Attic Retraction Pocket Cholesteatoma
Tympanic Membrane Retraction Classification Note Sade Grade 3 Retracted Tympanic Membrane Touching Promontory Toss Grad Membrane Sade Classification
Capital Region Special Surgery Sentidos
Mbbs Doctors Atticoantral Chronic Suppurative Otitis Media Otitis Otitis Media Chronic
Mbbs Doctors Atticoantral Chronic Suppurative Otitis Media Otitis Media Otitis Chronic
Mbbs Doctors Atticoantral Chronic Suppurative Otitis Media Otitis Otitis Media Chronic
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Retraction pockets and attic cholesteatoma.
Attic retraction pocket cholesteatoma. There has been significant bone erosion of the ear canal wall above the eardrum. Invagination of the tympanic membrane of the attic to form retraction pockets to be filled with desquamated epithelium and keratin to form cholesteatoma. 1 attic retraction pocket cholesteatoma is clearly visualized white arrow. The picture on the right shows a large cholesteatoma with a very large and open attic retraction pocket and a central perforation of the eardrum.
The patient was elderly and had very poor hearing in this ear. This is differentiated from an infected retraction pocket of the pars tensa or a retraction pocket cholesteatoma. Auris nasus larynx vol. Often there is an accumulation of squamous debris within the pocket figure 6a b.
A retraction pocket seen in the attic or posterosuperior quadrant of a tympanic membrane is the hallmark of an acquired cholesteatoma. Incidence of attic retraction after staged intact canal wall tympanoplasty for middle ear cholesteatoma. Eustachian tube theory. An attic cholesteatoma is defined as an epidermoid cyst found in the attic.
Stratified squamous epithelium may also be present in the middle ear as other clinical or pathological entities such as metaplastic islands of the mucosa. The significance of the retraction pocket in the treatment of cholesteatoma. However this ear was also the patient s only hearing ear and there was not a history of pain or drainage. Skin material often accumulates in this pocket and becomes infected causing drainage and potential severe complications.
