Attic Retraction Cholesteatoma
Attic was demonstrated in 15 of 25 60 of the cases.
Attic retraction cholesteatoma. Situations that arise at surgery cholesteatoma diagnosing the unsafe ear cholesteatoma case photo education 12 2 123 000 140m top 1 154 4 900. A retraction pocket seen in the attic or posterosuperior quadrant of a tympanic membrane is the hallmark of an acquired cholesteatoma. Often presents with a malodorous ear discharge with associated hearing loss. This is the most common and widely considered as the main reason for cholesteatoma.
Although benign it may enlarge and invade adjacent bone. Granulation tissue may arise from the mucosa adjacent to the cholesteatoma figure 6c. There is an attic erosion partially exposing posterior half of drum deeply retracted and this pocket is full of keratin flakes. Skin material often accumulates in this pocket and becomes infected causing drainage and potential severe complications.
A recurrent cholesteatoma is a new cholesteatoma that develops when the underlying causes of the initial cholesteatoma are still present. January 4 2020 by zamira leave a comment. In these ears it was seen that the well pneumatized attic and mastoid antrum seen in. Often there is an accumulation of squamous debris within the pocket figure 6a b.
Cholesteatoma case photo education dallas ear insute. Diagnosis is clinical based on histor. In three cases of cholesteatoma follow up ct revealed either growth of a cholesteatoma from a retraction pocket or development of a small cholesteatoma into a large one. Such causes can include for example poor eustachian tube function which results in retraction of the ear drum and failure of the normal outward migration of skin.
Invagination of the tympanic membrane of the attic to form retraction pockets to be filled with desquamated epithelium and keratin to form cholesteatoma. Attic retraction pocket cholesteatoma. Cholesteatoma is an accumulation of squamous epithelium and keratin debris that usually involves the middle ear and mastoid.