Ear Attic Defect

Reconstructing the attic defect is usually done with tragal cartilage with perichondrium as an island graft type fashion.

Ear attic defect.

35 mastoid cholesteatoma. 1 through an attic defect 2 via erosions in the canal wall 3 as a pars tensa invagination and 4 as a. 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.

Depending on the defect size more than one piece of cartilage may be used. 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 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.

A large plug of keratin filling an attic defect. This is a cholesteatoma that has formed. A large attic defect is seen with accumulation of keratinous material. Abstract recurrent cholesteatoma after closed techniques occurs in four patterns.

The ossicular chain reconstruction depends on the surgeon s preference. No middle ear ossicles are observed. Autologous incus is a reliable method to use with an intact stapes. Attic retraction pocket cholesteatoma case 1.

These chambers are also referred to as the atrium and the attic respectively. The pars tensa is diffusely tympanosclerotic secondary to past middle ear disease. 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. It may be a birth defect but it s most commonly caused by repeated.

Probable large but dormant sac. A slight constriction divides it into an upper and a lower chamber the tympanum tympanic cavity proper below and the epitympanum above. A defect by erosion is seen in the posterior superior aspect of the eardrum with accumulation of keratinous material. Residual attic and tympanic membrane defects were reconstructed with a composite tragal graft.

The defect in the ear drum is seen and indicated with the black arrow.