The mass extends superiorly into the attic and appears to have eroded through the tegmentum as well as through the fallopian canal of the facial nerve and perhaps the lateral semicircular canal.
Attic cholesteatoma ct.
A cholesteatoma is an abnormal skin growth that can develop in the middle ear.
As the cholesteatoma fills the aditus ad antrum the adjacent lateral semicircular canal is at risk.
Findings are characteristic of an acquired cholesteatoma.
Cholesteatomas appear as regions of soft tissue attenuation exerting mass effect and resulting in bony erosion.
Ct is the modality of choice for diagnostic assessment of cholesteatomas due to its ability to demonstrate the bony anatomy of the temporal bone in exquisite detail.
Ct is required for preoperative planning reconstruction of ossicles if needed and to exclude perforation of the bony tegmen.
Table 2 location and extant of cholesteatoma.
The pars flaccida cholesteatoma originates in prussak space and usually extends posteriorly while the pars tensa cholesteatoma originates in the posterior mesotympanum and tends to extend posteromedially.
Table 2shows the location of cholesteatoma.