Yellowish fluid filling the middle ear cavity.
Bulging eardrum with turbid middle ear effusion
complicating upper respiratory tract infection.
Thin straw-colured fluid filling middle ear cleft
with mild eardrum retraction.
Straw-coloured middle ear effusion.
Effusion with air bubbles.
A lesser effusion with air bubbles and significant eardrum retraction.
Blood-tinged effusion: consider barotrauma if no obvious source of infection.
Eardrum retraction, more horizontally aligned lateral process,
and distorted cone of light reflex.
Pronounced pars flaccida retraction and the lesser pars tensa with yellowish effusion seen.
Yellow middle ear effusion seen at upper segment of middle ear compartment.
Retracted tympanic membrane in resolving OME.
The normal cone of light is absent.
Watch video of OME @ YouTube
Watch video of OME with bubbling air @ YouTube
Watch video of air bubbles dispersion upon nose blowing @ YouTube
Watch video of serous otitis media @ YouTube
Video showing bluish middle ear fluid with transmitted pulsation.
Middle ear effusion may develop if the underlying aetiology not treated optimally.
A rounded atrophic area is seen over antero-inferior segment
where ventilation tube/grommet was previously inserted.
Figure 1 Figure 2
This eardrum is retracted involving both of its pars flaccida and pars tensa. There is middle ear effusion secondary to longstanding negative middle ear pressure.
Figure 1: Dull eardrum appearance with distorted cone of light reflex
Figure 2: An atrophic central pars tensa which draped onto the promontory
Gross cleft palate in an adult. Nasal regurgitation, bathing of Eustachian introitus with refluxate, and loss of tubal protection predispose to chronic Eustachian tube dysfunction, negative middle ear pressure, and glue ear formation.
Tenacious mucopus being sucked out from right nasopharyngeal Eustachian tube opening. This patient has pansinutitis and presented with irritable coughs of more than 4 weeks. Otoendoscopy revealed bilateral glue ear.
The similar tenacious mucopus from left nasopharyngeal Eustachian tube opening.
[Arrow - Eustachian tube opening, TT - torus tubarius, mp - mucopus]