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CSOM-tubotympanic with central perforation(safe ear)-the handle of malleus is eroded, as well as ,discontinuity of the ossicular chain at the indudo-stapedial joint.There is onlymucosal strands connecting the eroded long process of the incus to the stapes
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Nasal Polyp..pale transluscent masses (single in case of AC polyp) within the nasal cavity, insensitive to touch, and can be probed all around(turbinate cannotbe probed all around since its attached to the lateral wall)is the presentation in bilateral multiple ethmoid polyp.do the cold spatula test to diminished frosting bilaterally and assess the smell since there will be anosmia if access to the olfactory area is obstructed.The arrow points to the nasal septum,on the right is the inferior turbinate
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Adenoids...reddish mass in the nasopharynx,if it enlarges laterally, it can obstruct the opening of the eustachian tube, affect the drainage of the middle and cause secretory otitis media.
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