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Calculus which is Developed on an Extruding Submandibular...
Note the large calculus [stone] which has developed on the end of this salivary gland duct stent.
![Traumatic Perforation [3 days old]](https://medtube.net/images/min/9dcecc14c004ec4e08adc61da1291ba6/149/112/1 "Traumatic Perforation [3 days old]")
Traumatic Perforation [3 days old]
This large perforation in the centre of this left tympanic membrane was the result of a vigourous slap on the left ear. As can be seen in a later slide, is perforation healed completely within 30 days.
Myringotomy
Note the incision in this left tympanic membrane in the 7 o'clock position. Such an incision through the tympanic membrane is known as a myringotomy. A myringotomy is usually performed to obtain access...
Carcinoma of the Nasopharynx
The mass seen filling at the posterior end of this left nasal cavity is a malignant tumor of the nasopharynx [carcinoma of the nasopharynx]. This case presented as a persistent serous effusion...
Massively Enlarged Tonsils
The massively enlarged tonsils in this patient were a cause of significant sleep apnea.
Ceruminoma
The lesion seen at the medial end of this left external auditory canal is a malignant tumor of the cerumenous is glands which is known as a ceruminoma.
Glomus Jugulare Tumor
This reddish purple mass seen behind the inferior quadrant of this left tympanic membrane is a Glomus Jugulare tumor. The diagnosis was readily apparent from the pulsation of this vascular mass.
Cholesterol Granuloma Middle Ear
The reddish brown material seen deep to the posterior retraction pocket in this left middle ear is a cholesterol granuloma. Cholesterol granuloma is the result of a foreign body reaction to cholesterol...
Congenital Epiderman Cyst of the Tympanic Membrane
Note the round white cyst in the tympanic membrane just overlying the malleus of this right tympanic membrane. This is a rare intratympanic membrane epidermal cyst.
Chronic Suppurative Otitis Media (CSOM)
Note the mucopurulent discharge issuing from this moderately large central perforation in this left tympanic membrane. This used to be referred to as chronic suppurative otitis media [CSOM]. The advantage...
Posterosuperior Retraction Pocket
Note the posterior – superior retraction pocket in this right tympanic membrane. The long process of the incus and the stapedial tendon can be quite clearly seen in the 11 o'clock position.
Tympanosclerosis
Note crescent -shaped white horseshoe of tympanosclerosis in the medial layer of this right tympanic membrane. These intra-tympanic patches of intratympanic sclerosis usually do not affect the patient's...
Extruding Ventilation Tube
Almost all ventilation tubes placed in the tympanic membrane are ultimately extruded. The time from insertion to extrusion varies from two months to over two years depending upon the type of tube placed...
Tube Granuloma
Occasionally, granulation tissue will form around a ventilation tube. Examination of this granulation tissue reveals that is a reaction to the outer keratin layer of the tympanic membrane [a so-called...
Acute Otitis Media with a Ventilation Tube in...
Note the purulent discharge issuing from the right middle ear through the lumen of a previously placed green silastic ventilation tube. In this case the otitis media developed by contamination of the...
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Michael Hawke
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Gastroenterology Atlas
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SAGES - Society of American Gastrointestinal and Endoscopic Surgeons
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