Attic Cholesteatoma Surgery

Surgery that involves the tympanum middle ear the tympanum is the area of the ear behind the ear drum where the bones of hearing ossicles are located.

Attic cholesteatoma surgery.

Even with careful microscopic surgical removal of cholesteatoma 10 to 20 of cholesteatomas can recur. The attic is just above the eardrum. A cholesteatoma can develop if part of the eardrum collapses. Cholesteatoma is a serious condition and when diagnosed requires prompt treatment.

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. Repeat cat scans may also be performed in some cases to avoid further surgery. To have an understanding of cholesteatoma surgery some terms should be defined. If a regrowth of cholesteatoma is found the tumor is again removed and reconstruction may be delayed for another 6 months or a year.

This video lecture illustrates the combined transcanal endoscopic and microscopic approach for pediatric attic cholesteatoma with mastoid extension. The primary purpose of the surgery is to remove the cholesteatoma and infection and achieve an infection free dry ear. Cholesteatoma ker less tea a toe ma is a progressive destructive ear disease most cases occur in children and young adults but it can affect any age. Antibiotics given both by mouth and drops in the ear combined with weekly cleaning of the ear under the surgical microscope can clear up the infection.

In cases of severe ear destruction or persisting eustachian tube dysfunction reconstruction may not be possible. Medical treatment concentrates on drying the infection within the ear. The reported advantages of endoscopy in cholesteatoma surgery is improved visualization of the hidden sites and this may have an advantage in reducing residual disease especially in those hidden sites which include the sinus tympani facial recess and the attic. If the cholesteatoma has been dry the cholesteatoma may present the appearance of wax over the attic.

It often develops as a cyst that sheds layers of old skin and may. A cholesteatoma is an abnormal noncancerous skin growth that can develop in the middle section of your ear behind the eardrum. If untreated a cholesteatoma can eat into the three small bones located in the middle ear the malleus incus and stapes collectively called ossicles which can result in nerve deterioration.