Ear Attic Defect

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

Ear attic defect.

There is an attic retraction. The defect in the ear drum is seen and indicated with the black arrow. Citation needed other more common conditions e g. 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 dark middle ear effusion is noticed in the middle ear. Group 2 included 31 patients with extensive disease within the mastoid cavity proper. This is a cholesteatoma that has formed. 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.

Wide transcanal atticotomy was performed and the bony defect was enlarged into the antrum and was packed and left open. A defect by erosion is seen in the posterior superior aspect of the eardrum with accumulation of keratinous material. Bone defect of the attic wall eustachian tubal dysfunction and middle ear inflammation among others are proposed as factors that can cause the pocket. It may be a birth defect but it s most commonly caused.

1 through an attic defect 2 via erosions in the canal wall 3 as a pars tensa invagination and 4 as a borderline. Reconstructing the attic defect is usually done with tragal cartilage with perichondrium as an island graft type fashion. Hard dry keratin debris in a small attic defect probable developing attic cholesteatoma. Attic retraction pocket cholesteatoma case 1.

6 status post tubulation. 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 majority 98 of people with cholesteatoma have ear discharge or conductive hearing loss or both in the affected ear. A serous effusion is present.

Recurrent cholesteatoma after closed techniques occurs in four patterns. The middle ear is free of evident pathology but the presence of an attic cholesteatoma cannot be excluded. Overt attic cholesteatoma plus pars tensa collapse. Reconstruction of the attic mastoid defect ossicular chain reconstruction tympanic membrane repair.

5 status post tubulation there is a ventilating tube located in the anterior inferior quadrant.