Attic Retraction Pocket

A retraction pocket with little epitympanic erosion can be managed using a transmeatal approach with or without extended tympanoatticotomy.

Attic retraction pocket.

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. Stratified squamous epithelium may also be present in the middle ear as other clinical or pathological entities such as metaplastic islands of the mucosa in chronic ears with central perforations. There has been significant bone erosion of the ear canal wall above the eardrum. Attic retraction pocket in the left ear white arrow with atelectatic prussak s space red circle and eroded scutum yellow arrow.

Although attic retractions have previously been classified into grades 0 through iv it is often not possible to assign attic retraction pockets into a single specific category. For retraction pockets the meatal skin flap length must be at least 8 10 mm. This is differentiated from an infected retraction pocket of the pars tensa or a retraction pocket cholesteatoma. Pockets may be formed in any part of the tympanic membrane but typically are located in epitympanum.

Management of controlled posterior or posterior attic retraction pockets tympanomeatal flap incision. Skin material often accumulates in this pocket and becomes infected causing drainage and potential severe complications.