Mastoid ear

Following the physical examination, biopsies and imaging studies, the patient and family should meet with the skull base team — ear surgeon, head and neck surgeon, neurosurgeon, and in some cases plastic surgeon and eye surgeon. Discussions should include the possibility of facial nerve removal and grafting, if the tumor has invaded the facial nerve. In addition, most patients with extensive tumors will lose the hearing and balance functions of the inner ear. In order to isolate the tumor and remove it completely, portions of the ear canal, mastoid and inner ear will be removed in an “enbloc” operation. This means that the structures of the ear canal, drum, middle ear, and inner ear are removed in one piece. This technique reduces the possible spillage of tumor to adjacent sites, but provides a greater chance of cure.

  Ear Ant:  The picture on the far right shows a dried ant on top of the eardrum.  Notice the serous fluid behind the eardrum in the lower portion of the middle ear.  The picture in the middle shows a bug embedded in ear wax. The far left picture shows a large bug impacted in the ear canal.    Click on Pictures to Enlarge
 

   
Ear Maggots:   This is a very rare condition.  The patient had an insect which  lodged in the ear  and laid eggs.  The parent insect was dead in the ear along with six baby maggots.

 

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Leeches used to reattach the outer ear:   When the outer ear or auricle  is avulsed during a traumatic accident, it must be reattached as a "free" graft.  At first there is no blood supply.  The arteries attach first, after 24 hours, but the blood cannot get out of the graft.   The graft will fill with blood and die unless it is drained.  Leeches not only drain the blood, but also secrete an anticoagulant which will aid in continued blood drainage.   View Article Maggots In Medicine - USA Today
 
Click on Pictures to Enlarge

This procedure involves removing the ear canal wall that separates the ear canal from the mastoid cavity behind it. This procedure creates a large cavity that can be easily examined through the ear canal opening. Thus, all cholesteatoma disease is removed from the ear and the large mastoid cavity is cleaned intermittently in the office. A procedure to enlarge the opening of the ear canal (meatoplasty) is always performed to allow aeration of the mastoid cavity and to permit easy visualization in the office to permit postoperative care and self-cleaning.

Mastoid ear

mastoid ear

Media:

mastoid earmastoid earmastoid earmastoid earmastoid ear

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