OtoRhinoLaryngology Portal

The Leading Online Gallery of Otolaryngology and Head & Neck Surgery Specialty

OtoRhinoLaryngology Portal Video Collections @

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Adhesive Otitis Media

Adherent of eardrum onto middle ear surface or structures

(usually involving atrophic/thinned-out eardrum) in longstanding,

irreversible eustachian tube dysfunction.

 

Adherent of eardrum onto middle ear surface or structures

(usually involving atrophic/thinned-out eardrum) in longstanding,

irreversible eustachian tube dysfunction.

 

Adhesive otitis media in a patient with untreated severe septal deviation and allergic rhinitis.  Treatment is directed at the underlying causes and ventilating the middle ear by inserting medium to long-term grommet.

 Recurrent secretory otitis media with atelectasis after grommet extrusion.

Adhesive Otitis Media With An Intact Ossicular Chain

1 - lateral process of malleus, 2 - handle of malleus, 3 - long process of incus, 4 - stapedius tendon, arrow - incudostapedial joint, A - anterior, P - posterior.

Adhesive Otitis Media Resulting in Ossicular Resorption

Severe atelectatic and atrophic eardrum (pars tensa and pars flaccida) with resorption of the long process of incus.  The aetiology was untreated longstanding severe allergic rhinitis complicated by Eustachian tube dysfunction. 

M - malleus, arrow - head of stapes]

Missing long process of incus in longstanding severe adhesive otitis media.

[P -  Promontory, White arrow -  Chorda tympani nerve, Yellow arrow -  Facial nerve, red arrow -Capitulum of head of stapes]

Posterior Quadrant Atelectasis

 

 1 - Malleus, TM - Tympanic Membrane, A - Anterior, P - Posterior

Healed Eardrum Perforation with Severe Atelectasis

The appearance may mistakenly diagnosed as chronic suppurative otitis media in quiescent stage.  In reality, the atrophic healed segment of the perforated eardrum has completely draped the promontory and its proximity. 

 

Watch video of Eardrum Perforation or Atelectasis? @ YouTube 

Eardrum Perforation within an Atelectatic Segment

                            At rest.                                          On Valsalva manouevre.

 

Perforation (arrow) within an atelectatic eardrum in a patient with longstanding Eustachian tube dysfunction.

 

Watch video of hidden perforation within a collapsed (atelectatic) eardrum segment @ YouTube.

Attic Perforation with Scanty Pus, Keratin & Tenacious Mucous 

 

HIdden atttic perforation revealed after suctioning of the mucopus at attic area.  This is a classical presentation of secondary acquired cholesteatoma in unsafe type of chronic otitis media. 

 

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