At the end of the procedure, an epitympanic
obliteration was performed with autologous muscle; the scutum was reconstructed with cartilage, and the perichondrium was harvested from tragus cartilage.
Dislocated incus may remain in the epitympanic
recess or prolapse into the hypotympanium or external auditory canal (2).
(Attic) cholesteatomas arise in the pars flaccida and grow upwards towards the epitympanum.
True tympanic membrane measurement reflects central compartment blood temperature by direct perfusion via the carotid artery, but requires an epitympanic
contact thermistor, which is rarely available in the field and influenced by ambient temperature if incorrectly placed and not insulated.
We were able to completely remove the cholesterol granuloma including the sclerotic region in the epitympanic
cavity macroscopically by performing canal wall down mastoidectomy.
The evaluation of the cholesteatoma growth patterns in the CLEs in cases of myringostapediopexy revealed that 46.2% were posterior mesotympanic cholesteatomas (pars tensa), 30.8% were epitympanic
(pars flaccida), and in 23.1% the growth patterns could not be defined.
They also discuss endoscopic approaches to middle ear cholesteatomas, combined endoscopic-microscopic middle ear surgery for cholesteatoma, endoscopic treatment of severe attic retraction and epitympanic
and retrotympanic cholesteatoma, endoscopic treatment of cholesteatoma with antral extension, endoscopic myringoplasty, endoscopic transcanal stapes surgery, endoscopic removal of middle ear neoplasms, the endoscopic transcanal approach to the inner ear and petrous apex, combined approaches to petrous apex and inner ear diseases, and the endoscopic endonasal approach to the petrous apex.
Management of anterior epitympanic
cholesteatoma: expectations after epitympanic
approach and canal wall reconstruction.
area was dissected with the help of curettage for proper visualisation of head of malleus, body and short process of incus.
A 5 x 5-mm cystic lesion was noted in the anterior epitympanic
space abutting on the tympanic segment of the facial nerve.
Surgical anatomy of the anterior epitympanic
 asserted that soft tissue density in the anterior epitympanic
recess represents an unfavorable prognosis for pars tensa retraction, although their study sample with pars tensa disease was very small.