Attic Retraction Ct

1 3 this entity results from a deep retraction pocket or a cholesteatoma that has eroded the bone and then spontaneously drained into the external auditory canal.

Attic retraction ct.

As the tympanic membrane is pulled inwards medially it can become draped over the ossicles resulting in a variety of symptoms. To examine this theory computerized tomographic ct findings of these conditions were evaluated in a series of 53 ears with retractions of the pars flaccida attic retractions of tos type ii or deeper including both retraction pockets and cholesteatomas. The pertinent anatomy is described and the role of the tympanic diaphragm and isthmus in determining the degree to which middle ear disease may progress is stressed. Tympanic membrane retraction usually occurs when a portion of the tympanic membrane becomes weakened and is pulled inwards by the negative pressure within the middle ear.

Invagination of the tympanic membrane of the attic to form retraction pockets to be filled with desquamated epithelium and keratin to form cholesteatoma. Management of controlled posterior or posterior attic retraction pockets. Eustachian tube theory. Cholesteatomas appear as regions of soft tissue attenuation exerting mass effect and resulting in bony erosion.

The retraction can be subdivided based on severity 1. The rate of attic cholesteatomas occurring behind a tiny retraction of the pars flaccida was 7 7 11 of 142 patients with attic cholesteatoma. Revision surgery is performed in cases of functional failure residual cholesteatoma suspected on follow up ct scan or mri and recurrent cholesteatoma. For further follow up an mri exam is performed once a year for 5 years especially in children.

Ct is the modality of choice for diagnostic assessment of cholesteatomas due to its ability to demonstrate the bony anatomy of the temporal bone in exquisite detail. To examine this theory computerized tomographic ct findings of these conditions were. Download citation a tiny retraction of the pars flaccida may conceal an attic cholesteatoma objective the purpose of this study was to evaluate the possibility of attic cholesteatomas. An auto atticotomy also called nature s atticotomy refers to an enlarged lateral attic with absence of the scutum and lower lateral wall of the attic in a patient without a history of surgery.

Attic retractions must be followed closely using endoscopy microscopy and temporal bone computed tomography even though the patient has a tiny retraction of the pars flaccida or a normal hearing level.