Audiology Forum: VIDEO OTOSCOPY; Roy F. Sullivan, Ph.D.

	Audiology Forum: VIDEO OTOSCOPY *SESSIONS TO DATE!*	...OTHER WEBSITES... Sullivan & Sullivan, Inc. Antique_Hearing_Devices Jazz Tunes

Roy F. Sullivan, Ph.D
Sullivan and Sullivan, Inc.: Garden City, NY
Roy F. Sullivan, Ph.D. and Carol A. Sullivan, M.S., Inc.

DISCLAIMER

The material on these pages has been composed for viewing audiologists who are solely responsible for the audiological care of their own patients and are strongly urged to maintain close liaison with the ENT and primary care physicians who provide medical care to these individuals in their own community. All queries of a medical nature must be directed to these physicians. The author accepts no direct or implied responsibility for the application of information contained herein.

COPYRIGHT NOTICE

Images or text [© 1995 - 2006 Roy F. Sullivan, Ph.D.] may NOT be reproduced for publication or commercial purposes without written permission of the author. Image and text pages contain copyright watermarks in source code.

FEATURED CONTENT

TOP PINNA / CONCHA HEARING AID
MORPHOLOGY

FEATURED CONTENT EXTERNAL CANAL VO SYSTEMS

REFERENCES TYM. MEM. / MID. EAR MOTION VO
ACKNOWLEDGEMENTS
INTRODUCTION NEWS HISTORIC
OTOSCOPY SURVEY

1024 X 768
INDEX FRAME VIEWING
FAQ VO FORUM
CONTRIBUTED CASES
BOTTOM

HISTORIC OTOSCOPY: IMAGES

GRUBER, 1870, 1888

BRUHL & POLITZER, 1898, 1902

AURAL ATLAS by KOPETSKY, Et al., 1946;

POLYAK, McHUGH & JUDD, 1944: SONOTONE's HUMAN EAR IN ANATOMICAL TRANSPARENCIES (Part I Transparencies)

VO FORUM CASE CONTRIBUTIONS
Edited by Roy F. Sullivan, Ph.D., FAAA

Contributed cases by
Armed Forces Institute of Pathology,
Washington, D.C.
Patrick Aïdan, M.D.;
Hôpital Beaujon; Clichy, France
Frank J. DeMento, M.D.; Garden City, NY
Richard W. Harris, Ph.D., FAAA;
Brigham Young U.: Provo, UT
Kevin C. Pons, M.A., FAAA;
Yankton Medical Clinic; Yankton, SD.
Vladimir Zlinsky, M.D.
ORL Clinic, Czech Republic

NEW 06/01/01:
VO Images from the Czech Republic
Spontaneous rupture of TM / nose-blowing

ARTICLES ON-LINE
by Roy F. Sullivan, Ph.D.

SEARCHING FOR INFORMATION ON THE WORLD WIDE WEB.

This on-line article is an updated version of a course presentation at the American Academy of Audiology convention, Los Angeles, April 3, 1998. It was originally published in HEARING JOURNAL; Volume 51, No. 6, June, 1998, pp. 34-39.

"VIDEO OTOSCOPY IN AUDIOLOGIC PRACTICE"

A variable split-frame presentation of the 1997 JAAA article with all original color illustrations replacing B&W figures in the print version. This article appeared in JOURNAL AMERICAN ACADEMY OF AUDIOLOGY, Volume 8, #6, December, 1997 pp. 447-467.

NEW A MARGINALLY USEFUL EXCITE TEXT-BASED SEARCH ENGINE FOR THE ENTIRE VIDEO OTOSCOPY WEBSITE.

NEW GOOGLE SEARCH ON "VIDEO OTOSCOPY" produces more than 800 references.

For access to a multiple search engine matrix, visit the REFERENCES PAGE

NEW Video otoscopes now found in 59% of dispensing offices. [Hearing Review, June, 2001]

NEW Navigation sidebar for screens with the recommended 1024 X 768 resolution.

Click here for more
REFERENCES

A comprehensive, high level graphic, photographic and text exposition by Mark Levenson, M.D. on otic conditions requiring surgery. While designed for the consumer, it bears significant merit for the non-ENT hearing health professional. Worthy of detailed inquiry. Ear Surgery Information Center: www.earsurgery.org.

