion. A cholesteatoma is an abnormal noncancerous skin growth that can develop in the middle section of your ear behind the eardrum. Group 2 included 31 patients with extensive disease within the mastoid cavity proper. The attic is just above the eardrum.

The defect in the ear drum is seen and indicated with the black arrow. If untreated a cholesteatoma can eat into the three small bones located in the middle ear the malleus incus and stapes collectively called ossicles which can result in nerve deterioration deafness imbalance and vertigo. Autologous incus is a reliable method to use with an intact stapes. A large attic defect is seen with accumulation of keratinous material.

These chambers are also referred to as the atrium and the attic respectively. A slight constriction divides it into an upper and a lower chamber the tympanum tympanic cavity proper below and the epitympanum above. Bone defect of the attic wall eustachian tubal dysfunction and middle ear inflammation among others are proposed as factors that can cause the pocket. 35 mastoid cholesteatoma.

No middle ear ossicles are observed.