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...
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...
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...
The white "cyst" seen in this middle ear behind the right tympanic membrane in this teenager is a congenital localized epidermal cyst [a congenital cholesteatoma].
As a result of continued complete obstruction of the Eustachian tube, negative pressure has pulled the tympanic membrane of this left ear medially so severely that the fibrous middle layer of the tympanic...
Note the granulation tissue arising from the attic area of this left middle ear. This "Herodion" signals an underlying cholesteatoma in the middle ear.
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