Attic Retraction Cholesteatoma
As this process continues the lateral wall of the epitympanum the scutum is slowly eroded producing a defect in the lateral wall of the.
Attic retraction cholesteatoma. Invagination of tympanic membrane from the attic or part of pars tensa in the form of retraction pockets lead to the formation of cholesteatoma. There has been significant bone erosion of the ear canal wall above the eardrum. 1 attic retraction pocket cholesteatoma is clearly visualized white arrow. Often there is an accumulation of squamous debris within the pocket.
There is an attic erosion partially exposing the head of malleus. The classic case develops from progressively deeper medial retraction of the pars flaccida into the epitympanum attic. The basal cells of germinal layer of skin proliferate under the influence of infection and lay down keratinising squamous epithelium. However the sequence is prone to artefact and care must be taken how the sequence is performed and interpreted 2.
A primary acquired cholesteatoma results from tympanic membrane retraction. 8 august 2008 a retraction pocket seen in the attic or posterosuperior quadrant of a tympanic membrane is the hallmark of an acquired cholesteatoma. Eustachian tube theory. Post superior cholesteatoma and attic retraction right ear.
Situations that arise at surgery cholesteatoma diagnosing the unsafe ear cholesteatoma case photo education 12 2 123 000 140m top 1 154 4 900. Clinical practice cholesteatoma diagnosing the unsafe ear 634 reprinted from australian family physician vol. January 4 2020 by zamira leave a comment. This is the most common and widely considered as the main reason for cholesteatoma.
From ear aid nepal plus. You can get a cholesteatoma if the eardrum is damaged through an injury or infection or after any kind of ear surgery. Dead skin cells are normally passed out of the ear but if the eardrum collapses it may create a pocket where the dead skin cells can collect. 5 ruedi s theory.
Diffusion weighted imaging is particularly useful when distinguishing a cholesteatoma from other middle ear masses. It is the only entity that demonstrates high signal intensity on dwi. When findings of the 13 year olds and 13 year olds were combined the commonest site of cholesteatoma was the attic 66 of 128 which is 51 6 followed by extension into mastoid 54 of 128 which is 43 2 subsequently followed by extension into the sinus tympani 33 of 128 which is 25 8. A cholesteatoma can develop if part of the eardrum collapses.
Skin material often accumulates in this pocket and becomes infected causing drainage and potential severe complications. Attic retraction pocket cholesteatoma.