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Tympanic Membrane 
THE NORMAL TYMPANIC MEMBRANE 
THE NORMAL TYMPANIC MEMBRANE 
THE NORMAL TYMPANIC MEMBRANE 
TYMPANIC MEMBRANE: THE CONE OF LIGHT 
NORMAL TYMPANIC MEMBRANE: CHORDA TYMPANI NERVE 
NORMAL TYMPANIC MEMBRANE: OPTICAL ILLUSION Photographed via the external auditory canal
NORMAL TYMPANIC MEMBRANE: OPTICAL ILLUSION Photographed via a hole drilled perpendicularly to the plane of the tympanic membrane. 
PERFORATED TYMPANIC MEMBRANE: OPTICAL ILLUSION Photographed via the external auditory canal 
PERFORATED TYMPANIC MEMBRANE: OPTICAL ILLUSION Photographed via a hole drilled perpendicularly to the plane of the 
tympanic membrane. 
TYMPANIC MEMBRANE: SURFACE MIGRATION 
TYMPANIC MEMBRANE: KERATIN PATCHES 
STAINED KERATIN PATCHES: Osmiun Tetroxide
CONGENITAL EPIDERMAL INCLUSION CYST OF THE TYMPANIC MEMBRANE 
TM RIGHT 
Normal TM aa 
Normal TM aa2 
Picture of a central left tympanic membrane perforation. 
Picture of left tympanic membrane perforation
Picture of right inferior tympanic membrane perforation 
Tympanic Membrane 
Normal Tympanic Membrane 
Tympanic membrane perforation produces a copious mucus discharge. Note the stapes suprastructure. 
Otitis externa produces a scanty discharge 
Bulging tympanic membrane in a case of acute otitis media. 
Real ear probe tube mired in cerumen 
Web of desquamation occluding EAC
Atelectatic right tympanic membrane encasing ossicles 
Congenital malformation: right hypertrophic fused malleus / incus. 
Thirty year old unsuccessful stapedectomy wire prosthesis extruding through the left TM. 
Exostoses limiting CIC fitting potential 
Fenestration cavity with cerumen presents significant problems for impression- taking 
Benign neoplasm (keratoma) at the concha meatal junction to be marked on the ear impression
Normal Tympanic Membrane (AD), Adult (membrana tympani) 
Tympanic membrane or as it more commonly called the ear drum 
Norma l Tympanic Membrane (left) and 
Acute Otitis Media (right) 
Small mammal endoscopy 
Acute otitis media 
Otoscopic appearance of chronically perforated tympanic membrane
Normal tympanic membrane 
Congenital Cholesteatoma 
Normal appearance of the tympanic membrane 
Acute otitis media with effusion 
Acute otitis media 
Purulent middle ear effusion and tympanic membrane
Tympanic membrane (TM) as continuation of the upper wall of external auditory canal (EAC) with angle of incline up to 45 degrees on the border between middle ear and the EAC 
Tympanic Membrane perforation following blast injury 
Large central tympanic membrane defect, right side 
Otoscopic view of osteoma 
Otoscopic view of perforation of the tympanic membrane 
Otoscopic view of glomus tumor
Ulcerated Tympanic Membrane and Deep Canal Skin 
TYMPANIC MEMBRANE CRUST 
Normal Tympanic Membrane 
Atelectatic tympanic membrane with fluid level 
Tympanic membrane defect with calcification 
Posterior left tympanic membrane perforation
Surgical Picture of Tympanoplasty 
This normal left tympanic membrane is pearly gray and translucent, with a sharp light reflex and bony landmarks. 
Calculation of tympanic membrane areas (blue) and perforation (green) 
Atelectatic tympanic membrane with fluid level 
Atelectatic tympanic membrane with disrupted incudo-stapedial joint 
Crust on tympanic membrane
Eardrum perforation induced by blast 
Crust on tympanic membrane 
Partial cast of tympanic membrane 
Total cast of tympanic membrane 
Total cast of tympanic membrane 
Normal tympanic membrane
Acute otitis media 
Otitis media with effusion 
Otitis Media with Effusion 
Tympanostomy tube in eardrum 
Normal eardrum 
Acute middle-ear infection, aka, acute otitis media
Middle-ear effusion (fluid), aka otitis media with effusion 
Otitis Media 
Tympanic membrane with retraction pocket 
Traumatic Perforation of Tympanic Membrane 
TYMPANIC MEMBRANE PERFORATION: OPTICAL ILLUSION Photographed via the external auditory canal 
HEALED MODERATE TRAUMATIC PERFORATION: Slap Healed
TYMPANIC MEMBRANE PERFORATION: OPTICAL ILLUSION Photographed via a hole drilled perpendicularly to the plane of the tympanic membrane. 
