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Otos

This document provides an overview of otoscopy and findings that may be observed during examination of the ear. It describes normal ear anatomy and various pathological conditions that can be seen, such as infections, tumors, trauma, and other disorders. Proper otoscopy technique is emphasized to safely and effectively evaluate the external ear canal and tympanic membrane. Key areas of the ear are labeled in diagrams and photos to illustrate normal findings and examples of common ear diseases.

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83 views32 pages

Otos

This document provides an overview of otoscopy and findings that may be observed during examination of the ear. It describes normal ear anatomy and various pathological conditions that can be seen, such as infections, tumors, trauma, and other disorders. Proper otoscopy technique is emphasized to safely and effectively evaluate the external ear canal and tympanic membrane. Key areas of the ear are labeled in diagrams and photos to illustrate normal findings and examples of common ear diseases.

Uploaded by

Nguyễn Thành
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PPT, PDF, TXT or read online on Scribd
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OTOSCOPY

by

Professor Dr
Hassan Wahba
Ear, Nose & Throat
Department

Faculty of Medicine
Ain Shams University
Anatomy
Accessory
Aural Tags
auricle
atresia

Preauricular
sinus

Absent
external
Aural auditory
atresia canal

Congenital aural anomalies


due to defects of the 1st
pharyngeal arch
Hematoma  Perichondritis  Cauliflower
auris ear
Herpes Zoster Oticus
(Ramsay-Hunt Syndrome)

Pain + Facial paralysis + vesicles


Otoscope
examination of the
ear
Proper technique
X
Never examine patient while standing
R

L
Tympanic
membrane
Hairs

Wax
Hump

Otoscopy (normal findings)


Keratin
Blood
vessels
Collapsed
external
canal in
old age
Removal of ear wax
Bead

Bee

Foreign Bodies
Acute
External
Otitis
(hyperemia
& edema)

Chronic
External
Otitis
(skin
maceration &
keratosis)
T Perforation

R
External canal clot A
Hemotympanum
U
M
A Self-inflicted
perforation
Otomycosis
fungal ball wet-newspaper like appearance
Diabetic
Ear
necrosis &
granulations
on the floor
of the
external
auditory canal
Cancer

Exostosis
Osteoma

Neoplasms of the
external auditory
canal & auricle Rodent ulcer
Acute Otitis
Media
(hyperemia, bulging,
perforation & finally drainage)
O
M
E
Otitis media with
effusion (OME)
retracted tympanic
membrane, fluid level,
some air bubbles, no
)perforation
Grommet T Grommet
u
b
e
s
T-tube
Grommet
Sequelae
of non-
resolved
otitis
Tympanosclerosis
Retraction
pocket
media

Attic
erosion

Atelectasis
Bullous
Myringitis
bullae on
outer
surface of
tympanic
membrane
Perforation of the tympanic
membrane (picture on the right)
Tubotympanic otitis
media
(central perforation)
Atticoantral otitis media (cholesteatoma)(marginal perforation)
Cholesteatoma
scanty offensive purulent aural discharge from an attic or
posterosuperior marginal perforation with possible cranial
or intracranial complications
Mastoid abscess
& fistula
Aural polyp
pedunculated middle ear mucosa
or granulation tissue
Glomus
Pulsating
tinnitus &
a red mass
behind an
intact
tympanic
membrane
Otoscopic examination in
Otosclerosis:
Schwartze’s sign
(flamingo red)

Usual finding
is a normal
tympanic
membrane
EAR NOSE
& THROAT
Text and by

references to Professor Dr Hassan Wahba


Professor of Ear, Nose and Throat
help the Faculty of Medicine Ain Shams University

fourth year MCQs 1000


undergraduate
student
in ENT by
Professor Dr Hassan Wahba
Professor of Ear, Nose and Throat
Faculty of Medicine
Ain Shams University

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