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Updated: May 17, 2026

Technical Considerations and Approach to Redo Foregut Surgery
04:14

Technical Considerations and Approach to Redo Foregut Surgery

Published on: September 22, 2023

Atticoantral disease - revisited.

S B Jothiramalingam1, Dinesh Kumar, Prasanna Kumar

  • 1Dept of ENT, Head and Neck Surgery, Sri Ramachandra Medical College and Research Institute (Deemed University), Porur, Chennai, 600 116 India.

Indian Journal of Otolaryngology and Head and Neck Surgery : Official Publication of the Association of Otolaryngologists of India
|November 3, 2012
PubMed
Summary

Atticoantral disease is prevalent, and initial ear examinations may underestimate its full extent. Even minimal disease with good hearing can indicate significant mastoid involvement.

Keywords:
Atticoantral diseaseCholesteatomaChronic suppurative otitis media

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Last Updated: May 17, 2026

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04:14

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Published on: September 22, 2023

Area of Science:

  • Otolaryngology
  • Neurosurgery
  • Medical imaging

Background:

  • Atticoantral disease is a common condition in certain global regions.
  • Clinical and otomicroscopic evaluations can be insufficient to determine the full extent of the disease.

Purpose of the Study:

  • To investigate the discrepancy between apparent disease severity and actual mastoid involvement in atticoantral disease.
  • To highlight the limitations of standard otological examinations in assessing the comprehensive scope of atticoantral disease.

Main Methods:

  • Retrospective analysis of patient cases with atticoantral disease.
  • Correlation of clinical findings, otomicroscopic results, and intraoperative or radiological assessments of mastoid extent.

Main Results:

  • A significant proportion of patients presented with minimal external signs or symptoms of atticoantral disease.
  • Despite minimal external indicators and preserved hearing, extensive pathological changes were frequently observed in the mastoid air cells.
  • Otomicroscopic examination often failed to reveal the full extent of mastoid disease.

Conclusions:

  • Standard clinical and otomicroscopic assessments may underestimate the true extent of atticoantral disease.
  • Extensive mastoid involvement can be present even in cases with minimal apparent disease and good hearing.
  • Further investigations may be warranted in cases of suspected atticoantral disease to fully ascertain mastoid status.