Highly recommended graphic tutorial on auditory neuroanatomy by J. Sundstrom, Ph.D. and K. Mulligan, Ph.D.;University of Washington. Neuroanatomy Interactive Syllabus; Chapter 7: Auditory System.

See also the auditory anatomy tutorial EAR WORKS from the Department of Neurophysiology of the University of Wisconsin.

Excellent Internet resource comparing video capture cards, updated May, 2001: http://www.videoguys.com/roundup.htm.

Ear structure and function; CT appearance. A tutorial for technologists created in 1988, and updated since that time, from South Bank University, U.K. http://www.sbu.ac.uk/~dirt/museum/ear_ct.html .

Summary description of Alaska Native Health Board / Alaska Telemedicine Test Project on video otoscopy equipment. Complete (82 page) report is available in .pdf (Adobe Acrobat) format. Dated January, 1999, the latest digital VO technology is not represented. http://www.appliedsci.uaa.alaska.edu/nlm/video.html

Online pneumatic otoscopy review course from the University of Colorado Health Sciences Center Department of Pediatrics http://www.aap.org/otitismedia/www/vc/ear/rvw/rvw1.cfm

Excellent basic French/English site on otic anatomy from the University of Montpelier, France: "Promenade 'round the cochlea". http://www.iurc.montp.inserm.fr/cric/audition/english/start.htm

	FEATURED CONTENT	EXTERNAL CANAL	VO SYSTEMS
	TOP	PINNA / CONCHA	HEARING AID MORPHOLOGY
	REFERENCES	TYM. MEM. / MID. EAR	MOTION VO
ACKNOWLEDGEMENTS INTRODUCTION	NEWS	HISTORIC OTOSCOPY	SURVEY
1024 X 768 INDEX FRAME	VIEWING FAQ	VO FORUM CONTRIBUTED CASES	BOTTOM

