Abstract
Transmeatal atticotomy can be very useful in surgical treatment of immobilized head of malleus. After removal of the lateral bony wall of the attic, the anterior malleal ligament and the chorda tympani are elevated. Then the anterior tympanic spine is removed. This procedure will free the immobilized head of the malleus.
For closure of the attic, a tympanic membrane is grafted first, then the lateral wall is constructed by a piece of cartilage.
The cartilage will hold the grafted membrane in place, which would help the membrane to work efficiently.
