Attic Perforation Cholesteatoma

The most common symptoms are loss of hearing and a foul smelling discharge from the ear.

Attic perforation cholesteatoma.

Invagination of the tympanic membrane of the attic to form retraction pockets to be filled with desquamated epithelium and keratin to form cholesteatoma. This is the most common and widely considered as the main reason for cholesteatoma. If untreated a cholesteatoma can eat into the three small bones located in the middle ear the malleus incus and stapes collectively called ossicles which can result in nerve deterioration deafness imbalance and vertigo. The attic is just above the eardrum.

Cholesteatoma with attic perforation youtube. Patients may also present due to one of many complications which include. Eustachian tube theory. Cholesteatoma is condition whereby there is entrapment of squamous epithelium which eventually expands and cause effects to nearby structures.

The vast majority of acquired cholesteatomas develop as a result of chronic middle ear infection and are usually associated with perforation of the tympanic membrane. It can be a birth defect congenital problem but usually occurs as a complication of long standing chronic ear infection.