OTOSCOPY by Professor Dr Hassan Wahba Ear, Nose & Throat Department Faculty of Medicine Ain Shams University.

Slide 1 OTOSCOPY by Professor Dr Hassan Wahba Ear, Nose & Throat Department Faculty of Medicine Ain Shams University Slide 2 Anatomy Slide 3 Congenital aural anomalies due to defects of the 1st pharyngeal arch Preauricular sinus Accessory auricle Tags Absent external auditory canal Aural atresia Slide 4 Hematoma  Perichondritis  Cauliflower auris ear Slide 5 Herpes Zoster Oticus (Ramsay-Hunt Syndrome) Pain + Facial paralysis + vesicles Slide 6 Otoscope examination of the ear Slide 7 Proper technique Slide 8 X Never examine patient while standing Slide 9 R L Tympanic membrane Slide 10 Otoscopy (normal findings) Hairs Wax Hump Keratin Blood vessels Collapsed external canal in old age Slide 11 Removal of ear wax Slide 12 Foreign Bodies Bead Bee Slide 13 Chronic External Otitis (skin maceration & keratosis) Acute External Otitis (hyperemia & edema) Slide 14 TRAUMATRAUMA External canal clot Hemotympanum Perforation Self-inflicted perforation Slide 15 Otomycosis Otomycosis fungal ball wet-newspaper like appearance Slide 16 Diabetic Ear necrosis & granulations on the floor of the external auditory canal Slide 17 Neoplasms of the external auditory canal & auricle Exostosis Osteoma Cancer Rodent ulcer Slide 18 Acute Otitis Media (hyperemia, bulging, perforation & finally drainage) Slide 19 OMEOME Otitis media with effusion (OME) retracted tympanic membrane, fluid level, some air bubbles, no perforation) Slide 20 TubesTubesGrommetGrommet Grommet T-tube Slide 21 Sequelae of non- resolved otitis media Retraction pocket Tympanosclerosis Atelectasis Attic erosion Slide 22 Bullous Myringitis bullae on outer surface of tympanic membrane Slide 23 Perforation of the tympanic membrane (picture on the right) Slide 24 Tubotympanic otitis media (central perforation) Slide 25 Atticoantral otitis media (cholesteatoma)(marginal perforation) Slide 26 Cholesteatoma scanty offensive purulent aural discharge from an attic or posterosuperior marginal perforation with possible cranial or intracranial complications Slide 27 Mastoid abscess & fistula Slide 28 Aural polyp pedunculated middle ear mucosa or granulation tissue Slide 29 Glomus Pulsating tinnitus & a red mass behind an intact tympanic membrane Slide 30 Otoscopic examination in Otosclerosis: Schwartze’s sign (flamingo red) Usual finding is a normal tympanic membrane Slide 31 EAR NOSE & THROAT by Professor Dr Hassan Wahba Professor of Ear, Nose and Throat Faculty of Medicine Ain Shams University 1000 MCQ s in ENT by Professor Dr Hassan Wahba Professor of Ear, Nose and Throat Faculty of Medicine Ain Shams University Text and references to help the fourth year undergraduate student Slide 32