By Mario, M.D. Sanna
Univ. of Chieti, Italy. Atlas of otologic and neurotologic prognosis and remedy. features a selection of otoscopic perspectives of quite a few lesions. top of the range, full-color photos and illustrations. Emphasis is put on how the view and medical photo may possibly impact the alternative of therapy and surgical strategy. For clinicians. DNLM: Ear Diseases--diagnosis atlases.
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Additional resources for Color Atlas of Otoscopy
Secretory otitis media. The effusion is visible through two thinned areas of the tympanic membrane lying anterior and posterior to the handle of the malleus. 21 Right ear. Secretory otitis media with tympanosclerosis and epitympanic erosion. The tympanic membrane shows areas of tympanosclerosis alternating with areas of atrophy. Glue is present in the middle ear. 22 Left ear. Otitis media with effusion and a whitish retrotympanic mass in the posterior quadrant at 3 o'clock can be observed. The presence of congenital cholesteatoma was considered in the differential diagnosis.
Granulomatous otitis media. A roundish mass fills the middle ear. Serous otorrhea is present. 29 Right ear. Small perforation of the inferior quadrants of the tympanic membrane with eversion of the mucosa onto the outer layer of the membrane. Tympanosclerosis, both antero- and posteromalleolar, can be noted. 30 Right ear. 29. The mucosa has replaced the epithelial layer. Ear discharge is also present. During myringoplasty, curettage of the everted mucosa is necessary until the fibrous layer of the tympanic membrane is reached.
A tympanosclerotic plaque that engulfs the ossicular chain is seen at the level of the posterosuperior border of the perforation. 18 Left ear. Subtotal perforation. The annulus as well as a fibrous rim are visualized along the inferior border of the perforation. The handle of the malleus is medialized. The tubal orifice, the hypotympanic air cells covered with mucosa, Jacobson's nerve on the promontory, and the long process of the incus are visible. The residue of the tympanic membrane is thickened.