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It has been suggested that bulging of the tympanic membrane is the best sign to differentiate AOM from OME, with a bulging of the membrane suggesting AOM rather than OME. [23] Viral otitis may result in blisters on the external side of the tympanic membrane, which is called bullous myringitis (myringa being Latin for "eardrum"). [24]
Tympanic membrane retraction describes a condition in which a part of the eardrum lies deeper within the ear than its normal position. The eardrum comprises two parts: the pars tensa , which is the main part of the eardrum, and the pars flaccida , which is a smaller part of the eardrum located above the pars tensa.
The absence of a cone of light does not necessarily signify an ear disorder, as it could be due to the slope of the tympanic membrane or the shape of the ear canal. [4] However, distortions in the cone of light can also be a sign of increased middle ear pressure or otitis media.
The diagnosis is made by the combination of symptoms and examination of the tympanic membrane for redness, bulging, and/or a middle ear effusion (collection of fluid within the middle ear). [5] Complications of otitis media include hearing loss, facial nerve paralysis, or extension of infection to surrounding anatomic structures, including: [24]
In the anatomy of humans and various other tetrapods, the eardrum, also called the tympanic membrane or myringa, is a thin, cone-shaped membrane that separates the external ear from the middle ear. Its function is to transmit changes in pressure of sound from the air to the ossicles inside the middle ear, and thence to the oval window in the ...
Whilst hearing loss is a common symptom in many diseases of the ear, for example in otosclerosis (abnormal bone growth in the ear), [3] the white, chalky patches on the tympanic membrane are fairly characteristic of tympanosclerosis. Cholesteatoma is similar in appearance but the whiteness is behind the tympanic membrane, rather than inside.
Granular myringitis is a long term condition in which there is inflammation of the tympanic membrane in the ear and formation of granulation tissue within the tympanic membrane. [1] It is a type of otitis externa. [2] Without treatment it can lead to narrowing of the ear canal. [1]
Evaluation for the cause of fever should be performed including signs of an infection such as a bulging tympanic membrane (otitis media), red pharynx, enlarged tonsils, enlarged cervical lymph nodes (streptococcal pharyngitis or infectious mononucleosis), and a widespread rash. [6]