Attic Retraction Grading
The eardrum comprises two parts the pars tensa which is the main part of the eardrum and the pars flaccida which is a smaller part of the eardrum located above the pars tensa either or both of these parts may become retracted.
Attic retraction grading. Tympanic membrane retraction describes a condition in which a part of the eardrum lies deeper within the ear than its normal position. Retraction pockets can be divided into controlled and uncontrolled and the difference stems from the possibility of assessing its interior. Forty four of 200 22 of ears showed grade i attic retraction 18 ears showed grade iia 9 14 showed grade iib 7 28 showed grade iiia 14 12 showed iiib 6 20 showed grade iiic 10 16 showed grade iva 8 12 showed grade ivb 6. Coexistence of an attic retraction predicts combined long incus process and stapes superstructure defect chi 3 943 p 0 047 or 12 00.
Characon used broad groups based on accessability and controllability with the retraction being mobile fixed to undeterminable end not visible 5. Retractions of grafts are predicted by mode of. All attic retraction pockets could be classified precisely using the new classification system. Controlled and movable controlled and immovable uncontrolled and immovable.
Attic retraction pockets a small attic retraction pocket. Sible to have a large attic antral cholesteatoma without ossicular involvement or equally a small cholesteatoma with ossicular erosion depending on the initial site and direction of progess. B medium attic retraction pocket.