Tympanic Retraction Pockets: Diagnostic and Therapeutic Aspect

N’faly Konate; Kassim Diarra; Ibrahim Bouare; Sidibe Youssouf; Lemale Ulrich Kevin; Saydi Mohamed Ag El Ansari; Drissa Kaloga Bagayoko; Yaya Dembele; Fatogoma Issa Kone; Keita Mohamed

doi:doi:10.11648/j.ijo.20220801.15

Tympanic Retraction Pockets: Diagnostic and Therapeutic Aspect

N’faly Konate, Kassim Diarra, Ibrahim Bouare, Sidibe Youssouf, Lemale Ulrich Kevin, Saydi Mohamed Ag El Ansari, Drissa Kaloga Bagayoko, Yaya Dembele, Fatogoma Issa Kone, Keita Mohamed

Published in International Journal of Otorhinolaryngology (Volume 8, Issue 1)

Received: 27 May 2022 Accepted: 14 June 2022 Published: 27 June 2022

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Abstract

Background: Retraction pockets represent a form of chronic otitis considered to be a precholesteatomatous stage. This study aims to study the diagnostic and therapeutic aspects of tympanic retraction pockets in the ENT department of the University Hospital Center “Gabriel Touré”. Patients and Method: This was a prospective longitudinal study extended over 15 months; from February 1, 2020 to May 31, 2021 from the files of patients received as an outpatient in the ENT and Cervicofacial Surgery department of the CHU Gabriel Touré in Bamako. Were included any patient seen in an outpatient department at the otorhinolaryngology and head and neck surgery department of the CHU Gabriel Touré in Bamako with a pocket of tympanic retraction and who had consented to the study. Data collection was done using a previously established survey form. Data were entered in Word 2016 and analyzed using SPSS software. Results: The prevalence of retraction pockets was estimated at 1.2% of all consultations. The most represented age group was that of (25-39 years), i.e. 25.0%. The average age was 44.91 ± 20.05 years. The extremes of ages were 10 years and 81 years. The female sex was the most represented, at 63.9% with a sex ratio ꞊ 0.6. A history of otitis was present in half of the cases. Tinnitus was the main reason for consultation (50% of cases) followed by hearing loss (25%). The otoendoscopic examination had noted a predominance of lesions on the left (52%) and an attical seat in 30.6% of cases. The pockets were controllable and self-cleaning in all cases, and peelable in 75% of cases (stage I of the weevil classification) and non-peelable and controllable in 25% of the cases (stage II of weevil). Conductive hearing loss was found in 8.3% of cases, mixed hearing loss in 5.6% of cases and sensorineural hearing loss in 2.8% of cases. CT of the rock was performed in two patients, and showed erosion of the attic wall associated with tissue hypodensity in the attic. Medical treatment based on systemic corticosteroids and nasal decongestant was initiated in all our patients associated with quarterly monitoring for stages I of charachon, i.e. 75% of the workforce. The placement of a tympanostomy tube was performed in 8 patients classified (stage II of charachon) ie (2, 88%). Antroatticotomy associated with reinforcement tympanoplasty was performed in a patient (0,36%).

Published in	International Journal of Otorhinolaryngology (Volume 8, Issue 1)
DOI	10.11648/j.ijo.20220801.15
Page(s)	25-28
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2022. Published by Science Publishing Group

