Pouches of von Troeltsch
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![](https://www.otoscape.com/assets/eponyms/pouches-of-von-troeltsch/Pouches%20of%20von%20Troeltsch.png)
The anterior and posterior pouches of von Troeltsch (von Tröeltsch) are pouches within the middle ear formed by the space between the anterior and posterior malleolar folds and the tympanic membrane respectively. The posterior pouch of von Troeltsch is contiguous with Prussak’s space.
![](https://slideplayer.com/slide/6295321/21/images/33/Cholesteatoma+spread+Anterior+epitympanum+%E2%80%93+anterior+to+head+of+malleus%2C+may+gain+access+to+supratubal+recess..jpg)
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Otology - ORG India Otology Nuggets- 8 Trans-meatal Atticotomy was a popular surgery for Cholesteatoma during early period of 19thCentry. However, it was abandoned due to limited success and no attic reconstruction
![](https://media.springernature.com/lw685/springer-static/image/chp%3A10.1007%2F978-3-319-13996-8_2/MediaObjects/331255_1_En_2_Fig6_HTML.gif)
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