SMALL TRAUMATIC PERFORATION (left ear) 
MODERATE TRAUMATIC PERFORATION: Slap 
SMALL TRAUMATIC PERFORATION: HEALED 
TRAUMATIC PERFORATION: DIRECT TRAUMA 
TRAUMATIC TYMPANIC PERFORATION: HEALING SERIES: DAY 4
TRAUMATIC TYMPANIC PERFORATION: HEALING SERIES: DAY 14 
TRAUMATIC TYMPANIC PERFORATION: HEALING SERIES: DAY 21 
TRAUMATIC TYMPANIC PERFORATION: HEALING SERIES: DAY 24 
TRAUMATIC PERFORATION: DIRECT TRAUMA 
HEALED TRAUMATIC PERFORATION: MIGRATING SCAB 
TRAUMATIC PERFORATION: HOT GREASE (1 month)
TRAUMATIC PERFORATION: DIRECT TRAUMA 
TRAUMATIC PERFORATION: EVERTED EDGE 
INFECTED TRAUMATIC PERFORATION: WATERSKIING ACCIDENT 
HEALED TRAUMATIC PERFORATION: NEW BLOOD VESSELS 
A Bulging Tympanic Membrane With Impaired Mobility is Diagnostic of Acute Otitis Media 
Middle Ear Effusion is Demonstrated Here by The Presence of Bubbles. An Effusion Must Be Present to Diagnose Acute Otitis Media or Otitis Media With Effusion
A Tympanic Membrane That Is Restricted as The One Shown Here, May Be Painful; However, It Is Unlikely to Be Caused By a Bacterial Infection 
The Normal Eardrum is In a Neutral Position and Is Transcluent 
Resolving Serous Otitis Media with air-fluid levels 
Serous Otitis Media 
Serous Otitis Media-prior to autoinflation 
Serous Otitis Media - air-fluid level
Serous Otitis Media-post autoinflation 
Nasopharyngeal Carcinoma Causing Serous Otitis Media 
SEROUS OTITIS MEDIA: BEFORE MYRINGOTOMY 
SEROUS OTITIS MEDIA: AFTER MYRINGOTOMY 
SEROUS OTITIS MEDIA: ENLARGED ADENOIDS 
SEROUS OTITIS MEDIA: BUBBLES
SEROUS OTITIS MEDIA: EXTRUDED REUTTER BOBBIN TUBE WITH COLLAR OF DRIED SEROUS TRANSUDATE 
Serous OM Old 2 
Serous B Before Autoinflation 
Severe Acute Diffuse Otitis Externa 
Acute Localized Otitis Externa [Furuncle]
Acute Localized Otitis Externa [Furuncle] 
Acute Diffuse Otitis Externa [swimmer's ear]

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Tympanic membrane dr. fadil

  • 1. Tympanic Membrane THE NORMAL TYMPANIC MEMBRANE THE NORMAL TYMPANIC MEMBRANE THE NORMAL TYMPANIC MEMBRANE TYMPANIC MEMBRANE: THE CONE OF LIGHT NORMAL TYMPANIC MEMBRANE: CHORDA TYMPANI NERVE NORMAL TYMPANIC MEMBRANE: OPTICAL ILLUSION Photographed via the external auditory canal
  • 2. NORMAL TYMPANIC MEMBRANE: OPTICAL ILLUSION Photographed via a hole drilled perpendicularly to the plane of the tympanic membrane. PERFORATED TYMPANIC MEMBRANE: OPTICAL ILLUSION Photographed via the external auditory canal PERFORATED TYMPANIC MEMBRANE: OPTICAL ILLUSION Photographed via a hole drilled perpendicularly to the plane of the tympanic membrane. TYMPANIC MEMBRANE: SURFACE MIGRATION TYMPANIC MEMBRANE: KERATIN PATCHES STAINED KERATIN PATCHES: Osmiun Tetroxide
  • 3. CONGENITAL EPIDERMAL INCLUSION CYST OF THE TYMPANIC MEMBRANE TM RIGHT Normal TM aa Normal TM aa2 Picture of a central left tympanic membrane perforation. Picture of left tympanic membrane perforation
  • 4. Picture of right inferior tympanic membrane perforation Tympanic Membrane Normal Tympanic Membrane Tympanic membrane perforation produces a copious mucus discharge. Note the stapes suprastructure. Otitis externa produces a scanty discharge Bulging tympanic membrane in a case of acute otitis media. Real ear probe tube mired in cerumen Web of desquamation occluding EAC
  • 5. Atelectatic right tympanic membrane encasing ossicles Congenital malformation: right hypertrophic fused malleus / incus. Thirty year old unsuccessful stapedectomy wire prosthesis extruding through the left TM. Exostoses limiting CIC fitting potential Fenestration cavity with cerumen presents significant problems for impression- taking Benign neoplasm (keratoma) at the concha meatal junction to be marked on the ear impression
  • 6. Normal Tympanic Membrane (AD), Adult (membrana tympani) Tympanic membrane or as it more commonly called the ear drum Norma l Tympanic Membrane (left) and Acute Otitis Media (right) Small mammal endoscopy Acute otitis media Otoscopic appearance of chronically perforated tympanic membrane