PINNA / CONCHA:GRAPHIC TUTORIAL

ACQUIRED ANOMALIES
- Birth Trauma
  - Disparate pinnae/conchae AS/AD w/ binaural CIC fitting; Hx cranial forceps delivery.(27k)
  - Chondral deformity AD pinna / concha; 56yr F.; hx right facial forceps birth trauma with hematoma.(26k)
- Keloids
  - (A) Keloid, sup. AD pinna (college boxing); (B) AS unaffected.
  - Extensive keloid AS. (17k) Courtesy of the Armed Forces Institute of Pathology
  - Keloids and collapsed canal (sport wrestling), AD.(26k)
  - Keloids, AD (sport boxing in military)(15k)
- Other
  - Atraumatic bifid lobule...CASE STUDY (BARB1011)(26k)
CONGENITAL ANOMALIES (Web Refs.: 1 )
- Microtia / Anotia / Atresia (Web Refs.: 1 2 3 4 )
  - Surgically reduced preauricular appendages in a 21 year old female patient with severe, bilateral SNHL [q.v. sister, case below](16k)
  - Type II microtia-atresia AD with unilateral anacusis; AS unaffected, 19 year old female [q.v sister, case above](18k)
- Preauricular Sinus (Ear Pits) (q.v. Web Refs.)
  - Preauricular sinus, AS (23k)
  - Congenital auricular sinus(16k) Courtesy of the Armed Forces Institute of Pathology
  - Infected congenital auricular sinus(19k) Courtesy of the Armed Forces Institute of Pathology
- Down Syndrome
  - Cupped pinna deformity AD/AS; 39y F patient with Down syndrome(23k)
  - AD, 52y M patient with Down syndrome(20k)
- Other
  - Congenital auricular deformity(11k) Courtesy of the Armed Forces Institute of Pathology
  - Congenital pinna deformity 28yr. M. AD (25k) combined with hypertrophic, fused malleus/incus(20k) CASE STUDY (PRYB0713)
CONDITIONS REQUIRING HEARING AID MORPHOLOGY MODIFICATIONS
ECZEMATOUS CONDITIONS
- Chronic eczema, canal-aided AD(15k)
- Eczema erythematosum, AS pinna(23k)
NEOPLASMS
- Carcinoma
  - Basal Cell (epithelioma)
    - Basal cell carcinoma, neglected, in aided ear.....CASE STUDY (FUSL1002)
    - Basal cell carcinoma 5X5mm AD sup. helix.(19k)
    - Basal cell epithelioma (carcinoma) AD(22k) Courtesy of Frank J. Demento, M.D., Garden City, NY
    - Recurrent actinic basal cell carcinoma, 5 years post-cauterization(22k)
    - Multiple basal cell carcinomas of pinna and concha, AD(18k) Courtesy of Frank J. Demento, M.D., Garden City, NY
    - Post-auricular nodulocystic basal cell epithelioma (carcinoma)(11k) Courtesy of Frank J. Demento, M.D., Garden City, NY
    - Advanced, untreated basal cell carcinoma, 50+ yr. F. patient(18k) Courtesy of Frank J. Demento, M.D., Garden City, NY
    - Basal cell carcinoma of lobule, AS(15k) Courtesy of Frank J. Demento, M.D., Garden City, NY
    - Post auricular site, basal cell carcinoma, AS(17k) Courtesy of Frank J. Demento, M.D., Garden City, NY
  - Melanoma
    - CASE STUDY (RANR0722): Early melanoma of AD concha identified during routine hearing aid service visit
    - Lentigo maligna melanoma; lower pinna swabbed w/ Betadine.(15k) Courtesy of Frank J. Demento, M.D., Garden City, NY
  - Sarcoma
    - Kaposi's sarcoma (18k) Courtesy of the Armed Forces Institute of Pathology
  - Squamous Cell
    - Squamous cell carcinoma, pre-treatment, pre-CIC fitting, AS.(17k)
- Chondrodermatitis Nodularis Helicis (CNH) (REFERENCES: 1 2 3
  - Chondrodermatitis nodularis helicis, AS (25k) Courtesy of the Armed Forces Institute of Pathology
  - Chondrodermatitis nodularis helicis, AD(19k).....CASE STUDY (WARR0815).
  - Chondrodermatitis nodularis helicis, AD(13k) Courtesy of Frank J. Demento, M.D., Garden City, NY
  - Chondrodermatitis nodularis helicis, AS(26k) Courtesy of Frank J. Demento, M.D., Garden City, NY
  - Chondrodermatitis nodularis helicis, AS(10k) Courtesy of Frank J. Demento, M.D., Garden City, NY
  - Chondrodermatitis nodularis helicis, AS(11k) Courtesy of Frank J. Demento, M.D., Garden City, NY
- Keratosis
  - Actinic
    - Actinic keratosis on sup. helix, AS(24k)
    - Multiple actinic keratoses with cutaneous horns on pinna, 92-96Y Male patient, AS(39k)
  - Seborrheic
    - Pre-auricular seborrheic keratosis; 88y M, aided AS. (25k)
    - Darier's disease: seborrheic hyperkeratoses, an autosomal recessive hereditary condition. (A) Unaided (B) Aided. (18k)
    - Pre-auricular seborrheic keratosis, AD. (33k)
- Keratoacanthoma
  - Keratoacanthoma of the right concha....CASE STUDY (PONSKER)Courtesy of Kevin C. Pons, M.A., FAAA; ENT Department, Yankton Medical Clinic; Yankton, SD
  - Keratoacanthoma, posterior helix AS(10k) Courtesy of Frank J. Demento, M.D., Garden City, NY
  - Keratoacanthoma, post-auricular site, AS(23k) Courtesy of Frank J. Demento, M.D., Garden City, NY
  - Keratoacanthoma, Posterior superior helix, AD(17k) Courtesy of Frank J. Demento, M.D., Garden City, NY
- Nevi
  - Intradermal nevus of the tragus, AS CASE STUDY (PONS0498). Courtesy of Kevin C. Pons, M.A., FAAA, Yankton, SD
  - Intradermal nevus with hair, AS incisura intertragica CASE STUDY (LATL0118). (25k)
- Other
  - Keratoma / inclusion cyst (3.5mm) medial to concha-meatal junction(28k)
  - Epidermal tag, AD lobule(23k)
  - Skin tag (acrochordon) on posterior helix.(23k)
  - Gouty tophus, AD(26k)
  - Gouty tophi, elderly M., AS (23k) Courtesy of the Armed Forces Institute of Pathology
  - Benign angiomatous nodule (Benign lymphoid angioplasia) F., AS (17k) Courtesy of the Armed Forces Institute of Pathology
  - Inflammatory polyp, F. child AS (17k) Courtesy of the Armed Forces Institute of Pathology
  - Pyogenic granuloma, AD.(12k) Courtesy of Frank J. Demento, M.D., Garden City, NY
  - Post-auricular epidermal inclusion cyst, AS (19k) Courtesy of the Armed Forces Institute of Pathology
  - Sebaceous adenoma AD (20k) Courtesy of the Armed Forces Institute of Pathology
SURGICAL ARTIFACTS
- Dual pinna / conchal resections for basal cell carcinoma, AD.(13k)
- Childhood simple mastoidectomy AS, 80Y F. A. Mastoid bowl; B. Mastoid bowl CU; C. AS TM w/ ant. monomeric scar; D) PTA AC/BC; E) AS Tympanogram
- Post-auricular mastoid bowl defect after simple mastoidectomy. Seborrheic residue accumulates because of positive fistula sign (vertigo) experienced when self-care hygiene is attempted.(17k)
- Auricular / mandibular / parotid resection for basal cell, squamous cell and melanoma malignancies(20k)
- Post-auricular simple mastoidectomy bowl / scar, AS (17k)
- Graft at site of excised conchal lesion in ITE-aided ear(28k)
- Mastoid surgical defect from canal approach removal of vestibular schwannoma(21k)
TMJ / AURICULO-FACIAL MUSCLE EFFECTS
VENOUS LAKE
- Venous lake of concha, CASE 1(20k)
- Venous lake of concha, blanched, CASE 2(18k)
OTHER
- Adverse dermatological reaction to costume jewelry earrings, 81Y F. patient. (34k)
- Malignant external otitis, elderly diabetic F., AS (28k) Courtesy of the Armed Forces Institute of Pathology
- Traumatic hematoma of the pinna (10k) Courtesy of the Armed Forces Institute of Pathology
- Chronic trauma, AS pinna (cauliflower ear) (28k) Courtesy of the Armed Forces Institute of Pathology
- Ear staples "for weight control": 1. AD (10k); 2. AS (10k); 3. CU X 1 (8k); 4. CU X 2 (7k); 5. CU X 3 (6k)
- Collapsed canal at concha-meatal junction, AS(13k).....CASE STUDY (GUTL0420).
- Impetigo of the lobule, AD......CASE STUDY (PFER0201).(26k)
- Relapsing polychondritis of pinna(16k) Courtesy of the Armed Forces Institute of Pathology