Keywords

Retraction Pocket, Choleseatoma, Reinforcement Tympanoplasty

References

[1]	DUBREUIL C ET AL. Annals of Otolaryngology and Cervicofacial Surgery 2009; 126: 294-9.
[2]	URIK M, TEDLA M, HURNIK P. Pathogenesis of Retraction Pocket of the Tympanic Membrane. Narrative Review. Medicina 2021, 57, 425. https://doi.org/10.3390/medicina57050425
[3]	FRANCESCO C, MION M, PEDRUZZI B. Retraction pocket excision with cartilage grafting as a preventive surgery for cholesteatoma; Journal of Otology J Otol. 2017; 12 (3): 112 6.
[4]	TRAN BA HUY P. Chronic otitis media. Elementary history and clinical forms. EMC-Otolaryngology 2 (2005) 26-61.
[5]	TOS, M, POULSEN, G. Attic Retractions Following Secretory Otitis. Acta Oto-Laryngol. 1980, 89, 479–486. [CrossRef] [PubMed].
[6]	CHARACHON, R. Classification of Retraction Pockets. Rev. Laryngol. otol. Rhinol. 1988, 109, 205–207.
[7]	DISPENZA F, MISTRETTA A, GULLO F, RIGGIO F, MARTINES F. Surgical Management of Retraction Pockets: Does Mastoidectomy have a Role? Int Arch Otorhinolaryngol. 2021 Jan; 25 (1): e12-e17. doi: 10.1055/s-0040-1709196. Epub 2020 Apr 24. PMID: 33542746; PMCID: PMC7850892.
[8]	GAMRA, OLFA & MBAREK, CHIRAZ & KHAMMASSI, K & HRIGA, I & HAMOUDA, RB & ZRIBI, S & KHEDIM, A. (2008). Le Traitement Chirurgical Des Poches De Retraction Tympaniques De L\'enfant. Journal Tunisien d'ORL et de Chirurgie Cervico-Faciale. 18. 10.4314/jtdorl.v18i1.42038.
[9]	CHIOSSONE E (1995). Preventive tympanoplasty in children: a new approach. Rev Laryngol Otol Rhinol (Edge) 116 (2): 137–139.
[10]	SADE, J. Atelectatic Tympanic Membrane: Histologic Study. Ann. otol. Rhinol. Laryngol. 1993, 102, 712–716.
[11]	ANAND V ET AL. Indian J Otolaryngol Head Neck Surg (2014 Oct–Dec) 66 (4): 449–454; DOI 10.1007/s12070-014-0764-9.

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APA Style

N’faly Konate, Kassim Diarra, Ibrahim Bouare, Sidibe Youssouf, Lemale Ulrich Kevin, et al. (2022). Tympanic Retraction Pockets: Diagnostic and Therapeutic Aspect. International Journal of Otorhinolaryngology, 8(1), 25-28. https://doi.org/10.11648/j.ijo.20220801.15

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ACS Style

N’faly Konate; Kassim Diarra; Ibrahim Bouare; Sidibe Youssouf; Lemale Ulrich Kevin, et al. Tympanic Retraction Pockets: Diagnostic and Therapeutic Aspect. Int. J. Otorhinolaryngol. 2022, 8(1), 25-28. doi: 10.11648/j.ijo.20220801.15

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AMA Style

N’faly Konate, Kassim Diarra, Ibrahim Bouare, Sidibe Youssouf, Lemale Ulrich Kevin, et al. Tympanic Retraction Pockets: Diagnostic and Therapeutic Aspect. Int J Otorhinolaryngol. 2022;8(1):25-28. doi: 10.11648/j.ijo.20220801.15

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@article{10.11648/j.ijo.20220801.15,
  author = {N’faly Konate and Kassim Diarra and Ibrahim Bouare and Sidibe Youssouf and Lemale Ulrich Kevin and Saydi Mohamed Ag El Ansari and Drissa Kaloga Bagayoko and Yaya Dembele and Fatogoma Issa Kone and Keita Mohamed},
  title = {Tympanic Retraction Pockets: Diagnostic and Therapeutic Aspect},
  journal = {International Journal of Otorhinolaryngology},
  volume = {8},
  number = {1},
  pages = {25-28},
  doi = {10.11648/j.ijo.20220801.15},
  url = {https://doi.org/10.11648/j.ijo.20220801.15},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijo.20220801.15},
  abstract = {Background: Retraction pockets represent a form of chronic otitis considered to be a precholesteatomatous stage. This study aims to study the diagnostic and therapeutic aspects of tympanic retraction pockets in the ENT department of the University Hospital Center “Gabriel Touré”. Patients and Method: This was a prospective longitudinal study extended over 15 months; from February 1, 2020 to May 31, 2021 from the files of patients received as an outpatient in the ENT and Cervicofacial Surgery department of the CHU Gabriel Touré in Bamako. Were included any patient seen in an outpatient department at the otorhinolaryngology and head and neck surgery department of the CHU Gabriel Touré in Bamako with a pocket of tympanic retraction and who had consented to the study. Data collection was done using a previously established survey form. Data were entered in Word 2016 and analyzed using SPSS software. Results: The prevalence of retraction pockets was estimated at 1.2% of all consultations. The most represented age group was that of (25-39 years), i.e. 25.0%. The average age was 44.91 ± 20.05 years. The extremes of ages were 10 years and 81 years. The female sex was the most represented, at 63.9% with a sex ratio ꞊ 0.6. A history of otitis was present in half of the cases. Tinnitus was the main reason for consultation (50% of cases) followed by hearing loss (25%). The otoendoscopic examination had noted a predominance of lesions on the left (52%) and an attical seat in 30.6% of cases. The pockets were controllable and self-cleaning in all cases, and peelable in 75% of cases (stage I of the weevil classification) and non-peelable and controllable in 25% of the cases (stage II of weevil). Conductive hearing loss was found in 8.3% of cases, mixed hearing loss in 5.6% of cases and sensorineural hearing loss in 2.8% of cases. CT of the rock was performed in two patients, and showed erosion of the attic wall associated with tissue hypodensity in the attic. Medical treatment based on systemic corticosteroids and nasal decongestant was initiated in all our patients associated with quarterly monitoring for stages I of charachon, i.e. 75% of the workforce. The placement of a tympanostomy tube was performed in 8 patients classified (stage II of charachon) ie (2, 88%). Antroatticotomy associated with reinforcement tympanoplasty was performed in a patient (0,36%).},
 year = {2022}
}

