ENT USA - Ear, Nose and Throat Ear Videos - Enternal Ear Canal, Glomus Tympanicum, Valsalva, Prolapse of Ear Canal, Ear Maggots.
Ear Videos - Valsalva and Tumors
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Ear Maggots :
  This is a very rare condition.  An insect (fly)         
which lodged in the patient's ear and laid eggs.  In the ear can be seen the dead parent insect along with six alive baby maggots.

Maggots Taken From the Ear CanalMaggots in the Ear CanalMaggots in the Ear Canal
 
 

 

 

Maggots in the Ear Canal

  


Valsalva :               

Valsalva is the forceful expiration of air with the patient's mouth and nose held shut.  When performed in this fashion, air will be forced into the middle ear cavity and help treat eustachian tube dysfunction.  The video below shows a patient with middle ear fluid performing a middle ear valsalva.  By forcing air into the middle ear, he is able to aerate the middle ear, elevate the eardrum and you can see air bubbles entering the middle ear.  
 
   

  • 1.  Right Eardrum With Chronic Serous Otitis MediaEardrum with a shallow attic retraction pocket and middle ear fluid. Click on piicture to see middle ear valsalva video. Click on arrows to advance pictures.
  • 1.  Right Eardrum With Chronic Serous Otitis Media - After Middle Ear ValsalvaClick on piicture to see middle ear valsalva video. Click on arrows to advance pictures.
  • 2.  Left  Eardrum With Chronic Serous Otitis MediaEardrum with a shallow attic retraction pocket and middle ear fluid. Click on piicture to see middle ear valsalva video.
  • 2.  Left  Eardrum With Chronic Serous Otitis Media - After Valsalva of Middle EarClick on piicture to see middle ear valsalva video.
  • 3.  Left Eardrum Retraction Pockets Eardrum with a shallow attic retraction pocket and a deep posterior superor retraction pocket. Click on piicture to see middle ear valsalva video.
  • 3. Left  Eardrum Retraction Pockets - After ValsalvaClick on piicture to see middle ear valsalva video.
  • 4.  Right Eardrum Retraction Pockets Eardrum with a shallow attic retraction pocket and a deep posterior Inferior retraction pocket. Click on piicture to see middle ear valsalva video.
  • 4.  Right Eardrum Retraction Pockets  - After Middle Ear ValsalvaClick on piicture to see middle ear valsalva video.
  • 5.  Right Eardrum With Chronic Serous Otitis MediaClick on piicture to see middle ear valsalva video.
  • 5.  Right Eardrum With Chronic Serous Otitis Media - After Middle Ear ValsalvaClick on piicture to see middle ear valsalva video.
  • 6.  Right Eardrum Retraction Pockets Eardrum with an attic retraction pocket and a myringostapediopexy. Click on piicture to see middle ear valsalva video.
  • 6.  Right Eardrum Retraction Pockets - After Middle Ear ValsalvaClick on piicture to see middle ear valsalva video.
  • 7.  Eardrum With A Small Posterior Inferior PerforationClick on piicture to see middle ear valsalva video.
  • 7.  Eardrum With A Small Posterior Inferior Perforation - After Middle Ear ValsalvaThe eardrum produced an audible hissing with valsalva. Click on piicture to see video and hear the hissing sound.

  
 
 

Glomus TympanicumGlomus Tumor of the Ear :   

A Glomus Tympanicum i
s a paraganglioma of the middle ear cavity.  It is a relatively rare, highly vascular tumor.  The tumor is locally invasive but can rarely metastasize (spread by the blood stream or lymphatic system).  It can also be multi-focal with separate tumors developing in other parts of the body.  

 
Patulous Eustachian TubePatulous Eustachian Tube :  

The eustachian tube is a passageway which extends from the back of the nose (nasopharynx) to the middle ear.  Its function is to let air into the middle ear.  It the eustachian tube is not working properly ear disease can occur.  The most common problem is that the tube is not letting enough air in.  This can lead to fluid in the ears (serous otitis media), retraction pocket formation and cholesteatoma formation.  This patient has the opposite problem, her eustachian tube is open too much (patulous eustachian tube).  The video shows her eardrum retracting each time she swallows.  She has symptoms of popping, pressure and some unsteadiness each time she swallows. This problem is usually associated with extreme weight loss.  One treatment for this condition is to place an ear tube in the eardrum.     


Patulous Eustachian Tube
Patulous Eustachian Tube :
 

This patient has a severe case of patulous eustachian tube.  The eardrum moves as the patient breaths.


Valsalva Eardrum PerforationValsalva with an Eardrum Perforation :  

This patient is a 42 year old male who complained of having a whistling out of his ear when he blew his nose.  On examination he had a very small pinhole perforation.  The eardrum was mobile and he could aerate his
middle ear with valsalva.  When he did this, the eardrum distended and a small perforation opened and a whistling could be heard as air escaped from the middle ear.  This is one of the few cases where an eardrum perforation was present and the eardrum was still mobile to changes in air pressure.          
 
 


Valsalva Bilateral Cholesteatomas :  

This video is of a patient with bilateral
cholesteatomas.  The patient can easily Valsalva both ears.  However, the eustachian tubes are almost patulous with middle ear negative pressure easily retracting the eardrums.        


Prolapse of Anterior Ear CanalProlapse of the Anterior Ear Canal :      

This is a very rare condition which is usually caused by trauma.  This case is in a 17 year old child who had a previous eardrum repair many years earlier.  The surgeon and the surgeon removed the
anterior part of the ear canal so he could see the anterior part of the eardrum.  He removed too much bone which resulted in the prolapse of the mandible's (jaw bone) condyle into the ear canal. 
 
 
   

  

  
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