ent cases
Peripheral Tympanic Membrane Perforation with...
Tympanic membrane perforations can be classified into central and peripheral. Peripheral perforations as seen here are frequently associated with a cholesteatoma whereas central perforations are not....
Atelactasis
The posterior superior quadrant of this right tympanic membrane has been retracted medially because of years of eustachian tube dysfunction and increased negative pressure in the middle ear. One can clearly...
Adenocarcinoma External Ear Canal
The reddish knobbly lesion extending into the anterior canal wall of this left ear is in adenocarcinoma of the parotid which has extended posteriorly.
Facial Nerve Neuroma Middle Ear
The round white mass seen in the middle ear through this left tympanic membrane was a facial nerve neuroma.
Thin Thickening of the Fibrous Layer Tympanic...
The gossamer like thickening below the malleus is the result of previous ear infections and represents a very mild stage of tympanosclerosis. This thickening will have no functional effect.
Tympanosclerosis Middle Ear Mucosa
In this right middle ear there is a large perforation behind the malleus. The white mass promontory of the middle ear is a tympanosclerotic plaque. Through the perforation we have an excellent view of...
Resolving Mucoid Otitis Media [air fluid level]
This patient developed a mucoid fusion in this right middle ear following a prior episode of acute otitis media. The thick opalescent mucoid fluid in the middle ear is resolving as seen by the air fluid...
Subtotal Perforation Demonstrating Eustachian...
There is a subtotal perforation of this right tympanic membrane. Of note one can see the entrance to the eustachian tube in the 3 o'clock position.
Large Subtotal Perforation [left tympanic membrane]
This patient has a large essentially total perforation of the left tympanic membrane. One can view the structures of the middle ear clearly. Note in particular the long process the incus connected to...
Healed Central Perforation
There is a medium sized healed perforation in this right tympanic membrane. One can see easily into the middle ear because this perforation healed without a fibrous middle layer. A normal tympanic membrane...
Ventilation Tube With Small Crust
Note the golden yellow crust of dried serous fluid which has accumulated between the outer flange of this ventilation tube and the tympanic membrane. The lumen of the tube's patent in the middle ear appears...
Blue Silastic Ventilation Tube [T-Tube]
A long blue Silastic T-Tube has been placed in this left middle ear.
Stainless Steel Reutter Bobbin Ventilation Tube
A stainless steel Reutter bobbin has been placed in this left tympanic membrane.
Polyethylene Reutter Bobbin
Ventilation tubes are made from a variety of different materials. In this right tympanic membrane a polyethylene Reutter style bobbin has been placed.
Mucoid Otitis Media Draining from VentilationTube
In this patient who has a mucoid otitis media, note the golden yellow mucus draining through the lumen of this stainless steel Reutter bobbin.
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Michael Hawke
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Rahmat Omar
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Gastroenterology Atlas
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ENT Academy
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Royal Pearl Hospital
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Department of Otolaryngology - Medical University of Warsaw
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High Impact - Medical Animation
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