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TY - JOUR
T1 - Tympanic Retraction Pockets: Diagnostic and Therapeutic Aspect
AU - N’faly Konate
AU - Kassim Diarra
AU - Ibrahim Bouare
AU - Sidibe Youssouf
AU - Lemale Ulrich Kevin
AU - Saydi Mohamed Ag El Ansari
AU - Drissa Kaloga Bagayoko
AU - Yaya Dembele
AU - Fatogoma Issa Kone
AU - Keita Mohamed
Y1 - 2022/06/27
PY - 2022
N1 - https://doi.org/10.11648/j.ijo.20220801.15
DO - 10.11648/j.ijo.20220801.15
T2 - International Journal of Otorhinolaryngology
JF - International Journal of Otorhinolaryngology
JO - International Journal of Otorhinolaryngology
SP - 25
EP - 28
PB - Science Publishing Group
SN - 2472-2413
UR - https://doi.org/10.11648/j.ijo.20220801.15
AB - Background: Retraction pockets represent a form of chronic otitis considered to be a precholesteatomatous stage. This study aims to study the diagnostic and therapeutic aspects of tympanic retraction pockets in the ENT department of the University Hospital Center “Gabriel Touré”. Patients and Method: This was a prospective longitudinal study extended over 15 months; from February 1, 2020 to May 31, 2021 from the files of patients received as an outpatient in the ENT and Cervicofacial Surgery department of the CHU Gabriel Touré in Bamako. Were included any patient seen in an outpatient department at the otorhinolaryngology and head and neck surgery department of the CHU Gabriel Touré in Bamako with a pocket of tympanic retraction and who had consented to the study. Data collection was done using a previously established survey form. Data were entered in Word 2016 and analyzed using SPSS software. Results: The prevalence of retraction pockets was estimated at 1.2% of all consultations. The most represented age group was that of (25-39 years), i.e. 25.0%. The average age was 44.91 ± 20.05 years. The extremes of ages were 10 years and 81 years. The female sex was the most represented, at 63.9% with a sex ratio ꞊ 0.6. A history of otitis was present in half of the cases. Tinnitus was the main reason for consultation (50% of cases) followed by hearing loss (25%). The otoendoscopic examination had noted a predominance of lesions on the left (52%) and an attical seat in 30.6% of cases. The pockets were controllable and self-cleaning in all cases, and peelable in 75% of cases (stage I of the weevil classification) and non-peelable and controllable in 25% of the cases (stage II of weevil). Conductive hearing loss was found in 8.3% of cases, mixed hearing loss in 5.6% of cases and sensorineural hearing loss in 2.8% of cases. CT of the rock was performed in two patients, and showed erosion of the attic wall associated with tissue hypodensity in the attic. Medical treatment based on systemic corticosteroids and nasal decongestant was initiated in all our patients associated with quarterly monitoring for stages I of charachon, i.e. 75% of the workforce. The placement of a tympanostomy tube was performed in 8 patients classified (stage II of charachon) ie (2, 88%). Antroatticotomy associated with reinforcement tympanoplasty was performed in a patient (0,36%).
VL - 8
IS - 1
ER -

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Author Information

N’faly Konate

ENT and Head and Neck Surgery Department, University Hospital Center “Gabriel Touré”, Bamako, Mali
Kassim Diarra

ENT and Head and Neck Surgery Department, University Hospital Center “Gabriel Touré”, Bamako, Mali
Ibrahim Bouare

ENT and Head and Neck Surgery Department, Army Bamako Mali, Bamako, Mali
Sidibe Youssouf

ENT and Head and Neck Surgery Department, Army Bamako Mali, Bamako, Mali
Lemale Ulrich Kevin

ENT and Head and Neck Surgery Department, University Hospital Center “Gabriel Touré”, Bamako, Mali
Saydi Mohamed Ag El Ansari

ENT and Head and Neck Surgery Department, Commune VI Reference Health Center, Bamako, Mali
Drissa Kaloga Bagayoko

