Cholesteatoma Attic Retraction Pocket

This is differentiated from an infected retraction pocket of the pars tensa or a retraction pocket cholesteatoma. The the photo 3 you can see the uncontrolled retraction pocket in epitympanum. Eardrum is strongly retracted one can not determine the exact position of its banks the destruction of the lateral wall of the attic is larger and the epithelium begins to grow into the back forming the initial stage of cholesteatoma.

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