His single-stage technique begins by performing atticotomy
, and the cholesteatoma is posteriorly followed in the form of retrograde mastoidectomy, during which only the upper third of the posterior wall is removed and then reconstructed using conchal cartilage.
Procedures in the latter group included antrotomy in 13 patients, intact-canal-wall mastoidectomy in 5, intact-canal-wall mastoidectomy plus a lateral atticotomy
in 4, and lateral atticotomy
5 PSRP (grade3) with few Nil (normal ossicles) flakes of cholesteatoma 6 Cholesteatoma sac from Malleus head and One cartilage posterior attic incus long process to obliterate dipping into the PSQ necrosed atticotomy, of mesotympanum another cartilage to reinforce PSQ 7 PSRP (grade 2)--no Incus long process obvious cholesteatoma necrosed 8 PSRP (grade1) with Nil (normal ossicles) debris only.
Here, the atticotomy was reconstructed with a second piece of cartilage (case no.
Key Words: Suppurative otitis media, Meningitis, Brain abscess, Atticotomy
A cortical mastoidectomy and atticotomy
Given our patients greater symptoms and worse hearing on the left, he was scheduled for a left-sided canal-wall-up mastoidectomy and posterior atticotomy
with tragal cartilage reconstruction of the posterior bony canal wall.
The operations in the cut nerve group were subdivided into first-stage combined-approach tympanoplasties (n = 44), modified radical mastoidectomies (n = 11), atticoantrostomies (n = 2), atticotomy
(n = 1), and mastoid obliterations (n = 20).
is performed for wider exposure; if need be, an atticoantrotomy can be enlarged for a better view of the horizontal semicircular canal (figure 2).
A wide atticotomy
was discovered during a general medical check-up.
The tympanomeatal flap was elevated, and an atticotomy
was created to allow for better examination of the stapes.
This article discusses specific techniques that the surgeon can employ to reach these goals, whether he or she is performing tympanoplasty, atticotomy
, intact canal wall mastoidectomy, or an open-cavity procedure.