Media Library https://hml.unmc.edu/ 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. https://hml.unmc.edu/Play/1348 Tue, 20 May 2014 12:57:17 GMT https://hml.unmc.edu/Play/1348 Laryngeal Disease 20b Ectasia and Varices https://hml.unmc.edu/Play/1239 Mon, 10 Mar 2014 08:58:05 GMT https://hml.unmc.edu/Play/1239 Laryngeal Disease 20a Ectasia and Varices https://hml.unmc.edu/Play/1238 Mon, 10 Mar 2014 08:57:07 GMT https://hml.unmc.edu/Play/1238 Laryngeal Disease 19a Traumatic Laryngitis https://hml.unmc.edu/Play/1237 Mon, 10 Mar 2014 08:55:52 GMT https://hml.unmc.edu/Play/1237 Laryngeal Disease 18b&c Squamous Cell Carcinoma https://hml.unmc.edu/Play/1236 Mon, 10 Mar 2014 08:54:40 GMT https://hml.unmc.edu/Play/1236 Laryngeal Disease 18a Squamous Cell Carcinoma https://hml.unmc.edu/Play/1235 Mon, 10 Mar 2014 08:53:28 GMT https://hml.unmc.edu/Play/1235 Laryngeal Disease 17b Hyperkeratosis and Leukoplakia https://hml.unmc.edu/Play/1234 Mon, 10 Mar 2014 08:49:10 GMT https://hml.unmc.edu/Play/1234 Laryngeal Disease 17a Hyperkeratosis and Leukoplakia https://hml.unmc.edu/Play/1233 Mon, 10 Mar 2014 08:47:55 GMT https://hml.unmc.edu/Play/1233 Laryngeal Disease 16 Reflux Laryngitis https://hml.unmc.edu/Play/1232 Mon, 10 Mar 2014 08:46:36 GMT https://hml.unmc.edu/Play/1232 Laryngeal Disease 15a Chronic Laryngitis https://hml.unmc.edu/Play/1231 Mon, 10 Mar 2014 08:41:22 GMT https://hml.unmc.edu/Play/1231 Laryngeal Disease 14 Aryepiglottic Cysts https://hml.unmc.edu/Play/1230 Mon, 10 Mar 2014 08:40:16 GMT https://hml.unmc.edu/Play/1230 Laryngeal Disease 13 Laryngeal Papillomatosis https://hml.unmc.edu/Play/1229 Mon, 10 Mar 2014 08:39:07 GMT https://hml.unmc.edu/Play/1229 Laryngeal Disease 12 Contact Granuloma https://hml.unmc.edu/Play/1228 Mon, 10 Mar 2014 08:37:49 GMT https://hml.unmc.edu/Play/1228 Laryngeal Disease 11b Vocal Cord Cysts https://hml.unmc.edu/Play/1227 Mon, 10 Mar 2014 08:36:41 GMT https://hml.unmc.edu/Play/1227 Laryngeal Disease 11a Vocal Cord Cysts https://hml.unmc.edu/Play/1226 Mon, 10 Mar 2014 08:35:20 GMT https://hml.unmc.edu/Play/1226 Laryngeal Disease 10b Vocal Cord Nodules https://hml.unmc.edu/Play/1225 Mon, 10 Mar 2014 08:34:10 GMT https://hml.unmc.edu/Play/1225 Laryngeal Disease 10a Vocal Cord Nodules https://hml.unmc.edu/Play/1224 Mon, 10 Mar 2014 08:32:56 GMT https://hml.unmc.edu/Play/1224 Laryngeal Disease 9 Vocal Cord Polyps https://hml.unmc.edu/Play/1223 Mon, 10 Mar 2014 08:31:27 GMT https://hml.unmc.edu/Play/1223 Laryngeal Disease 8 Reinke's Edema https://hml.unmc.edu/Play/1222 Mon, 10 Mar 2014 08:30:29 GMT https://hml.unmc.edu/Play/1222 Laryngeal Disease 7 Viral Laryngitis https://hml.unmc.edu/Play/1221 Mon, 10 Mar 2014 08:29:04 GMT https://hml.unmc.edu/Play/1221 Laryngeal Disease 6c Fungal Laryngitis https://hml.unmc.edu/Play/1220 Mon, 10 Mar 2014 08:28:04 GMT https://hml.unmc.edu/Play/1220 Laryngeal Disease 6b Fungal Laryngitis https://hml.unmc.edu/Play/1219 Mon, 10 Mar 2014 08:21:33 GMT https://hml.unmc.edu/Play/1219 Laryngeal Disease 4c Presbyphonia https://hml.unmc.edu/Play/1218 Mon, 10 Mar 2014 08:12:14 GMT https://hml.unmc.edu/Play/1218 Laryngeal Disease 4b Presbyphonia https://hml.unmc.edu/Play/1217 Mon, 10 Mar 2014 08:11:09 GMT https://hml.unmc.edu/Play/1217 Laryngeal Disease 6a Fungal Laryngitis https://hml.unmc.edu/Play/1216 Mon, 10 Mar 2014 08:08:29 GMT https://hml.unmc.edu/Play/1216 Laryngeal Disease 5 Bacterial Laryngitis https://hml.unmc.edu/Play/1215 Mon, 10 Mar 2014 08:07:21 GMT https://hml.unmc.edu/Play/1215 Laryngeal Disease 4a Presbyphonia https://hml.unmc.edu/Play/1214 Mon, 10 Mar 2014 08:05:59 GMT