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Trauma in the outer and middle Obstruction in the outer ear

ear (foreign body, earwax)


(load noise, punctured TM,etc.)

Infection in the middle ear Infection in the outer ear


(otitis media) (otitis externa)

Infiltration of immune and Neutrophils Macrophages


bacterial cell in the middle ear releases destroys old
enzyme to and dead
destroy the neutrophils
Effusion in Pus formation
bacteria
the middle due to
phagocytized
ear
bacteria Swelling due to
Purulent
inflammation
discharges

Increased pressure in the


tympanic membrane Blockage in EAC

Perforation of the Stiffens and obstruct the otalgia


tympanic membrane visualization of the ossicles Sound waves unable to
reach tympanic membrane
tympanic membrane
unable to properly send
vibrations to the ossicles

Sound waves unable to


reach the cochlea

CONDUCTIVE HEARING LOSS

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