  • 7. Normal tympanic membrane Congenital Cholesteatoma Normal appearance of the tympanic membrane Acute otitis media with effusion Acute otitis media Purulent middle ear effusion and tympanic membrane
  • 8. Tympanic membrane (TM) as continuation of the upper wall of external auditory canal (EAC) with angle of incline up to 45 degrees on the border between middle ear and the EAC Tympanic Membrane perforation following blast injury Large central tympanic membrane defect, right side Otoscopic view of osteoma Otoscopic view of perforation of the tympanic membrane Otoscopic view of glomus tumor
  • 9. Ulcerated Tympanic Membrane and Deep Canal Skin TYMPANIC MEMBRANE CRUST Normal Tympanic Membrane Atelectatic tympanic membrane with fluid level Tympanic membrane defect with calcification Posterior left tympanic membrane perforation
  • 10. Surgical Picture of Tympanoplasty This normal left tympanic membrane is pearly gray and translucent, with a sharp light reflex and bony landmarks. Calculation of tympanic membrane areas (blue) and perforation (green) Atelectatic tympanic membrane with fluid level Atelectatic tympanic membrane with disrupted incudo-stapedial joint Crust on tympanic membrane
  • 11. Eardrum perforation induced by blast Crust on tympanic membrane Partial cast of tympanic membrane Total cast of tympanic membrane Total cast of tympanic membrane Normal tympanic membrane
  • 12. Acute otitis media Otitis media with effusion Otitis Media with Effusion Tympanostomy tube in eardrum Normal eardrum Acute middle-ear infection, aka, acute otitis media
  • 13. Middle-ear effusion (fluid), aka otitis media with effusion Otitis Media Tympanic membrane with retraction pocket Traumatic Perforation of Tympanic Membrane TYMPANIC MEMBRANE PERFORATION: OPTICAL ILLUSION Photographed via the external auditory canal HEALED MODERATE TRAUMATIC PERFORATION: Slap Healed
  • 14. TYMPANIC MEMBRANE PERFORATION: OPTICAL ILLUSION Photographed via a hole drilled perpendicularly to the plane of the tympanic membrane. SMALL TRAUMATIC PERFORATION (left ear) MODERATE TRAUMATIC PERFORATION: Slap SMALL TRAUMATIC PERFORATION: HEALED TRAUMATIC PERFORATION: DIRECT TRAUMA TRAUMATIC TYMPANIC PERFORATION: HEALING SERIES: DAY 4
  • 15. TRAUMATIC TYMPANIC PERFORATION: HEALING SERIES: DAY 14 TRAUMATIC TYMPANIC PERFORATION: HEALING SERIES: DAY 21 TRAUMATIC TYMPANIC PERFORATION: HEALING SERIES: DAY 24 TRAUMATIC PERFORATION: DIRECT TRAUMA HEALED TRAUMATIC PERFORATION: MIGRATING SCAB TRAUMATIC PERFORATION: HOT GREASE (1 month)
  • 16. TRAUMATIC PERFORATION: DIRECT TRAUMA TRAUMATIC PERFORATION: EVERTED EDGE INFECTED TRAUMATIC PERFORATION: WATERSKIING ACCIDENT HEALED TRAUMATIC PERFORATION: NEW BLOOD VESSELS A Bulging Tympanic Membrane With Impaired Mobility is Diagnostic of Acute Otitis Media Middle Ear Effusion is Demonstrated Here by The Presence of Bubbles. An Effusion Must Be Present to Diagnose Acute Otitis Media or Otitis Media With Effusion
  • 17. A Tympanic Membrane That Is Restricted as The One Shown Here, May Be Painful; However, It Is Unlikely to Be Caused By a Bacterial Infection The Normal Eardrum is In a Neutral Position and Is Transcluent Resolving Serous Otitis Media with air-fluid levels Serous Otitis Media Serous Otitis Media-prior to autoinflation Serous Otitis Media - air-fluid level
  • 18. Serous Otitis Media-post autoinflation Nasopharyngeal Carcinoma Causing Serous Otitis Media SEROUS OTITIS MEDIA: BEFORE MYRINGOTOMY SEROUS OTITIS MEDIA: AFTER MYRINGOTOMY SEROUS OTITIS MEDIA: ENLARGED ADENOIDS SEROUS OTITIS MEDIA: BUBBLES
  • 19. SEROUS OTITIS MEDIA: EXTRUDED REUTTER BOBBIN TUBE WITH COLLAR OF DRIED SEROUS TRANSUDATE Serous OM Old 2 Serous B Before Autoinflation Severe Acute Diffuse Otitis Externa Acute Localized Otitis Externa [Furuncle]
  • 20. Acute Localized Otitis Externa [Furuncle] Acute Diffuse Otitis Externa [swimmer's ear]