Attic Retraction Surgery

Cholesteatoma of the eardrum otoscope view stock image c038.

Attic retraction surgery.

Complete attic retraction pocket. Surgical procedures emp. Some surgeons use cartilage taken from the outer ear to stiffen the eardrum with the aim of preventing further retraction. In these cases your doctor may prescribe a decongestant or recommend surgery.

Incidence of retraction pocket and recurrent cholesteatoma in the attic after surgery for middle ear cholesteatoma using the staged intact canal wall technique were investigated in 95 ears of 91 patients all of which had various degrees of bone defect in the tympanic scutum. Its main limitation is its inability to look around corners with concerns of possibly missing pathology in the deeper recesses of the middle ear such as the sinus tympani facial recess and the attic 3. Characterized by a progressive retraction of both. A selective and progressive posterior dysventilation due to isthmus blockage with presence of a vertical fold type b ventilation blockage.

Finally the choice of surgical technique affects attic retraction recurrence in adults with deep attic retraction pockets and poor eustachian tube function. As a result this may necessitate soft tissue retraction and drilling for adequate exposure. Tympanoplasty is the surgical technique of removal of the retracted area from the middle ear and reconstruction of the tympanic membrane. Abstract it is hypothesized that blockade of the tympanic isthmus causes isolation of the attic and the adjacent middle ear spaces and that subsequent building up of the negative pressure in these spaces results in retraction of the pars flaccida leading to formation of attic retraction pockets and cholesteatomas.

Last medically reviewed on may 14 2018 medically reviewed by elaine k. Unit four middle ear disease diagnosis. Attic retraction pocket cholesteatoma january 4 2020 by zamira leave a comment situations that arise at surgery cholesteatoma diagnosing the unsafe ear cholesteatoma case photo education 12 2 123 000 140m top 1 154 4 900. Epitympanic retraction pockets otoscopy atlas.

Surgical removal is required once a cholesteatoma has formed. Retraction pocket right attic surgery ent. This is found more frequently. Posterior attic retraction pocket.

Written by stephanie watson. The retraction rate in ears undergoing attic reconstruction 11 was higher than in ears with attic obliteration 7. Lateral attic wall reconstruction reduces the incidence of attic retraction recurrence although it does not prevent pars tensa retraction. During attic reconstruction we retained the incus and or malleus head or short process in the epitympanum and placed a cartilage sheet on it to prevent retraction of the tympanic membrane.