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
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).
None of the patients in the atticoantrostomy or atticotomy group reported any taste disturbance.
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.
Atticotomy involves removal of the lateral epitympanic wall (scutum).
Atticotomy is often indicated for certain clinical situations, such as the presence of attic cholesteatoma, adhesive middle ear disease, or attic retraction.