Media Library Media Library en-us Unit Six: Tumor Diagnosis Examination: This is an 82 year old female with left sided pulsatile tinnitus of one year’s duration. Note the erythema and pulsation of the glomus tympanicum tumor, which fills the middle ear space. Tue, 20 May 2014 12:57:17 GMT Laryngeal Disease 20b Ectasia and Varices Mon, 10 Mar 2014 08:58:05 GMT Laryngeal Disease 20a Ectasia and Varices Mon, 10 Mar 2014 08:57:07 GMT Laryngeal Disease 19a Traumatic Laryngitis Mon, 10 Mar 2014 08:55:52 GMT Laryngeal Disease 18b&c Squamous Cell Carcinoma Mon, 10 Mar 2014 08:54:40 GMT Laryngeal Disease 18a Squamous Cell Carcinoma Mon, 10 Mar 2014 08:53:28 GMT Laryngeal Disease 17b Hyperkeratosis and Leukoplakia Mon, 10 Mar 2014 08:49:10 GMT Laryngeal Disease 17a Hyperkeratosis and Leukoplakia Mon, 10 Mar 2014 08:47:55 GMT Laryngeal Disease 16 Reflux Laryngitis Mon, 10 Mar 2014 08:46:36 GMT Laryngeal Disease 15a Chronic Laryngitis Mon, 10 Mar 2014 08:41:22 GMT Laryngeal Disease 14 Aryepiglottic Cysts Mon, 10 Mar 2014 08:40:16 GMT Laryngeal Disease 13 Laryngeal Papillomatosis Mon, 10 Mar 2014 08:39:07 GMT Laryngeal Disease 12 Contact Granuloma Mon, 10 Mar 2014 08:37:49 GMT Laryngeal Disease 11b Vocal Cord Cysts Mon, 10 Mar 2014 08:36:41 GMT Laryngeal Disease 11a Vocal Cord Cysts Mon, 10 Mar 2014 08:35:20 GMT Laryngeal Disease 10b Vocal Cord Nodules Mon, 10 Mar 2014 08:34:10 GMT Laryngeal Disease 10a Vocal Cord Nodules Mon, 10 Mar 2014 08:32:56 GMT Laryngeal Disease 9 Vocal Cord Polyps Mon, 10 Mar 2014 08:31:27 GMT Laryngeal Disease 8 Reinke's Edema Mon, 10 Mar 2014 08:30:29 GMT Laryngeal Disease 7 Viral Laryngitis Mon, 10 Mar 2014 08:29:04 GMT Laryngeal Disease 6c Fungal Laryngitis Mon, 10 Mar 2014 08:28:04 GMT Laryngeal Disease 6b Fungal Laryngitis Mon, 10 Mar 2014 08:21:33 GMT Laryngeal Disease 4c Presbyphonia Mon, 10 Mar 2014 08:12:14 GMT Laryngeal Disease 4b Presbyphonia Mon, 10 Mar 2014 08:11:09 GMT Laryngeal Disease 6a Fungal Laryngitis Mon, 10 Mar 2014 08:08:29 GMT Laryngeal Disease 5 Bacterial Laryngitis Mon, 10 Mar 2014 08:07:21 GMT Laryngeal Disease 4a Presbyphonia Mon, 10 Mar 2014 08:05:59 GMT Laryngeal Disease 3 Bilateral cord paralysis Mon, 10 Mar 2014 08:04:33 GMT Laryngeal Disease 2 Unilateral Vocal Cord Paralysis Mon, 10 Mar 2014 08:03:31 GMT Laryngeal Disease 1 Anatomy and Physiology of the Normal Larynx Mon, 10 Mar 2014 07:27:02 GMT Otology Unit Five: Total Perforation Examination: Note the complete loss of the pars tensa of the TM. The middle ear mucosa appears normal. Fri, 07 Mar 2014 10:06:20 GMT Otology Unit Eight: Q-tip cotton This is a picture of the cotton of a Q-tip end as it was left behind in the patient's ear canal. This can be removed with alligator forceps. Fri, 07 Mar 2014 09:52:14 GMT Otology Unit Eight: Popcorn Kernel his is a picture of a popcorn kernel lodged well into a child's ear canal. It was put in by a sibling and pushed deeper during an attempt at removal. Large round objects are particularly difficult to remove. A special suction tip with a flexible rubber tip was used for the removal. Fri, 07 Mar 2014 09:50:42 GMT Otology Unit Eight: Candle Wax This a picture of candle wax in a child's ear canal. Candle wax is similar to cerumen since it is quite malleable and very soft at body temperature. It can be very difficult to remove. Fri, 07 Mar 2014 09:48:54 GMT Otology Unit Seven: Modified Radical Mastoidectomy Modified radical mastoidectomy cavity - The second set of pictures also shows a mastoid cavity, but the posterior canal wall is more prominent. The ossicles and tympanic membrane are also present. The superior portion of the ear canal has been removed at the level of the TM. Fri, 07 Mar 2014 09:46:05 GMT Otology Unit Seven: Mastoidectomy Examination: Radical mastoid cavity - Notice the absence of a normal ear drum. Squamous epithelium covers the middle ear. There are no ossicles. The meatus of the external canal is much larger than normal and the mastoid cavity can be viewed behind the middle ear remnant through the external canal. A remnant of the posterior canal wall protrudes from the floor of the cavity, separating the middle ear remnant from the