By Metin Önerci (auth.)
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Extra info for Diagnosis in Otorhinolaryngology
Tympanic membrane perforation or bleeding into the middle ear may also be seen. Transverse fractures generally occur due to frontal or occipital trauma. Since the blow comes from anterior-posterior or posterior-anterior direction, the fracture line occurs at a right angle to the axis of the petrous bone and the fracture line starts from the foramen magnum or jugular foramen and extends to the middle ear. It frequently affects the facial nerve and inner ear. Hemotympanum may be associated with transverse fractures, but tympanic membrane perforation is not seen.
After extrusion, tympanosclerosis or membrane scarring may occur. 12 Right ear. Sheppard grommet ventilation tube, which was inserted due to otitis media with effusion 6 months earlier. The tympanic membrane looks normal. The ventilation tubes ventilate the middle ear. The appearance of the drum returns to normal after a while. 1 (a) Normal tympanic membrane. The short process of the malleus and malleus handle is seen. 2 Otitic barotrauma (hemotympanum). The tympanic membrane appears blue due to hemorrhagic fluid collected in the middle ear.
Short process of the malleus and malleus handle can be seen. Just above the short process, attic perforation is seen. Posterior to the malleus handle, the tympanic membrane is severely retracted and lies on the promontorium and incudostapedial joint. 5 Right ear. Central perforation with tympanosclerosis in the middle ear. 9 Correct instillation of ear drops. First, any debris or discharge in the external ear canal is cleaned. The auricle is pulled upward and backward. Subsequently, five to six drops (or more if needed) are introduced into the ear canal (help may be needed).