Attic Retraction Pocket

1 attic retraction pocket cholesteatoma is clearly visualized white arrow.

Attic retraction pocket.

Further progression of retraction pockets can cause destruction of the eardrum. Attic retraction pocket in the left ear white arrow with atelectatic prussak s space red circle and eroded scutum yellow arrow. The the photo 3 you can see the uncontrolled retraction pocket in epitympanum. The negative middle ear pressure which is the cause of retraction pocket toss classified attic retraction pockets into 4 grades.

This is differentiated from an infected retraction pocket of the pars tensa or a retraction pocket cholesteatoma. The pars flaccida is not in contact with the neck of the malleus. The retracted pars flaccida is in contact with the neck of the malleus and clothing it. Attic retraction pocket cholesteatoma.

Management of controlled posterior or posterior attic retraction pockets tympanomeatal flap incision. An attic cholesteatoma is defined as an epidermoid cyst found in the attic. A retraction pocket with little epitympanic erosion can be managed using a transmeatal approach with or without extended tympanoatticotomy. 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 eardrum is draped over the incus stapes and round window. Many of theses eardrums have tympanosclerosis or white plaques on the eardrum. Tympanic membrane retraction describes a condition in which a part of the eardrum lies deeper within the ear than its normal position. Eardrum is strongly retracted one can not determine the exact position of its banks the destruction of the lateral wall of the attic is larger and the epithelium begins to grow into the back forming the initial stage of cholesteatoma.

Cholesteatoma case photo education dallas ear insute. The present study describes an improved classification system based on otoscopic and endoscopic visualization of the retraction pocket fundus the ossicular status in the attic degree of scutal erosion and the presence or absence of cholesteatoma. There has been significant bone erosion of the ear canal wall above the eardrum. Situations that arise at surgery cholesteatoma diagnosing the unsafe ear cholesteatoma case photo education 12 2 123 000 140m top 1 154 4 900.

January 4 2020 by zamira leave a comment. The picture on the far right shows a severely retracted eardrum with attic retraction pocket formation.