The the photo 3 you can see the uncontrolled retraction pocket in epitympanum. Eardrum is strongly retracted one can not determine the exact position of its banks the destruction of the lateral wall of the attic is larger and the epithelium begins to grow into the back forming the initial stage of cholesteatoma. 8 august 2008 a retraction pocket seen in the attic or posterosuperior quadrant of a tympanic membrane is the hallmark of an acquired cholesteatoma. 
				
			
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