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Author: admin | 04.10.2015 | Category: Homeopathic Treatment For Tinnitus

External Auditory Canal Otitis Externa Defenses include cerumen which acidifies the canal and suppresses bacterial growth.
External Auditory Canal Otitis Externa Cerumen prevents water from remaining in canal and causing maceration. External Auditory Canal Otitis Externa-Management Topical antibacterial drops such as Neomycin otic, polymyxin, Quinolone otic Otic steroid drops containing polymyxin-neomycin and a topical corticosteroid. External Auditory Canal Chronic Otitis Externa Duration of infection greater than four weeks, or greater than 4 episodes a year Risks: inadequate treatment of otitis externa, persistent trauma, inflammation or malignant otitis externa.
External Auditory Canal Malignant Otitis Externa Inflammation and damage of the bones and cartilage of the base of the skull Occurs primarily in immunocompromised Most common etiology is pseudomonas aeruginosa. External Auditory Canal Malignant Otitis Externa Need IV antibiotics Might need surgical debridement.
External Auditory Canal Cerumen Impaction Cerumen is produced by apocrine and sebaceous glands in external ear canal. External Auditory Canal Foreign body Can include toys, beads, nails, vegetables or insects. External Auditory Canal Foreign body- Management Irrigation is best provided the TM is not perforated Destroy insect with lidocaine or mineral oil.
Tympanic Membrane Bullous Myringitis Vesicles develop on the TM second to viral infections or bacterial infection Usually associated with middle-ear infection May extend into canal.
Middle Ear Acute Otitis Media Viral respiratory infections cause inflammation of ET When ET is blocked, fluid collects in the middle ear. One of the important benefits of an endoscope compared to the microscope is the wide-field view of the middle ear afforded by the location of the light source at the tip of the endoscope and the availability of angled lenses.
In many cases of pediatric ears even with small ear canals, a large incision or cut behind the ear can be avoided during tympanoplasty or cholesteatoma surgery.
The image below was taken using 3mm 0 degree, 14cm long endoscope placed through the left ear external auditory canal. The modern era of otoendoscopy was pioneered by Dennis Poe MD and endoscopic ear surgery (EES) has been the focus of Muaaz Tarabichi MD at the American Hospital in Dubai for over 20 years.

At the Massachusetts Eye and Ear Infirmary both pediatric and adult otologists perform endoscopic ear surgery in hundreds of children and adults with routine and complex middle ear disease.
BOTH microscopic and endoscopic ear surgery are complementary approaches that are used alone or together to ensure that our patients in Boston receive the best possible surgical outcomes. Our active program on EES at MEEI and Harvard Medical School is committed to 1) determining the clinical and radiologic indications for EES in children and adults, 2) understanding the surgical and audiologic outcomes following EES, 3) improving instrumentation for EES, 4) developing novel teaching tools to enhance the educational experience of residents, fellows, and surgeons in practice when learning EES, and 5) offering Harvard CME courses on endoscopic ear dissection. Middle ear procedures that employ a rigid endoscope for visualization may reduce the need to drill for enhanced exposure to the operative field.
The image below was taken using a 0 degree endoscope following the elevation of the tympanomeatal flap, revealing the left middle ear, the three ossicles (malleus or hammer, incus or anvil, and stapes or stirrup), the cochlea, the round window, and the facial nerve. The clinical indications for this powerful technique are currently evolving in the literature and the use of rigid endoscopes to perform ear surgery (rather than just to visualize the middle ear) is increasing and primed to expand as refined instrumentation and operative approaches become available. The preoperative audiogram showed a conductive hearing loss in both ears, worse in the left ear.
The right ear was found to have an otitis media with serous effusion and this was addressed with a myringotomy and tympanostomy tube placement in the office. Computed tomography (CT) scans of the left ear temporal bone revealed a soft tissue process involving Prussak's space and the epitympanum (attic).
The left ear axial CT scan below shows a soft tissue density of the epitympanum abutting the ossicular heads of the malleus and incus. The left ear coronal CT scan below shows a soft tissue density filling Prussak's space and extending into the attic. This patient elected to undergo a left ear transcanal endoscopic ear surgery (TEES or EES) with resection of an attic cholesteatoma. The incus and malleus head were removed in order to successfully resect the retraction pocket and cholesteatoma. Ear infection occurs mostly in summer months when people indulge in water related activities.
Conductive hearing loss URI symptoms Vomiting, diarrhea Fever TM bulging and erythematous with decreased or poor light reflex.

The panoramic view of the tympanic membrane (eardrum) provides the surgeon with a high definition view of the entire ear using a transcanal approach.
In contrast, the traditional otologic operating microscopes typically require larger portals (e.g.
1: 55 year old woman who presented with progressive left ear (aural) fullness and hearing loss. An attic retraction pocket is defined by the black arrows collecting keratinaceous debris, and represents a small cholesteatoma. The blue line represents sound detection in the left ear and the red line represents sound detection in the right ear. There is also erosion of the lateral wall of the epitympanum (or attic), a finding often seen in middle ear cholesteatoma. The tympanic membrane (eardrum) was reconstructed with a small perichondrium and cartilage graft taken from the conchal bowl. The most common causes are extreme cold conditions, excessive exposure to water through activities like swimming, scuba diving etc. In the case of infants, during bottle feeding sometimes allows fluid to collect in the throat near the Eustachian tube which connects the ear and the throat. When children are forced to drink milk it can enter the middle and external ear canal and cause inflammation.
When children suffer from sinusitis, cold or cough the infection travels to the ear as the microorganisms multiply and spread across the inner ear. Avoid exposure to cold and chill conditions such as rain and sudden change in temperature etc.
Consume liberal amounts of ginger, garlic and onion both internally and externally to get relief from ear ache.

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