AURICULAR ANATOMY QUIZ

This is a ten question multiple choice quiz based on the material in the PINNA/CONCHA
section, above. Online anonymous scoring feedback is provided to the quiz-taker.

	FEATURED CONTENT	EXTERNAL CANAL	VO SYSTEMS
	TOP	PINNA / CONCHA	HEARING AID MORPHOLOGY
	REFERENCES	TYM. MEM. / MID. EAR	MOTION VO
ACKNOWLEDGEMENTS INTRODUCTION	NEWS	HISTORIC OTOSCOPY	SURVEY
1024 X 768 INDEX FRAME	VIEWING FAQ	VO FORUM CONTRIBUTED CASES	BOTTOM

EXTERNAL AUDITORY CANAL

CERUMEN
EXOSTOSES
OTITIS EXTERNA (References: 1 2 3 )
DESQUAMATION
- (A) +3 desquamation AD; (B) status immediately post-removal by ENT(16k)
- Desquamation web inhibits hearing aid insertion...CASE STUDY (BYU1) Courtesy of Richard W. Harris, Ph.D., Brigham Young University; Provo, UT.
- Occlusive (+3) desquamation web A(26k)
- Occlusive (+3) desquamation web B(16k)
- Pseudomembrane of dequamation AD (+2) left post cerumenectomy lavage(13k)
- Non-occlusive (+2) desquamation (20k)
- Normal lateral migration of squamous epithelium in EAC(22k)
- "Rug" of migrating desquamation on floor of EAC(12k)
FOREIGN BODIES / EXOGENOUS RESIDUE Text excerpt: Foreign bodies in the ear, 1896
- Insect (ant) in EAM, AD Courtesy of Vladimir Zlinsky, M.D., ORL Clinic, Czech Republic.
- Foreign body: insect on canal wall(27k)
- Foreign body: insect on TM(11k)
  OTHER
- Beach sand granules with exostoses, AS (14k)
- Glass shard near TM...CASE STUDY (BYU2) Courtesy of Richard W. Harris, Ph.D., Brigham Young University; Provo, UT.
- A312 battery tag in canal-aided ear.(43k)
- Foreign body: "Scotch" tape from hearing aid self-repair.(18k)
- Foreign body: Piece of EAR plug 1 year after the rock concert(12k)
- Source of CIC obstruction: shampoo, AS(17k)
- Residual cerumenolytic, AS(17k)
- Residue of otic susp. for ot. ext. treatment, AS(14k)
- Residual cotton fibers from self-use of cotton swab (1), AD(17k)
- Residual head of self-applied cotton swab (1), AD(24k)
- Residual head of self-applied cotton swab (2), AD(24k)
- Residual cotton fibers from self-cerumenectomy, AD(16k)
POST-CERUMENECTOMY STATUS
CONDITIONS REQUIRING HEARING AID MORPHOLOGY MODIFICATIONS
NEOPLASMS
- Keratoma / Inclusion Cyst
- Benign mixoid neurofibroma
  - Hyperaemic mass in the post/sup EAM 42yF...CASE STUDY (PONSMASS) Courtesy of Kevin C. Pons, M.A., FAAA; ENT Department, Yankton Medical Clinic; Yankton, SD
TMJ EFFECTS
- TMJ impact on EAC A-P dimension, AD.(23k)
- TMJ movement effect on ant. canal wall[Motion VOM]
OTHER
IATROGENIC ANOMALIES
- Collapsing canal at aperture due to fat graft canal plasty after past-auricular removal of 2 cm. vestibular schwannoma. A) Macroscopic (VOM) view B)Endoscopic (VOE) view.(19k)

