Attic Retraction Surgery

Some surgeons use cartilage taken from the outer ear to stiffen the eardrum with the aim of preventing further retraction.

Attic retraction surgery.

Cholesteatoma of the eardrum otoscope view stock image c038. Complete attic retraction pocket. As a result this may necessitate soft tissue retraction and drilling for adequate exposure. Retraction pocket right attic surgery ent.

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. Characterized by a progressive retraction of both. Surgical procedures emp. Unit four middle ear disease diagnosis.

Posterior attic retraction pocket. 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. Tympanic membrane retraction pockets springerlink. Lateral attic wall reconstruction reduces the incidence of attic retraction recurrence although it does not prevent pars tensa retraction.

A selective and progressive posterior dysventilation due to isthmus blockage with presence of a vertical fold type b ventilation blockage. 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. This is found more frequently. 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.

Tubo tympanic diseases retraction atelectasiiddle ear. 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. The retraction rate in ears undergoing attic reconstruction 11 was higher than in ears with attic obliteration 7. Last medically reviewed on may 14 2018 medically reviewed by elaine k.

Finally the choice of surgical technique affects attic retraction recurrence in adults with deep attic retraction pockets and poor eustachian tube function. Surgical removal is required once a cholesteatoma has formed. The tensor fold is generally incomplete. Written by stephanie watson.