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Blue Ventilation Tube In the Middle Ear
5

Blue Ventilation Tube In the Middle Ear

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The blue discolouration seen through this intact left left tympanic membrane is a blue silastic ventilation tube which has somehow fallen into the middle ear.

Discharge from Ventilation Tube
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Discharge from Ventilation Tube

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In addition to equalizing air pressure, the lumen in a ventilation tube provides a pathway for discharge of an infection from the middle ear into the external canal. This was the cause of the discharge...

Extruded Ventilation Tube on the External Canal Wall
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Extruded Ventilation Tube on the External Canal...

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Over time, an extruded ventilation tube will be carried out of the ear canal by the normal migratory function of the external canal skin.

Ventilation Tube Blocked
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Ventilation Tube Blocked

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If the central lumen of a ventilation tube becomes blocked then the benefits of equalizing air pressure or allowing drainage from the middle ear ceases.

Stainless Steel Ear Ventilation Tube
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Stainless Steel Ear Ventilation Tube

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A stainless steel ventilation tube can be seen in the antero-inferior quadrant of this right tympanic membrane. The malleus is seen with the leash of blood vessels that run down it, as well as the long...

Normal Tympanic Membrane Red Reflex
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Normal Tympanic Membrane Red Reflex

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Crying or physical exertion may cause the blood vessels of the Stia Vascularis to dilate. This results in a vasodilatation of the blood vessels of the Stia Vascularis [the leash of blood vessels that...

Serous Otitis Media Air Fluid Meniscus
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Serous Otitis Media Air Fluid Meniscus

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Note the air fluid meniscus in this right middle ear serous otitis media.

Serous Otitis Media Air Fluid Level [right ear]
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Serous Otitis Media Air Fluid Level [right ear]

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This patient with serous otitis media has started to re-aerate the middle ear. Notice the air fluid level and the clear golden yellow transparent serous fluid inferiorly.

Serous Otitis Air Fluid Level
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Serous Otitis Air Fluid Level

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This photograph demonstrates a typical air fluid level seen in patients with serous otitis media. Note the golden yellow transparent liquid filling the lower third of the middle ear.

Carcinoma of the Nasopharynx
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Carcinoma of the Nasopharynx

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This dome-shaped lesion arising from the back of the nasopharynx is a nasopharyngeal squamous cell carcinoma. This patient presented with an idiopathic serous fluid collection in the ear.

Temporal Bone Fracture [otoscopic appearance]
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Temporal Bone Fracture [otoscopic appearance]

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This patient sustained a temporal bone fracture of the right temporal bone. Note the displacement and rotation of the malleus.

Temporal Bone Fracture [right ear]
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Temporal Bone Fracture [right ear]

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This patient suffered a severe head injury and a right sided temporal bone fracture. Note the wide diastasis of the bony canal at the 11 o'clock position extending superiorly. Note also the horizontal...

Temporal Bone Fracture [Battle's sign]
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Temporal Bone Fracture [Battle's sign]

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The post auricular subcutaneous hematoma following head trauma indicates the presence of a temporal bone fracture. This is known as Battle's sign.

Temporal Bone Fracture [left ear]
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Temporal Bone Fracture [left ear]

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This patient suffered a temporal bone fracture in the left ear. Note horizontal fracture line radiating from the annulus radiating posteriorly in the 3 o'clock position.

Mono Tonsillitis with Airway Compromise
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Mono Tonsillitis with Airway Compromise

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This patient has acute mononucleosis tonsillitis with massive swelling of the tonsils and enlargement of the posterior pharyngeal airway.

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