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Research ArticleHead & Neck

Imaging Findings in Auto-Atticotomy

M. Manasawala, M.E. Cunnane, H.D. Curtin and G. Moonis
American Journal of Neuroradiology January 2014, 35 (1) 182-185; DOI: https://doi.org/10.3174/ajnr.A3791
M. Manasawala
aFrom the Department of Radiology (M.M.), Abington Memorial Hospital, Abington, Pennsylvania
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M.E. Cunnane
cDepartment of Radiology (M.E.C., H.D.C., G.M.), Massachusetts Eye and Ear Infirmary, Boston, Massachusetts.
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H.D. Curtin
cDepartment of Radiology (M.E.C., H.D.C., G.M.), Massachusetts Eye and Ear Infirmary, Boston, Massachusetts.
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G. Moonis
bDepartment of Radiology (G.M.), Beth Israel Deaconess Medical Center, Boston, Massachusetts
cDepartment of Radiology (M.E.C., H.D.C., G.M.), Massachusetts Eye and Ear Infirmary, Boston, Massachusetts.
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Figures

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  • Fig 1.
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    Fig 1.

    A, Coronal MDCT image depicts the location of the axial plane at the base of the scutum. B, Axial MDCT image at the level where the first bone image appears superior to the air-containing external auditory canal. The malleoincudal junction is well-seen.

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    Fig 2.

    A, Lateral attic measurements in a healthy subject. Axial MDCT demonstrates anterolateral (AL), lateral (L), and posterolateral (PL) measurements from the center of the malleoincudal articulation at the level of the base of the scutum in a healthy subject. B, Lateral attic measurements in a 27-year-old patient with a history of cholesteatoma. There is a left auto-atticotomy with smooth remodeling and widening of the anterolateral (AL), lateral (L), and posterolateral (PL) walls of the attic.

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    Fig 3.

    Auto-atticotomy in a 35-year-old patient with a remote history of draining ear. Coronal MDCT demonstrates scutal absence (arrow) mimicking the appearance of a surgical atticotomy. Note the lack of soft-tissue inflammatory changes.

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    Fig 4.

    Schematic drawing demonstrating the surgical atticotomy margins (dotted line). S indicates scutum; T, tympanic membrane; M, malleus.

Tables

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    Table 1:

    Lateral, anterolateral, and posterolateral attic measurements (mm) in patients

    PatientsLateralAnterolateralPosterolateral
    A3.64.63.8
    B3.84.53.7
    C54.43.2
    D3.653.3
    E3.242.5
    F4.33.83.7
    G4.34.14.5
    H2.33.32.3
    I4.84.46.9
    J3.73.64.3
    K3.94.14.1
    L3.73.63.9
    M7.54.34.5
    N3.74.23.5
    O4.75.53.9
    P3.943.4
    Q5.47.44.2
    R3.53.64.7
    S3.54.83.3
    T3.85.24.4
    U4.14.23.8
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    Table 2:

    Lateral, anterolateral, and posterolateral attic measurements (mm) in controls

    ControlsLateralAnterolateralPosterolateral
    AA2.82.72.7
    BB33.43
    CC2.432.6
    DD1.93.62.2
    EE23.12.3
    FF1.82.42
    GG1.82.61.9
    HH2.54.22.3
    II2.33.82.6
    JJ2.33.22.5
    KK2.93.62.3
    LL2.13.22.3
    MM2.22.32.4
    NN2.33.12.3
    OO2.52.72.2
    PP2.93.82.9
    QQ2.12.62.4
    RR2.32.42.3
    SS2.63.63.3
    TT2.83.63.2
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American Journal of Neuroradiology: 35 (1)
American Journal of Neuroradiology
Vol. 35, Issue 1
1 Jan 2014
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Cite this article
M. Manasawala, M.E. Cunnane, H.D. Curtin, G. Moonis
Imaging Findings in Auto-Atticotomy
American Journal of Neuroradiology Jan 2014, 35 (1) 182-185; DOI: 10.3174/ajnr.A3791

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Imaging Findings in Auto-Atticotomy
M. Manasawala, M.E. Cunnane, H.D. Curtin, G. Moonis
American Journal of Neuroradiology Jan 2014, 35 (1) 182-185; DOI: 10.3174/ajnr.A3791
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