Tegmen Typmani Defect

FACTS

Tegmen tympani is the roof of the middle ear cavity.

HPI

 

PHYSICAL EXAM

IMAGING

CT thin-cut to evaluate for all fractures
MRI skull base (with fat saturation)
A/P
Operative options:
  • mastoidectomy and middle cranial fossa craniotomy
  • reconstruction options:
    • superficial temporalis fascia
    • pericranial flap
    • Surgicel/Tisseel