ENT and Head and Neck Surgery Department, University Hospital Center Mother-Child "Le Luxembourg", Bamako, Mali
Yaya Dembele

ENT and Head and Neck Surgery Department, Army Polyclinic Kati Mali, Kati, Mali
Fatogoma Issa Kone

ENT and Head and Neck Surgery Department, University Hospital Center “Gabriel Touré”, Bamako, Mali
Keita Mohamed

ENT and Head and Neck Surgery Department, University Hospital Center “Gabriel Touré”, Bamako, Mali

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APA Style

N’faly Konate, Kassim Diarra, Ibrahim Bouare, Sidibe Youssouf, Lemale Ulrich Kevin, et al. (2022). Tympanic Retraction Pockets: Diagnostic and Therapeutic Aspect. International Journal of Otorhinolaryngology, 8(1), 25-28. https://doi.org/10.11648/j.ijo.20220801.15

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ACS Style

N’faly Konate; Kassim Diarra; Ibrahim Bouare; Sidibe Youssouf; Lemale Ulrich Kevin, et al. Tympanic Retraction Pockets: Diagnostic and Therapeutic Aspect. Int. J. Otorhinolaryngol. 2022, 8(1), 25-28. doi: 10.11648/j.ijo.20220801.15

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AMA Style

N’faly Konate, Kassim Diarra, Ibrahim Bouare, Sidibe Youssouf, Lemale Ulrich Kevin, et al. Tympanic Retraction Pockets: Diagnostic and Therapeutic Aspect. Int J Otorhinolaryngol. 2022;8(1):25-28. doi: 10.11648/j.ijo.20220801.15

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@article{10.11648/j.ijo.20220801.15,
  author = {N’faly Konate and Kassim Diarra and Ibrahim Bouare and Sidibe Youssouf and Lemale Ulrich Kevin and Saydi Mohamed Ag El Ansari and Drissa Kaloga Bagayoko and Yaya Dembele and Fatogoma Issa Kone and Keita Mohamed},
  title = {Tympanic Retraction Pockets: Diagnostic and Therapeutic Aspect},
  journal = {International Journal of Otorhinolaryngology},
  volume = {8},
  number = {1},
  pages = {25-28},
  doi = {10.11648/j.ijo.20220801.15},
  url = {https://doi.org/10.11648/j.ijo.20220801.15},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijo.20220801.15},
  abstract = {Background: Retraction pockets represent a form of chronic otitis considered to be a precholesteatomatous stage. This study aims to study the diagnostic and therapeutic aspects of tympanic retraction pockets in the ENT department of the University Hospital Center “Gabriel Touré”. Patients and Method: This was a prospective longitudinal study extended over 15 months; from February 1, 2020 to May 31, 2021 from the files of patients received as an outpatient in the ENT and Cervicofacial Surgery department of the CHU Gabriel Touré in Bamako. Were included any patient seen in an outpatient department at the otorhinolaryngology and head and neck surgery department of the CHU Gabriel Touré in Bamako with a pocket of tympanic retraction and who had consented to the study. Data collection was done using a previously established survey form. Data were entered in Word 2016 and analyzed using SPSS software. Results: The prevalence of retraction pockets was estimated at 1.2% of all consultations. The most represented age group was that of (25-39 years), i.e. 25.0%. The average age was 44.91 ± 20.05 years. The extremes of ages were 10 years and 81 years. The female sex was the most represented, at 63.9% with a sex ratio ꞊ 0.6. A history of otitis was present in half of the cases. Tinnitus was the main reason for consultation (50% of cases) followed by hearing loss (25%). The otoendoscopic examination had noted a predominance of lesions on the left (52%) and an attical seat in 30.6% of cases. The pockets were controllable and self-cleaning in all cases, and peelable in 75% of cases (stage I of the weevil classification) and non-peelable and controllable in 25% of the cases (stage II of weevil). Conductive hearing loss was found in 8.3% of cases, mixed hearing loss in 5.6% of cases and sensorineural hearing loss in 2.8% of cases. CT of the rock was performed in two patients, and showed erosion of the attic wall associated with tissue hypodensity in the attic. Medical treatment based on systemic corticosteroids and nasal decongestant was initiated in all our patients associated with quarterly monitoring for stages I of charachon, i.e. 75% of the workforce. The placement of a tympanostomy tube was performed in 8 patients classified (stage II of charachon) ie (2, 88%). Antroatticotomy associated with reinforcement tympanoplasty was performed in a patient (0,36%).},
 year = {2022}
}

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