OTOSCOPOTOSCOPYYby

Professor Dr Hassan Wahba

Ear, Nose & Throat Department

Faculty of Medicine

Ain Shams University

Anatomy

Congenital aural anomalies due to defects of the 1st pharyngeal arch

Preauricular sinus

Accessory auricle

Tags

Absent external auditory

canalAural atresia

Aural atresia

Hematoma Perichondritis Cauliflower auris

ear

Herpes Zoster Oticus (Ramsay-Hunt

Syndrome)

Pain + Facial paralysis + vesicles

Otoscope

examination of the ear

Proper technique

XNever examine patient while

standing

R

LTympanic membrane

Otoscopy (normal findings)

Hairs

Wax

Hump

KeratinBlood vessels

Collapsed external canal in old age

Removal of ear wax

Foreign Bodies

Bead

Bee

ChronicExternalOtitis

(skin maceration

& keratosis)

Acute External

Otitis (hyperemia &

edema)

TRAUMA

External canal clotExternal canal clot

HemotympanumHemotympanum

PerforationPerforation

Self-inflicted Self-inflicted perforationperforation

Otomycosis Otomycosis fungal ball wet-newspaper like

appearance

Diabetic Ear

necrosis & granulation

s on the floor of the

external auditory

canal

Neoplasms of the external auditory

canal & auricle

Exostosis Exostosis OsteomaOsteoma

CancerCancer

Rodent ulcerRodent ulcer

Acute Otitis Media

(hyperemia, bulging, perforation & finally

drainage)

OME

Otitis media with effusion (OME)

retracted tympanic membrane, fluid level, some air

bubbles, no perforation)

Tubes

GrommetGrommet GrommetGrommet

GrommetGrommet T-tubeT-tube

Sequelae of non-

resolvedotitis media

Retraction Retraction pocketpocket

TympanosclerosisTympanosclerosis

AtelectasisAtelectasis

Attic Attic erosionerosion

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

GlomusPulsating tinnitus & a red mass

behind an intact tympanic membran

e

Otoscopic examination in Otosclerosis:

Schwartze’s sign

(flamingo red)

Usual finding is a

normal tympanic

membrane

EAR NOSE & THROAT

by

Professor Dr Hassan Wahba

Professor of Ear, Nose and Throat

Faculty of Medicine Ain Shams University

1000 MCQs 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