https://hml.unmc.edu/Play/1214 Laryngeal Disease 3 Bilateral cord paralysis https://hml.unmc.edu/Play/1213 Mon, 10 Mar 2014 08:04:33 GMT https://hml.unmc.edu/Play/1213 Laryngeal Disease 2 Unilateral Vocal Cord Paralysis https://hml.unmc.edu/Play/1212 Mon, 10 Mar 2014 08:03:31 GMT https://hml.unmc.edu/Play/1212 Laryngeal Disease 1 Anatomy and Physiology of the Normal Larynx https://hml.unmc.edu/Play/1211 Mon, 10 Mar 2014 07:27:02 GMT https://hml.unmc.edu/Play/1211 Otology Unit Five: Total Perforation Examination: Note the complete loss of the pars tensa of the TM. The middle ear mucosa appears normal. https://hml.unmc.edu/Play/1209 Fri, 07 Mar 2014 10:06:20 GMT https://hml.unmc.edu/Play/1209 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. https://hml.unmc.edu/Play/1208 Fri, 07 Mar 2014 09:52:14 GMT https://hml.unmc.edu/Play/1208 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. https://hml.unmc.edu/Play/1207 Fri, 07 Mar 2014 09:50:42 GMT https://hml.unmc.edu/Play/1207 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. https://hml.unmc.edu/Play/1206 Fri, 07 Mar 2014 09:48:54 GMT https://hml.unmc.edu/Play/1206 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. https://hml.unmc.edu/Play/1205 Fri, 07 Mar 2014 09:46:05 GMT https://hml.unmc.edu/Play/1205 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. https://hml.unmc.edu/Play/1204 Fri, 07 Mar 2014 09:41:50 GMT https://hml.unmc.edu/Play/1204 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. https://hml.unmc.edu/Play/1203 Fri, 07 Mar 2014 09:39:43 GMT https://hml.unmc.edu/Play/1203 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. https://hml.unmc.edu/Play/1202 Fri, 07 Mar 2014 09:38:06 GMT https://hml.unmc.edu/Play/1202 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. https://hml.unmc.edu/Play/1201 Fri, 07 Mar 2014 09:35:15 GMT https://hml.unmc.edu/Play/1201 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. https://hml.unmc.edu/Play/1200 Fri, 07 Mar 2014 09:32:35 GMT https://hml.unmc.edu/Play/1200 Otology Unit Seven: Myringotomy second video This shows a myringotomy with a tube insertion and common post operative conditions. https://hml.unmc.edu/Play/1199 Fri, 07 Mar 2014 09:30:09 GMT https://hml.unmc.edu/Play/1199 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. https://hml.unmc.edu/Play/1198 Fri, 07 Mar 2014 09:26:29 GMT https://hml.unmc.edu/Play/1198 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. https://hml.unmc.edu/Play/1197 Fri, 07 Mar 2014 09:21:57 GMT https://hml.unmc.edu/Play/1197 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. https://hml.unmc.edu/Play/1196 Fri, 07 Mar 2014 09:19:56 GMT https://hml.unmc.edu/Play/1196 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. https://hml.unmc.edu/Play/1195 Fri, 07 Mar 2014 09:17:07 GMT https://hml.unmc.edu/Play/1195 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. https://hml.unmc.edu/Play/1193 Fri, 07 Mar 2014 09:13:32 GMT https://hml.unmc.edu/Play/1193 Otology Unit Five: Acute Traumatic Examination: The patient has a torn tympanic membrane. The perforation is linear. https://hml.unmc.edu/Play/1192 Fri, 07 Mar 2014 09:12:17 GMT https://hml.unmc.edu/Play/1192 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. https://hml.unmc.edu/Play/1191 Fri, 07 Mar 2014 09:10:57 GMT https://hml.unmc.edu/Play/1191 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 https://hml.unmc.edu/Play/1190 Fri, 07 Mar 2014 09:09:46 GMT https://hml.unmc.edu/Play/1190 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. https://hml.unmc.edu/Play/1178 Fri, 07 Mar 2014 08:01:57 GMT https://hml.unmc.edu/Play/1178