By Mario Sanna, Alessandra Russo, Giuseppe De Donato, Antonio Caruso, Abdelkader Taibah
This exquisitely illustrated new version of Sanna's atlas offers the reader with uncomplicated and effective visible education within the evaluate and prognosis of ear canal and heart ear pathology as noticeable throughout the otoscope. Differential diagnostic issues are supplied, and instructions for constructing symptoms for surgical procedure are given besides. the place acceptable, correlative CTs are supplied; line drawings are used to boot to spot buildings visible within the otoscopic pictures. a unique bankruptcy concentrates at the post-surgical review of this quarter. For the recent variation, many new or stronger otoscopic images were extra. the place applicable, the pathology in the back of the otologic appearances were supplied within the kind of colour images from the operatrive situs.
Dr. Sanna is a part of The Grupppo Otologico, a world-renowned expert heart for the analysis and scientific and surgical procedure of ailments of the ear, cranium base, facial nerve, head and neck, and paranasal sinuses.
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Additional resources for Color atlas of otoscopy: from diagnosis to surgery
A polypoid mass infiltrates the tympanic membrane and partially fills the external auditory canal (see CT scan, Fig. 56 and MRI, Fig. 57). The patient was considered inoperable and was referred to radiotherapy. 56 The CT scan demonstrates marked infiltration of the nasopharynx, the pterygoid muscles, and the petrous apex. 57 25 MRI with gadolinium confirms the infiltration. Summary A carcinoma arising from the external auditory canal is frequently confused with suppurative otitis. Because of the high incidence of otitis externa and media and because these pathologies are frequently chronic, the diagnosis of carcinoma of the external auditory canal is almost always late.
Tympanosclerosis with intact drum. A large plaque is visible in the posterior quadrants of the tympanic membrane. The anterior quadrants are thinned and atrophic, allowing visualization of the tubal orifice. Chronic otitis media associated with tympanosclerosis represents a more complex anatomopathological entity. In cases with intact tympanic membrane, surgery is indicated in the presence of a significant air-bone gap, signifying ossicular chain affection. Should erosion or fixation of the ossicles be found, ossiculoplasty is performed.
Air bubbles can be seen in the anterior quadrants of the tympanic membrane. The patient is a 53-year-old woman who presented with a signs of right otitis media with effusion causing conductive hearing loss and ipsilateral paraesthesia of the maxillary and mandibular nerves, followed by episodes of trigeminal neuralgia and diplopia in the last few months. 9 MRI, sagittal view, confirms the intraand extracranial extension of the tumor. / the presence of a tumor (later proven to be a trigeminal neurinoma) with an intra- and extracranial extension.