Anterior atticotomy technique in otology: A review article

Abstract

Techniques used in modern otology have been developed and refined over the years to maximize effectiveness. Mastoidectomyusing a posterior approach is favored in chronic otitis media surgery, but we believe that exploration of anterior atticotomy, or theexcision of the lateral wall of the attic, would be useful. During atticotomy, the attic is revealed and the opening is then extended tothe antrum and mastoid cells. Atticotomy avoids unnecessary procedures, such as a wide (extended) mastoidectomy and providesbetter exposure of the sinus tympani, facial recess, and hypotympanum. It avoids the complications involved with Korner’s septum,an anterior sigmoid sinus, and a low-lying dura. In this article, we review indications, techniques, and complications and present theadvantages and disadvantages of this technique in detail.