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Tympanic cavity. Hemotympanum, or hematotympanum, refers to the presence of blood in the tympanic cavity of the middle ear. Hemotympanum is often the result of basilar skull fracture. [1] Hemotympanum refers to the presence of blood in the middle ear, which is the area behind the eardrum.
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.
If there is significant inflammation, the tympanic membrane may be partially obscured by an aural polyp. If there is less inflammation, the cholesteatoma may present the appearance of 'semolina' discharging from a defect in the tympanic membrane. The posterior and superior parts of the tympanic membrane are most commonly affected.
In about 10% of cases of otosclerosis, there is a redness of the promontory of the cochlea seen through the tympanic membrane due to prominent vascularity associated with an otospongiotic focus. [2] Be aware of the similar, Brown's sign. This is a red retro-tympanic bulge that blanches on pressure via pneumatic otoscopy.
Computerised tomography (CT) can be used to determine if disease is present in the middle ear. [12] 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 ...
Diagnosing bullous myringitis involves using an otoscope to spot distinctive white sack-like structures on the eardrum.Ear pain is the primary complaint. However, differentiating it from acute otitis media can be difficult, leading to early misdiagnosis.The rarity of bullous myringitis, especially compared to acute otitis media, can result in common misdiagnoses.
This damage causes local pain and hearing loss. Tympanic rupture during a dive can allow water into the middle ear, which can cause severe vertigo from caloric stimulation. This may cause nausea and vomiting underwater, which has a high risk of aspiration of vomit or water, with possibly fatal consequences. [1]
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]