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Idiopathic Osteitis Tympanic Bone
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Idiopathic Osteitis Tympanic Bone

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Idiopathic osteitis of the tympanic bone is encountered in elderly patients. The symptoms are usually mild and on examination once covers a defect in the epithelium of the floor of the deep external auditory...

Irradiation Osteitis Temporal Bone
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Irradiation Osteitis Temporal Bone

views: 1075 comments: 0
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This patient has developed osteitis following a course of radiation therapy. The epithelium of the inferior and posterior canal has sloughed away and the underlying bone destroyed by the irradiation....

Membranous Otitis Externa [Histoology of Cast]
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Membranous Otitis Externa [Histoology of Cast]

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The cast consists of tightly compressed unseparated keratin squames infiltrated with a dried serous transudate.

Typical Cast Removed from Chronic Membranous Otitis Externa
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Typical Cast Removed from Chronic Membranous...

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This is an example of the typical cast removed in one piece from a patient with chronic membranous otitis externa. Note the impression of the tympanic membrane on the left.

Chronic Membranous Otitis Externa [immediately post debridement]
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Chronic Membranous Otitis Externa [immediately...

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This is the left external canal and tympanic membrane of the patient with membranous otitis externa that has just been debrided.

Chronic Membranous Otitis Externa
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Chronic Membranous Otitis Externa

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Chronic membranous otitis externa is an idiopathic condition in which a golden yellow cast develops from the lining of the entire external auditory canal. This appears to be a failure in the normal mechanism...

Severe Stenosis of the External Auditory Canal
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Severe Stenosis of the External Auditory Canal

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This patient has developed a severe stenosis of the external ear canal at the junction between the cartilaginous and bony portions. The remaining lumen which is approximately 1 mm in diameter is occluded...

Aquired Stenosisof the External Auditory Canal
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Aquired Stenosisof the External Auditory Canal

views: 2928 comments: 0
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Persistent and untreated chronic otitis externa may result the buildup of subcutaneous fibrous tissue circling the deep canal resulting in a narrowed lumen [stenosis]. If this narrowed lumen remains patent...

Necrotizing  [Malignant] Otitis Externa
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Necrotizing [Malignant] Otitis Externa

views: 6904 comments: 4
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Necrotizing otitis externa which in the past was miscalled "malignant" otitis externa is an invasive and potentially fatal Pseudomonas infection originating in the external ear canal of patients...

Necrotizing Otitis Extera [Technetium Scan
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Necrotizing Otitis Extera [Technetium Scan

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This technetium scan in the left posterior oblique view shows a marked osteoblastic response [dark area] surrounding the infective focus. The area of photon deficiency just deep to the infective focus...

Inspissated Blood External Canal
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Inspissated Blood External Canal

views: 2360 comments: 0
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Trauma may cause bleeding into the external canal. When blood first clots it is red,soft and jellylike can be easily removed. If left it will dry out becoming a black concrete like mass which can be...

Automastoidectomy secondary to Keratosis Obturans [CT Scan]
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Automastoidectomy secondary to Keratosis Obturans...

views: 1788 comments: 0
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This is the CT scan of a patient with keratosis obturans in which pressure from the accumulating keratin squames has caused erosion into the mastoid bone.

Automastoidectomy from Keratosis Obturans
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Automastoidectomy from Keratosis Obturans

views: 2341 comments: 0
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In rare cases of keratosis obturans the continuing accumulation of keratin squames enlarges the plug in the external auditory canal and exerts pressure on the surrounding bone which over time may become...

Keratosis Obturans Causing Bony External Canal Erosion
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Keratosis Obturans Causing Bony External Canal...

views: 2220 comments: 0
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In rare cases of keratosis obturans the continuing accumulation of keratin squames enlarges the plug in the external auditory canal and exerts pressure on the surrounding bone which over time may become...

Keratosis Obturans Occluding External Canal
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Keratosis Obturans Occluding External Canal

views: 3164 comments: 0
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Keratosis obturans is a condition which is caused by a failure in the normal self cleansing mechanism of the external ear canal. In this condition keratin outer layer of the epidermal lining of the ear...

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