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Contents 1. Normal Tympanic Membrane ...............................................................1 2. External Auditory Canal .........................................................................7 Wax ....................................................................... 7 Otitis Externa ..................................................................... 9 Allergic otitis externa ........................................................... 9 Fungal otitis externa/otomycosis ...................................................................... 10 Furuncle/localized otitis externa .............................................. 13 Herpes zoster oticus ................................................. 13 Malignant otitis externa with acute otitis media ...................................... 16 Diffuse otitis externa with adhesive otitis media ............................................. 17 Otitis externa with perforation ...................................................................17 Otitis externa with stenosis ...................................................................18 Foreign Bodies ...................................................................19 Eardrop cap ...................................................................19 Pea-nut – before and after removal ...................................................................20 Live insect ...................................................................21 Metallic foreign body ...................................................................22 Organic foreign body...............................................................23 Perforation with sand particle ...................................................................24 Plastic tube – before and after removal ...................................................................25 Pencil eraser ...................................................................26 Tobacco ...................................................................26 Miscellaneous foreign bodies ...................................................................27 External Auditory Canal Polyp ...................................................................33 Keratosis Obturans ...................................................................34 External Auditory Canal after Keratosis Removal .....................................................35 3. Acute Otitis Media ...................................................................37 Stage of congestion ...................................................................37 Stage of pre suppuration ...................................................................39 Stage of perforation ...................................................................40 Stage of resolution.........................................................43 Acute Otitis Media with Otitis Externa ...................................................................44 Acute Otitis Media Post Tympanoplasty ...................................................................46 4. Safe Chronic Suppurative Otitis Media ...................................................................48 Chronic Suppurative Otitis Media-active ...................................................................48 Chronic Suppurative Otitis Media - Inactive ...................................................................52 Chronic Suppurative Otitis Media - Post Treatment ......................................................54 Endoscopic Color Atlas of Ear Diseases xviii 5. Perforations ......................................................56 Anteroinferior Perforation .................................................................. 56 Anterosuperior Perforation .................................................................. 57 Posteroinferior Perforation .................................................................. 58 Posterosuperior Perforation .................................................................. 60 Medium Perforation....................................................... 61 Large Central Perforation.......................................... 62 Subtotal Perforation ...................................................... 64 Marginal Perforation .............................................. 68 Total Perforation .............................................................................. 69 Multiple Perforation ........................................................................... 70 Central Perforation with Tympanosclerosis ....................................................................... 71 Central Perforation with Otitis Externa ............................................................ 73 Perforation with Discharge ...................................................... 74 Pseudoperforation.............................................................. 75 6. Traumatic Perforations .........................................................76 7. Tympanosclerosis ...........................................................84 Tympanosclerosis ....................................................................... 84 Tympanoscleroris with Acute Otitis Media ........................................................... 89 8. Unsafe Chronic Suppurative Otitis Media ..................................................................90 Anterior Cholesteatoma ................................................................................... 90 Attic Cholesteatoma............................................. 91 Attic Polyp .................................. 93 Atticoantral Cholesteatoma .................................................................... 96 Cholesteatoma in Post Tympanoplasy ..................................................................... 99 Cholesteatoma with Polyp ....................................................... 100 Early Attic Retraction without Cholesteatoma ............................................................ 101 Masked Cholesteatoma with Mastoiditis ................................................................... 102 Natural Modified Radical Mastoidectomy..................................................... 103 Posterosuperior Cholesteatoma ........................................................ 104 Posterosuperior with Attic Cholesteatoma...................................... 107 Extensive Cholesteatoma ................................................................... 108 Safe Chronic Suppurative Otitis Media Turning Unsafe ............................................ 110 Scutum Erosion ................................................................... 111 External Auditory Canal Cholesteatoma...................................................... 112 Congenital Cholesteatoma ............................................................ 114 9. Otitis Media with Effusion.............................................................115 10. Ventilation Tube (Grommet) ......................................................118 11. Granular Myringitis .................................................................119 12. Hemotympanum..................................................................120 Contents xix 13. Pre and Post Operative Cases ...................................................122 Recurrent and Residual Perforations ....................................................... 138 Postoperative Follow-up at 2 Years ........................................... 139 14. Tuberculous Otitis Media ................................................................143 15. Tympanic Membrane in Allergic Rhinitis ...........................................................145 16. Adhesive Otitis Media ...........................................................146 Grade 1 .......................................................... 146 Grade 2 ..................................... 148 Grade 3 .................................................................... 150 Grade 4 .......................................................................... 151 17. Barotraumatic Otitis Media .............................................152 18. Tumors ...............................................................153 Hemangioma.................................................................. 153 External Auditory Canal Osteoma ..................................... 155 Papilloma............................... 157 Squamous Cell Carcinoma.............................................. 158 Glomus tumor ........................................................................... 159 19. Exploration of the Middle Ear .................................................................160 Bibliography ..................................................................... 165 Index ........................................................................... 167 |
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