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Normal TM
• Malleus (short process and handle
• Cone of light• Incus• Pars tensa• The unbelievable
UMBO
Cerumen in canal• May advise parents to
soften first• May remove yourself
in office• At the VA: May
remove a lot of ear wax in the ER
Bullous Myringitis
• Large vesicles/bullae visible on the drum
• Landmarks obscured• Drum is reddened• Viral infection
characterized by painful hemorrhage
Traumatic Perforation
• Usually result from purulent infection of the middle ear
• Central perforation or marginal
Tympanostomy Tube
• Sometimes placed in children with series of ear infections
• Major goal: preventing conductive hearing loss may prevent delayed language development
• “Mom, the TV is so loud!”
Sinus Anatomy: Front View
•frontal sinus=black check
•maxillary sinus=red,
•anterior ethmoid sinuses=green
•posterior ethmoid sinuses= purple,
•sphenoid sinus=yellow
Sinus Anatomy: Side View
• frontal sinus=black check
• maxillary sinus=red, • anterior ethmoid
sinuses=green• posterior ethmoid
sinuses= purple,
• sphenoid sinus=yellow