ent cases
Extruding Reutter Bobbin With Serous Crust
This stainless steel Reutter bobbin has been extruded from this left tympanic membrane. During the extrusion, serous fluid has continued to leak from the middle ear and as the fluid dried it produce this...
Extruded Ventilation Tube
This stainless steel Reutter bobbin has been extruded from this right tympanic membrane and is beginning to migrate out of the deep bony canal.
Blue Ventilation Tube In the Middle Ear
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
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...
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
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
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
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
Note the air fluid meniscus in this right middle ear serous otitis media.
Serous Otitis Media Air Fluid Level [right ear]
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
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
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]
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]
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]
The post auricular subcutaneous hematoma following head trauma indicates the presence of a temporal bone fracture. This is known as Battle's sign.
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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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