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.

Attic perforation cholesteatoma.

This is the most common and widely considered as the main reason for cholesteatoma. Clinical presentation usually consists of conductive hearing loss often with purulent discharge from the ear 6. It can be a birth defect congenital problem but usually occurs as a complication of long standing chronic ear infection. The attic is just above the eardrum.

If the cholesteatoma has been dry the cholesteatoma may present the appearance of wax over the attic. The most common symptoms are loss of hearing and a foul smelling discharge from the ear. Cholesteatoma is condition whereby there is entrapment of squamous epithelium which eventually expands and cause effects to nearby structures. 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.

Cholesteatoma with attic perforation youtube. Eustachian tube theory.