mastoid cavity. Fri, 07 Mar 2014 09:41:50 GMT Otology Unit Seven: Cartilage Graft Examination: Notice the whitish area in the left ear drum. It is in the posterior section and appears as a thickening in the TM. The cartilage was used to separate the TM from the ossicular prosthesis to protect it from extruding. Fri, 07 Mar 2014 09:39:43 GMT Otology Unit Seven: Granulation Tissue with Tube Examination: The tube is found to be surrounded by granulation tissue. An aural polyp can be seen anterior to the tube. Fri, 07 Mar 2014 09:38:06 GMT Otology Unit Seven: T Tubes Information: A T-tube is a ventilation tube, shaped like a ‘T’. A T-tube is inserted in the tympanic membrane to aerate/ventilate the middle ear and maintain equal pressure when Eustachian tube function isinadequate. This tube is often used when long-term ventilation is needed. T-tubes may extrude spontaneously, but often require office removal when they do not. Fri, 07 Mar 2014 09:35:15 GMT Otology Unit Seven: Bobbin Tubes Information: A bobbin tube is a bobbin-shaped tube that is inserted into the tympanic membrane to aid in the aeration/ventilation of the middle ear and maintain equal pressure when the Eustachian tube is not functioning. This tube typically stays in for six to twelve months and extrudes by itself. Fri, 07 Mar 2014 09:32:35 GMT Otology Unit Seven: Myringotomy second video This shows a myringotomy with a tube insertion and common post operative conditions. Fri, 07 Mar 2014 09:30:09 GMT Otology Unit Seven: Myringotomy Information:A myringotomy is an incision through the tympanic membrane to release fluid and relieve negative pressure in the middle ear. The knife is carefully passed through the tympanic membrane just deep enough to incise all the layers of the drum. A myringotomy is usually followed by insertion of a ventilation tube to maintain aeration in the middle ear. Fri, 07 Mar 2014 09:26:29 GMT Otology Unit Six: Paragangliomas Examination: The inferior portion of the tympanic membrane appears erythematous. There is a lesion medial to the tympanic membrane. This proved to be a glomus tympanicum tumor. Fri, 07 Mar 2014 09:21:57 GMT Otology Unit Five: Monomere second video The picture shows a monomere of a large area of the TM. It is extremely thin and moves with heavy respiration. Fri, 07 Mar 2014 09:19:56 GMT Otology Unit Five: Monomere Examination: Notice the transparent area posterior to the malleus. There is absence of the middle, fibrous layer resulting in the transparency. Frequently, this is mistaken for a perforation, but note that the middle ear space cannot be clearly seen. Pneumo-otoscopy can also be helpful to differentiate a monomere from a perforation. The lower picture shows a monomere of a large area of the TM. It is extermely thin and moves with heavy respiration. Fri, 07 Mar 2014 09:17:07 GMT Otology Unit Five: Central Perforation Examination: This is a central perforation with a rim of intact TM around the edges of the perforation. The perforation is dry, no granulation tissue is seen, and the middle ear mucosa is normal. Fri, 07 Mar 2014 09:13:32 GMT Otology Unit Five: Acute Traumatic Examination: The patient has a torn tympanic membrane. The perforation is linear. Fri, 07 Mar 2014 09:12:17 GMT Otology Unit Four: Barotrauma Examination: Upon examination of the ear, erythematous vessels can be seen parallel to the malleus. This represents hypervascularity secondary to the pressure changes that occurred when the patient was unable to equalize the pressure in her middle ear space. Fri, 07 Mar 2014 09:10:57 GMT Otology Unit Four: Cholesteatoma Examination:The cholesteotoma is seen filling the entire middle ear space. It can be seen through the transparent TM and makes it appear white. The landmarks of the TM can be seen, but there is a slight bulging Fri, 07 Mar 2014 09:09:46 GMT Otology Unit Three: External otitis - Bacterial Examination: Notice the swelling of the external canal. The canal has become erythematous and edematous, with occlusion of the meatus. The opening to the canal can also have whitish debris and serous drainage that appears yellow in color. Fri, 07 Mar 2014 08:01:57 GMT