09-12, 16:30–17:30 (Europe/Istanbul), Otology 3 (ICC - B3 Floor - 3B/58)
The attic, or epitympanum, is a crucial space located in the upper part of the middle ear, housing the heads of the malleus and the body of the incus. Because it is a largely closed-off space, its aeration depends heavily on specific, narrow pathways controlled by mucosal folds.
Attic mucosal folds form a specialized passage way for air, allowing the Eustachian tube to ventilate the mastoid and attic spaces. Blockages in these folds can lead to negative pressure and retraction pockets.
Air generally travels into the middle ear via the Eustachian tube, filling the lower cavity. For this air to reach the upper attic and mastoid air cells, it must pass through specific gaps. If these ventilation pathways—especially the anterior isthmus—become blocked by inflammation, adhesions, or thick exudate, a condition known as Selective Dysventilation Syndrome can occur.
This section will cover the attic mucosal folds, the ventilation pathways formed by these folds, and the clinical significance of these structures.
Attic mucosal folds, the ventilation pathways formed by these folds, and the clinical significance of these structures.
July 2018- Current University of Health Sciences, Antalya Training and ResearchHospital, Antalya,Turkey
December 1999 – July 2018,Antalya Ataturk Government Hospital, Department of Otolaryngology and Head & Neck Surgery, Antalya,Turkey
Board Certification 2007 Turkish Board of Otolaryngology and Head & Neck Surgery
2005 Manchester Royal Infirmary, Department of Otolaryngology and Head & Neck Surgery, Manchester, U.K.
1997 The University Of North Carolina, School of Medicine, Department of Surgery Division of Otolaryngology Head and Neck Surgery, Chapel Hill, NC, USA.
Yukiko Iino, MD, PhD
l Graduated from Tohoku University School of Medicine, Sendai, Japan
l Trained in the Dept.ORL, Tohoku University School of Medicine
l Post-doctoral fellow of the Dept. Microbiology, London Hospital Medical College
l Senior doctor of the Dept. ORL, National Hospital Medical Center, Tokyo
l Associate professor and then Professor of the Dept. ORL, Teikyo University School of Medicine, Tokyo
l Jan. 2006: Professor of the Dept. ORL, Jichi Medical University Saitama Medical Center
l April 2008: Chairman of the Surgical Division, Jichi Medical University Saitama Medical Center
l April 2015〜：Director of the Deafness and Ear Sergicenter of Tokyo Kita Medical Center. Emeritus and visiting professor of Jichi Medical University.
Yukiko Iino is an emeritus and visiting professor of Jichi Medical University, and now working as a chief staff of the Dept. of Otolaryngology/Deafness and Middle Ear Surgicenter. Her work has focused on clinical and basic research on middle ear diseases. She published many articles including eosinophilic otitis media such as diagnostic criteria. She is also an ear surgery specialist and has operated on more than 7000 cases. Her interest is also in pediatric ORL. She served as the chairperson of the Japan Society for Pediatric ORL from 2015 to 2017. She contributed to creating and publishing the three Japanese guidelines for acute otitis media, otitis media with effusion, and ANCA-associated otitis media. In 2021, she was awarded the “Shining ENT female doctors’ award” of the Japan Society of ORL-HNS. Her favorite things are singing jazz standards and cooking.
1986-1992 M.D. Istanbul University Faculty of Medicine, Istanbul, Turkey
Postdoctoral Training:
1994-2000 Resident, Department of Ear Nose Throat, Medical
Faculty Hospital, Cukurova University, Adana, Turkey
Work Experience:
2001-2007 Government Hospital, Mardin, Turkey
2007- 2020 Department of Ear Nose Throat, Dicle University, Medical Faculty, Diyarbakir, Turkey
2020-2023 Department of Ear Nose Throat, Uskudar University, Medical Faculty, Istanbul, Turkey
2023- Private ENT and odiovestibuler clinic
Academic Appointments:
2007- 2013 Assistant Professor, Department of Ear Nose Throat,
Dicle University Medical Faculty, Diyarbakir, Turkey
2013-2020 Associated Professor, Department of Ear Nose Throat,
Dicle University Medical Faculty, Diyarbakir, Turkey
2020-2023 Professor, Department of Ear Nose Throat,
Uskudar University Medical Faculty, Istanbul, Turkey
Licensure and Certification:
1992 Medical School Diploma, Istanbul University Medical Faculty, Istanbul, Turkey
2000 Certificate of Ear Nose Throat, Ministry of Health, Turkey
Memberships in Professional Societies:
IWGEES (International Working Group of Endoscopic Ear Surgery)
TWGEES (Turkish Working Group of Endoscopic Ear Surgery)
American Academy of Otolaryngology Head and Neck Surgery
EAONO(European Academy Otology Neuro- Otology)
Turkish Society of Otology Neuro-Otology
MSOA (Mediterranean Society of Otology and Audiology)
Turkish Society of Otolaryngology and Head &Neck Surgery
- TEMPORAL BONE DISSECTION: 1. Endoscopic Middle Ear Anatomy (BM)- 2. Endoscopic Ossiculoplasty (AÖ)- 3. Endoscopic Atticotomy (EY)
- Endoscopic Anatomy Of The Ear
- Intraoperative Monitoring In Otologic Surgery
- Fifteen Years Of Endoscopic Ear Surgery: Lessons Learned And Evolving Standards
- A Novel Continuous Irrigating Mode For Endoscopic Ear Surgery
- Cadaveric Endoscopic Temporal Bone Dissection
- Set Up And Instruments In Endoscopic Ear Surgery
- New Aspects In Endoscopic Ear Surgery (Underwater, Laser)
- Management of Conductive Hearing Loss
- Limits Of Totally Endoscopic Ear Surgery
