ent cases
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...
Serous Otitis Media Post Valsalva Manoeuvre
This patient whose middle air completely filled with a golden yellow clear serous fluid has just performed a Valsalva manoeuvre. Note how most of the fluid in the middle ear has been displaced and numerous...
Serous Otitis Media pre-Valsalva
This is a typical case of serous otitis media which is the result of a persistent obstruction of the eustachian tube, which prevents air entering the middle ear. The air that is in the middle ear becomes...
Serous Otitis Media Middle Air Aspirate
This photograph shows the typical appearance of the aspirate from a patient with serous otitis media. Note the golden yellow watery clear fluid. The complete transparency of the middle ear fluid in these...
Mucoid Otitis Media Middle Ear Aspirate
This photograph shows the typical appearance of the aspirate from a case of mucoid otitis media. This was obtained from a young child prior to the insertion of a ventilation tube to treat a chronic conductive...
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Michael Hawke
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Gastroenterology Atlas
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Royal Pearl Hospital
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Department of Otolaryngology - Medical University of Warsaw
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