	FEATURED CONTENT	EXTERNAL CANAL	VO SYSTEMS
	TOP	PINNA / CONCHA	HEARING AID MORPHOLOGY
	REFERENCES	TYM. MEM. / MID. EAR	MOTION VO
ACKNOWLEDGEMENTS INTRODUCTION	NEWS	HISTORIC OTOSCOPY	SURVEY
1024 X 768 INDEX FRAME	VIEWING FAQ	VO FORUM CONTRIBUTED CASES	BOTTOM

TYMPANIC MEMBRANE / MIDDLE EAR

CHOLESTEATOMA (References: 1 )
- Acquired cholesteatoma secondary to temporal bone fracture...CASE STUDY (PONSFX) Courtesy of Kevin C. Pons, M.A., FAAA; ENT Department, Yankton Medical Clinic; Yankton, SD
- Mural cholesteatoma in 13 year old female patient...CASE STUDY (PONSMUR) Courtesy of Kevin C. Pons, M.A., FAAA; ENT Department, Yankton Medical Clinic; Yankton, SD
- Primary cholesteatoma in 16 month old M. infant...CASE STUDY (PONS1) Courtesy of Kevin C. Pons, M.A., FAAA; ENT Department, Yankton Medical Clinic; Yankton, SD
- Cholesteatoma Courtesy of Vladimir Zlinsky, M.D., ORL Clinic, Czech Republic.
- Acquired cholesteatoma...CASE STUDY (AIDAN1) Courtesy of Patrick Aïdan, M.D., Hôpital Beaujon; Clichy, France

EUSTACHIAN TUBE (FUNCTION) (References: 1 )
- Patulous Eustachian tube effect at TM[Motion VOE]
- Observable source of "click" tinnitus during nasal inhalation; absent manubrium mallei.(25k)
- Valsalva maneuver at the TM[Motion VOE]
- Tympanometry effect at the TM[Motion VOE/M]

OTITIS MEDIA (References: 1 )
- Serous OM (Secretory)
  - Acute SOM AS 4.5Y M., air pocket margins noted in effusion
  - Acute SOM, bilateral, 4Y. M.; distorted light reflex; TM color; flat tympanograms.(17k)
  - OM secretory, AD Courtesy of Vladimir Zlinsky, M.D., ORL Clinic, Czech Republic.
  - OM secretory, AS Courtesy of Vladimir Zlinsky, M.D., ORL Clinic, Czech Republic.
  - OM secretory, AD Courtesy of Vladimir Zlinsky, M.D., ORL Clinic, Czech Republic.
- Aerotitis
  - Intralaminar TM hemorrhage secondary to acute aerotitis 1, 2 and 4 weeks post-onset, AS(21k)
- Purulent OM
  - Pulsatile purulent middle ear effusion[Motion VOE]
  - Otitis media, acute (1) AD Courtesy of Vladimir Zlinsky, M.D., ORL Clinic, Czech Republic.
  - Otitis media, acure (2), AD Courtesy of Vladimir Zlinsky, M.D., ORL Clinic, Czech Republic.
  - Otitis media in regression, AS (1) Courtesy of Vladimir Zlinsky, M.D., ORL Clinic, Czech Republic.
  - Otitis media in regression, AS (2) Courtesy of Vladimir Zlinsky, M.D., ORL Clinic, Czech Republic.
- Adhesive OM ("glue ear")
  - Glue ear (1) AS. Courtesy of Vladimir Zlinsky, M.D., ORL Clinic, Czech Republic.
  - Glue ear (2) AD. Courtesy of Vladimir Zlinsky, M.D., ORL Clinic, Czech Republic.
  - Glue ear (3) AS Courtesy of Vladimir Zlinsky, M.D., ORL Clinic, Czech Republic.

