Tympanic membrane retraction become eroded. As skin cells die they form a barrier of dry protein called keratin. This layer of keratin is normally pushed out of the ear by migration of skin cells along the ear canal and is turned into wax. Clearance of keratin can be disrupted by tympanic membrane retraction so that keratin accumulates within the retraction pocket. When keratin becomes trapped deep inside the ear and cannot be cleaned out, it is known as cholesteatoma. Growth of bacteria in the trapped keratin causes smelly discharge from the ear and can spread to cause serious infection. Various strategies may be
Inferior tympanic artery Inferior tympanic artery The inferior tympanic artery is a small branch of the ascending pharyngeal artery. It is a small branch which passes through a minute foramen in the petrous portion of the temporal bone which is called tympanic canaliculus or inferior tympanic canaliculus, in company with the tympanic branch of the glossopharyngeal nerve, to supply the medial wall of the tympanic cavity and anastomose with the other tympanic arteries. In the case of a missing or underdeveloped cervical ICA, the Inferior tympanic artery can provide collateral ICA circulation by reversing flow of the caroticotympanic artery (embryologic hyoid artery). This