Ear Attic Defect

Autologous incus is a reliable method to use with an intact stapes.

Ear attic defect. No middle ear ossicles are observed. A cholesteatoma is an abnormal noncancerous skin growth that can develop in the middle section of your ear behind the eardrum. 1 through an attic defect 2 via erosions in the canal wall 3 as a pars tensa invagination and 4 as a. Abstract recurrent cholesteatoma after closed techniques occurs in four patterns.

Probable large but dormant sac. 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. 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. The cavity of the middle ear is a narrow air filled space.

Bone defect of the attic wall eustachian tubal dysfunction and middle ear inflammation among others are proposed as factors that can cause the pocket. 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. A large plug of keratin filling an attic defect.

Reconstructing the attic defect is usually done with tragal cartilage with perichondrium as an island graft type fashion. 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. The defect in the ear drum is seen and indicated with the black arrow. 35 mastoid cholesteatoma.

Wide transcanal atticotomy was performed and the bony defect was enlarged into the antrum and was packed and left open. A slight constriction divides it into an upper and a lower chamber the tympanum tympanic cavity proper below and the epitympanum above. The pars tensa is diffusely tympanosclerotic secondary to past middle ear disease. A large attic defect is seen with accumulation of keratinous material.

The ossicular chain reconstruction depends on the surgeon s preference. The attic is just above the eardrum. Depending on the defect size more than one piece of cartilage may be used. This is a cholesteatoma that has formed.

These chambers are also referred to as the atrium and the attic respectively.