POST-SURGICAL STATUS
- Myringotomy
  - TM cicatrice migration(23k)
- Myringoplasty
  - Vein graft, posterior TM, AD(13k)
- Pneumatic Equalization (PE) Tubes
  - Spontaneous extrusion of occluding solidus from PE tube: A) PE tube occluded (20k); B) Solidus extruded from PE tube in medial inferior external canal.(20k) ; C) Combined view of A) and B)(14k).
  - Extruded "collar button" PE tube with extraction wire mired in sanguino-ceruminous mix.(21k)
  - PNEUMATIC EQUALIZATION (PE) TUBE TIME LAPSE SEQUENCE: in situ; extrusion; perforation; healing (CLICK AUTO TO CYCLE THROUGH THE SEQUENCE. Cycle time will be 4 sec. per image after the first sequence has downloaded)
  - Extended PE tubes AD/AS(18k)
  - Extruding PE "T" tube.(18k).....CASE STUDY (ACQB0712)
  - "T" tube in situ AD(12k)
  - PE tube, AS, 85y. F. patient. (33k)
- Stapedectomy
- Fenestration
  - Fenestration cavity, AD(18k)
  - Fenestration cavity, AS(18k)
- Simple Mastoidectomy
  - Post-auricular simple mastoidectomy bowl / scar, AS (24k).....CASE STUDY (HOEL0921).
  - Endaural simple (takedown) mastoidectomy AD performed by Julius Lempert in 1933 on 4y. F; now age 72.
- Modified Radical / Intact Wall Mastoidectomy
  - Modified radical mastoidectomy, AD.(18k)
  - Bilateral modified radical mastoidectomies.(23k).....CASE STUDY (FORB0919)
- Radical Mastoidectomy
  - Radical mastoid cavity, AD, w/ ME cavity debris and acute infection w/ effusion.(16k)
- Tympanoplasty
  - Cartilage graft as ossicular replacement, AD.(18k)
  - Total Ossicular Replacement Prosthesis / TORP(11k) Courtesy of Larry Meyers; Omni Systems; Austin, TX
  - Alan Scheer Malleus Prosthesis (Richards), AD.(13k)CASE STUDY PENDING
TM PERFORATIONS (References: 1 )
- Spontaneous rupture of the TM after vigorous nose-blowing; 49y. M.....FORUM CASE STUDY Courtesy of Kevin C. Pons, M.A., FAAA; ENT Department, Yankton Medical Clinic; Yankton, SD
- Traumatic perforation, AS, posterior inferior quadrant. F., blow to face Courtesy of Vladimir Zlinsky, M.D., ORL Clinic, Czech Republic.
- Recent dual traumatic perforations; AD...CASE STUDY (BYU3) Courtesy of Richard W. Harris, Ph.D., Brigham Young University; Provo, UT.
- Subtotal perforation AS secondary to electric syringe irrigation by nurse. ..(35k)
- Subtotal perforation AD with ossicular display.(23k).....CASE STUDY (ACQB0712)
- Subtotal perforation, AS, with vivid ossicular display, R/O windows. Courtesy of Vladimir Zlinsky, M.D., ORL Clinic, Czech Republic.
- Hyalinized TM with dry central perforation, AD(14k)
- Subtotal perforations AD / AS(18k)
OTHER
- Untoward otological and audiological consequences of ear candling...CASE STUDYCourtesy of Richard W. Harris, Ph.D., FAAA; Brigham Young University; Provo, UT
- Papilloma of the right TM and ear canal....CASE STUDY (PONSPAP)Courtesy of Kevin C. Pons, M.A., FAAA; ENT Department, Yankton Medical Clinic; Yankton, SD
- Ballooning monomeric scars, AS TM(20k).....CASE STUDY (COHL0525)
- Congenital hypertrophic, fused malleus/incus; 28y M. AD(20k), combined with pinna deformity(25k).....CASE STUDY (PRYB0713)
- Altelectatic TM AD.(18k).....CASE STUDY (BARR0812)
- Atelectatic TM AD(18k)
- ChronicTM retraction, AD(16k)
- Tympanosclerosis w/ keratinized TM AD.(20k).....CASE STUDY (HEGR0712)
- Desquamating intact cast of TM(12k)

