By Mario, M.D. Sanna
Univ. of Chieti, Italy. Atlas of otologic and neurotologic analysis and therapy. contains a selection of otoscopic perspectives of quite a few lesions. top of the range, full-color pictures and illustrations. Emphasis is put on how the view and medical photograph could have an effect on the alternative of remedy and surgical procedure. For clinicians. DNLM: Ear Diseases--diagnosis atlases.
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Extra info for Color Atlas of Otoscopy
In these cases it is often advisable to take a biopsy under local anesthesia. Biopsy is still indicated even if the radiologic examination proved normal. A biopsy should not be attempted, however, during endoscopic examination of the nasopharynx if the mass appears macroscopically vascular. Profuse hemorrhage can occur and may be difficult, to control. 28 MRI. Effusion in the omolateral mastoid is clearly visible (arrow). 34 5 Cholesterol Granuloma Cholesterol granuloma is a histologic term used to describe a foreign body, giant cell reaction to cholesterol crystals, and hemosiderin derived from ruptured erythrocytes.
Adhesive otitis media or grade IV atelectasis associated with a mild epitympanic retraction pocket. The thin and atrophic tympanic membrane completely covers the promontory. The tympanic membrane retraction has caused erosion of the long process of the incus with a subsequent spontaneous myringostapedopexy As the patient does not complain of hearing loss, surgery is not indicated. 17 Left ear. Grade IV atelectasis. The malleus is medialized and adherent to the promontory. The tympanic membrane is atrophic.
The tympanic membrane is repaired by an autologous temporalis fascia graft. We prefer the underlay technique in the majority of cases because it gives better results both anatomically and functionally. The overlay technique is used in selected cases when the anterior residue of the tympanic membrane is pathologic or absent. When properly performed, the overlay technique gives optimal results in these cases. Canalplasty is done whenever bony humps of the external canal are present that limit control of the perforation borders.