Curs de otoscopie

• Normal tympanic membrane of right ear:

1. Pars flaccida;
2. Short process of the malleus;
3. Handle (manubrium) of the malleus;
4. Umbo;
5. Supratubal recess;
6. Eustachian tube orifice (just to the right
of the light reflex);
7. Hypotympanic air cells;
8. Stapedius tendon;
c. Chorda tympani;
I. Incus;
P. Promontory;
o. Oval window;
R. Round window;
T. Tensor tympani;
A. Annulus.
• Structures of the right ear
after removal of the
tympanic membrane:
• f. Facial nerve bulge;
• j. incudostapedial joint.
• Hematoma of the auricle. Acute perichondritis of the auricle.
• Infected preauricular cyst. • Eczematoid reaction
• Furuncle of the external meatus • Fungal otitis externa.
• Multiple exostoses of the external canal.
• Bullous myringitis with • Chronic otitis media with perforation
hemorrhagic blebs, left ear. and sclerosis of upper TM.
• Peripheral tympanosclerosis with • Mastoiditis with subperiosteal abscess.
central neomembrane, left ear.
• Serous otitis media with air • Mucous otitis media.
bubbles and prominent
vascularity.
• Posterior and anterior shallow • Inactive adhesive otitis media,
retraction pockets, with serous effusion. with deep posterosuperior
retraction pocket and incus
 • Epitympanic cholesteatoma, left ear. CT
of epitympanic cholesteatoma.
• Note the density in the epitympanum
around the head of the malleus and
• Active adhesive otitis media with erosive blunting of the corner of the
aural polyp (granulation). upper bony canalwall (scutum).
• Glomus tumor of the lower left
middle ear.