	FEATURED CONTENT	EXTERNAL CANAL	VO SYSTEMS
	TOP	PINNA / CONCHA	HEARING AID MORPHOLOGY
	REFERENCES	TYM. MEM. / MID. EAR	MOTION VO
ACKNOWLEDGEMENTS INTRODUCTION	NEWS	HISTORIC OTOSCOPY	SURVEY
1024 X 768 INDEX FRAME	VIEWING FAQ	VO FORUM CONTRIBUTED CASES	BOTTOM

HEARING AID MORPHOLOGY APPLICATIONS

PATIENT COUNSELING

DIRECTING MORPHOLOGICAL INFORMATION TO THE LABORATORY
- Detailing Instructions On New Fittings
  - Modified radical mastoidectomy impression taking/detailing.....CASE STUDY (MRAD/RAD/FEN IMPRESSIONS)
  - Documenting fitting dimensions on oversized CIC

	FEATURED CONTENT	EXTERNAL CANAL	VO SYSTEMS
	TOP	PINNA / CONCHA	HEARING AID MORPHOLOGY
	REFERENCES	TYM. MEM. / MID. EAR	MOTION VO
ACKNOWLEDGEMENTS INTRODUCTION	NEWS	HISTORIC OTOSCOPY	SURVEY
1024 X 768 INDEX FRAME	VIEWING FAQ	VO FORUM CONTRIBUTED CASES	BOTTOM

VIDEO OTOSCOPY SYSTEMS

GENERAL
INSTRUMENTATION

RECOMMENDED Video Otoscopy System
Economical resources for EJA 21V/150W VO replacement bulbs (LP $36.50 ea.) U.S.Technologies Sale Price as of 5/15/01: $17.35 + shipping (800-958-2852 - no website); Interlight Corp. Sale price as of 05/15/01: $16.95, no shipping charge for orders over $150.00. (800-743-0005). Call for price and availability on this and other VO bulbs.
A supplemental mechanism for VO lens defogging
Clinical VO systems(48k)
Portable VO systems(32k)
Video otoscope stand (Sullivan) modification for ease of access and strain reduction on fiber optic and video cables(27k)
Sullivan-modified VO stand, application as an instrument-service microscope(23k)
Real ear measurement probe tube placement at the TM(22k)
VO-implemented procedure for deep canal cotton block placement

WEBSITE STATISTICS

Website visit counter updated online; initiated 18:00 GMT, 26 September, 1995

GENERAL VIDEO OTOSCOPY WEBSITE UTILIZATION TRENDS

Averaged across the period April, 2001 through July, 2001

SAMPLE PAST STATISTICAL ANALYSIS PERIODS

For the period October 14, 1996 through November 5, 1996(96k)
For the period April 27, 1996 through May 11, 1996(69k)
For the three-month period October 5, 1995 through January 16, 1996(110k)

E-Mail questions and comments about video otoscopy to:
r@rcsullivan.com
Please e-mail me about any non-responsive links or HTML defects on the website.

TOP PINNA / CONCHA HEARING AID
MORPHOLOGY

FEATURED CONTENT EXTERNAL CANAL VO SYSTEMS

REFERENCES TYM. MEM. / MID. EAR MOTION VO
ACKNOWLEDGEMENTS
INTRODUCTION NEWS HISTORIC
OTOSCOPY SURVEY

1024 X 768
INDEX FRAME VIEWING
FAQ VO FORUM
CONTRIBUTED CASES
BOTTOM

PINNA / CONCHA:GRAPHIC TUTORIAL

AURICULAR ANATOMY QUIZ

This is a ten question multiple choice quiz based on the material in the PINNA/CONCHA section, above. Online anonymous scoring feedback is provided to the quiz-taker.