To obtain optimal access to the upper part of the tympanic cavity, an atticotomy
with diamond burr was performed.
Microscopic inside out mastoidectomy starting from atticotomy
is an improvement in microscopic cholesteatoma surgery.
This early detection by CT scan with the use of a simple noninvasive surgical technique (atticotomy
) can preserve hearing.
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
Key Words: Suppurative otitis media, Meningitis, Brain abscess, Atticotomy
A cortical mastoidectomy and atticotomy
In contrast, the term auto-atticotomy or nature's atticotomy
, which is less extensive and destructive than automastoidectomy, is used to describe a smaller defect where only the scutum and lower lateral attic wall are affected [1, 16].
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.
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 utility of an atticotomy
or MRM would persist till there are presentations of advanced cholesteatoma, with/without complications, and such are aplenty in the "endemic" world.
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).
Mastoidectomy with preservation of the bony canal combined with atticotomy
was not represented: The IOOG Steering Committee added a new category within the revised document (Draft 2) to address this.