ent cases
Attic Crust and Cholesteatoma
The white mass seen behind the upper portion of this right tympanic membrane is a cholesteatoma. Note the black attic crust in the 1 o'clock position.
Attic Crust Hiding Cholesteatoma
The large crust seen covering the attic area of this patient's tympanic membrane is covering up a large attic cholesteatoma.
Attic Cholesteatoma
The white mass that can be seen behind this right tympanic membrane is a cholesteatoma which has arisen from the attic area in this right middle ear. Note the black crust which can be seen in the 1 o'clock...
Large Attic Pocket Non-self Cleaning B
There is a large attic pocket which is filled with golden yellow crusty debris seen in the 12 o'clock position. This attic pocket is not self cleansing and suggest that there may be a cholesteatoma developing...
Large Cholesteatoma in Middle Ear
There is a large cholesteatoma in this patient's left middle ear which on first glance resembles an effusion. Note the yellow crust over the attic area [12 o'clock position] is a diagnostic clue to an...
Mastoid Abscess Mastoidectomy
The underlying cause of this patient's postauricular mastoid abscess is revealed as the mastoidectomy proceeds. There was a large cholesteatoma eroding into the mastoid has revealed by this white collection...
Mastoid Abscess Post Auricular Incision
This patient who presented with a postauricular swelling from a mastoid abscess is undergoing a mastoidectomy. The post auricular incision has been done and the fistulous track through the mastoid bone...
Mastoid Abscess
This patient has a large abscess behind the Pinna from acute mastoiditis. Mucopurulent material can be seen draining from a small incision into the abscess.
Severe Acute Otitis Media Which Has Drained Spontaneously...
This patient presented with a severe acute otitis media with a bulging tympanic membrane. One hour later the tympanic membrane ruptured spontaneously and the purulent material in the middle year discharged...
Large Cholesterol Granuloma Middle Ear
There is a large cholesterol granuloma occupying posterior half of this left middle ear.
Cholesterol Granuloma Middle Ear
Following an acute otitis media, this patient developed a small cholesterol granuloma over the lenticular process of the Incus. Note the yellow and brown mass behind the tympanic membrane. A cholesterol...
Extruded Cast of the Tympanic Membrane Following...
In very severe cases of acute otitis media the infection in the middle ear may spread into the tympanic membrane resulting in what is essentially an acute tympanic membrane infection. When this happens...
Separating Crust from Tympanic Membrane
In very severe cases of acute otitis media the infection in the middle ear may spread into the tympanic membrane resulting in what is essentially an acute tympanic membrane infection. When this happens...
Cast of the Tympanic Membrane Following Severe...
In very severe cases of acute otitis media the infection in the middle ear may spread into the tympanic membrane resulting in what is essentially an acute tympanic membrane infection. When this happens...
Histology of Tympanic Membrane Cast
This microscopic slide shows the histology of a tympanic membrane cast. These casts are composed of numerous non-separated lamellar sheets of keratin infiltrated with an eosinophilic exudate which contains...
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Michael Hawke
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Royal Pearl Hospital
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Department of Otolaryngology - Medical University of Warsaw
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