1. Professor Dr Hassan Wahba Ear, Nose & Throat Department
OTOSCOPY by
Professor Dr Hassan Wahba
Ear, Nose & Throat Department
Faculty of Medicine
Ain Shams University

2. Anatomy

3. Congenital aural anomalies due to defects of the 1st pharyngeal arch
Accessory auricle
Aural atresia
Tags
Preauricular sinus
Absent external auditory canal
Aural atresia
Congenital aural anomalies due to defects of the 1st pharyngeal arch

4. Hematoma  Perichondritis  Cauliflower auris ear

5. Herpes Zoster Oticus (Ramsay-Hunt Syndrome)
Pain + Facial paralysis + vesicles

6. Otoscope examination of the ear

7. Proper technique

8. Never examine patient while standing

9. R L
Tympanic membrane

10. Otoscopy (normal findings)
Hairs
Wax
Hump
Otoscopy (normal findings)
Keratin
Blood vessels
Collapsed external canal in old age

11. Removal of ear wax

12. Bead
Bee
Foreign Bodies

13. Acute External Otitis (hyperemia & edema)
Chronic
External
Otitis
(skin maceration & keratosis)

14. TRAUMA Perforation External canal clot Hemotympanum
Self-inflicted perforation

15. Otomycosis fungal ball wet-newspaper like appearance

16. Diabetic Ear necrosis & granulations on the floor of the external auditory canal

17. Neoplasms of the external auditory canal & auricle
Cancer
Exostosis Osteoma
Neoplasms of the external auditory canal & auricle
Rodent ulcer

18. (hyperemia, bulging, perforation & finally drainage)
Acute Otitis Media
(hyperemia, bulging, perforation & finally drainage)

19. OME
Otitis media with effusion (OME) retracted tympanic membrane, fluid level, some air bubbles, no perforation)

20. Tubes
Grommet
Grommet
T-tube
Grommet

21. Sequelae of non-resolvedotitis media
Tympanosclerosis
Retraction pocket
Attic erosion
Atelectasis

22. Bullous Myringitis bullae on outer surface of tympanic membrane

23. Perforation of the tympanic membrane (picture on the right)

24. Tubotympanic otitis media (central perforation)

25. Atticoantral otitis media (cholesteatoma)(marginal perforation)

26. Cholesteatoma
scanty offensive purulent aural discharge from an attic or posterosuperior marginal perforation with possible cranial or intracranial complications

27. Mastoid abscess & fistula

28. pedunculated middle ear mucosa or granulation tissue
Aural polyp
pedunculated middle ear mucosa or granulation tissue

29. Pulsating tinnitus & a red mass behind an intact tympanic membrane
Glomus
Pulsating tinnitus & a red mass behind an intact tympanic membrane

30. Usual finding is a normal tympanic membrane
Otoscopic examination in Otosclerosis:
Schwartze’s sign
(flamingo red)
Usual finding is a normal tympanic membrane

31. EAR NOSE & THROAT by in ENT 1000 MCQs
Professor Dr Hassan Wahba
Professor of Ear, Nose and Throat
Faculty of Medicine Ain Shams University
Text and references to help the fourth year undergraduate student
1000 MCQs
in ENT by
Professor Dr Hassan Wahba
Professor of Ear, Nose and Throat
Faculty of Medicine
Ain Shams University