Merck Manual

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Introduction to Middle Ear and Tympanic Membrane Disorders

By

Richard T. Miyamoto

, MD, MS, Indiana University School of Medicine

Reviewed/Revised Mar 2022 | Modified Sep 2022
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Middle ear disorders may be secondary to infection, eustachian tube obstruction, or trauma. Information about objects placed in the ear External Ear Obstructions The ear canal may be obstructed by cerumen (earwax), a foreign object, or an insect. Itching, pain, and temporary conductive hearing loss may result. Most causes of obstruction are readily apparent... read more and symptoms such as rhinorrhea Nasal Congestion and Rhinorrhea Nasal congestion and rhinorrhea (runny nose) are extremely common problems that commonly occur together but occasionally occur alone. The most common causes (see table ) are Upper respiratory... read more , nasal obstruction Nasal Foreign Bodies Nasal foreign bodies are found occasionally in young children, the intellectually impaired, and psychiatric patients. Common objects pushed into the nose include cotton, paper, pebbles, beads... read more , sore throat Sore Throat Sore throat is pain in the posterior pharynx that occurs with or without swallowing. Pain can be severe; many patients refuse oral intake. Sore throat results from infection; the most common... read more Sore Throat , upper respiratory infection Common Cold The common cold is an acute, usually afebrile, self-limited viral infection causing upper respiratory symptoms, such as rhinorrhea, cough, and sore throat. Diagnosis is clinical. Handwashing... read more , allergies Overview of Allergic and Atopic Disorders Allergic (including atopic) and other hypersensitivity disorders are inappropriate or exaggerated immune reactions to foreign antigens. Inappropriate immune reactions include those that are... read more , headache Approach to the Patient With Headache Headache is pain in any part of the head, including the scalp, face (including the orbitotemporal area), and interior of the head. Headache is one of the most common reasons patients seek medical... read more , systemic symptoms, and fever aid in making a diagnosis. The appearance of the external auditory canal and tympanic membrane Tympanic membrane of right ear (A); tympanic cavity with tympanic membrane removed (B) Tympanic membrane of right ear (A); tympanic cavity with tympanic membrane removed (B) often yields a diagnosis. The nose, nasopharynx, and oropharynx are examined for signs of infection and allergy and for evidence of tumors Overview of Head and Neck Tumors Head and neck cancer develops in almost 65,000 people in the United States each year. Excluding skin and thyroid cancers, > 90% of head and neck cancers are squamous cell (epidermoid) carcinomas... read more .

Tympanic membrane of right ear (A); tympanic cavity with tympanic membrane removed (B)

Tympanic membrane of right ear (A); tympanic cavity with tympanic membrane removed (B)
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NOTE: This is the Professional Version. CONSUMERS: View Consumer Version
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