Surgical Pathology

Temporal Bone Image Library

  • Title: Fenestration, L-436
  • Chapter: Surgical Pathology
  • Chapter section: Surgery for Otosclerosis,
  • TB Case Number: 1004
  • Comments: Fenestration and stapedectomy done. Large residual air-bone gap of 40 dB. Section shows all 3 windows
  • Gender: Male
  • Age(yrs.): 84
  • otologic_dx:

    Clinical:

    1. Otosclerosis with mixed hearing loss, bilateral

    2. Fenestration surgery for otosclerosis followed by stapedectomy, bilateral

    Otopathologic Diagnoses:

    1. Otosclerosis, clinical, single focus near oval window, bilateral

    2. Fenestration procedur

  • Title: Fenestration, L-436
  • Chapter: Surgical Pathology
  • Chapter section: Surgery for Otosclerosis
  • TB Case Number: 1004
  • Comments: Fenestration and stapedectomy done. Large residual air-bone gap of 40 dB. Section shows all 3 windows
  • Gender: Male
  • Age(yrs.): 84
  • otologic_dx:

    Clinical:

    1. Otosclerosis with mixed hearing loss, bilateral

    2. Fenestration surgery for otosclerosis followed by stapedectomy, bilateral

    Otopathologic Diagnoses:

    1. Otosclerosis, clinical, single focus near oval window, bilateral

    2. Fenestration procedur

  • Title: Fenestration + Stapedectomy, L-436
  • Chapter: Surgical Pathology
  • Chapter section: Surgery for Otosclerosis
  • TB Case Number: 1004
  • Comments: Total stapedectomy with teflon piston
  • Gender: Male
  • Age(yrs.): 84
  • otologic_dx:

    Clinical:

    1. Otosclerosis with mixed hearing loss, bilateral

    2. Fenestration surgery for otosclerosis followed by stapedectomy, bilateral

    Otopathologic Diagnoses:

    1. Otosclerosis, clinical, single focus near oval window, bilateral

    2. Fenestration procedur

  • Title: Fenestration + Stapedectomy, L-436
  • Chapter: Surgical Pathology
  • Chapter section: Surgery for Otosclerosis
  • TB Case Number: 1004
  • Comments: Total stapedectomy with teflon piston
  • Gender: Male
  • Age(yrs.): 84
  • otologic_dx:

    Clinical:

    1. Otosclerosis with mixed hearing loss, bilateral

    2. Fenestration surgery for otosclerosis followed by stapedectomy, bilateral

    Otopathologic Diagnoses:

    1. Otosclerosis, clinical, single focus near oval window, bilateral

    2. Fenestration procedure

  • Title: Fenestration, R-61
  • Chapter: Surgical Pathology
  • Chapter section: Surgery for Otosclerosis
  • TB Case Number: 1004
  • Comments: Fenestration done. F nov-ovalis is patent.
  • Gender: Male
  • Age(yrs.): 84
  • otologic_dx:

    Clinical:

    1. Otosclerosis with mixed hearing loss, bilateral

    2. Fenestration surgery for otosclerosis followed by stapedectomy, bilateral

    Otopathologic Diagnoses:

    1. Otosclerosis, clinical, single focus near oval window, bilateral

    2. Fenestration procedure

  • Title: Fenestration, R-61
  • Chapter: Surgical Pathology
  • Chapter section: Surgery for Otosclerosis
  • TB Case Number: 1004
  • Comments: Fenestration done. F nov-ovalis is patent.
  • Gender: Male
  • Age(yrs.): 84
  • otologic_dx:

    Clinical:

    1. Otosclerosis with mixed hearing loss, bilateral

    2. Fenestration surgery for otosclerosis followed by stapedectomy, bilateral

    Otopathologic Diagnoses:

    1. Otosclerosis, clinical, single focus near oval window, bilateral

    2. Fenestration procedure

  • Title: Fenestration, R-61
  • Chapter: Surgical Pathology
  • Chapter section: Surgery for Otosclerosis
  • TB Case Number: 1004
  • Comments: Fenestration done. F nov-ovalis is patent.
  • Gender: Male
  • Age(yrs.): 84
  • otologic_dx:

    Clinical:

    1. Otosclerosis with mixed hearing loss, bilateral

    2. Fenestration surgery for otosclerosis followed by stapedectomy, bilateral

    Otopathologic Diagnoses:

    1. Otosclerosis, clinical, single focus near oval window, bilateral

    2. Fenestration procedure

  • Title: Fenestration, R-61
  • Chapter: Surgical Pathology
  • Chapter section: Surgery for Otosclerosis
  • TB Case Number: 1004
  • Comments: Fenestration done. F nov-ovalis is patent.
  • Gender: Male
  • Age(yrs.): 84
  • otologic_dx:

    Clinical:

    1. Otosclerosis with mixed hearing loss, bilateral

    2. Fenestration surgery for otosclerosis followed by stapedectomy, bilateral

    Otopathologic Diagnoses:

    1. Otosclerosis, clinical, single focus near oval window, bilateral

    2. Fenestration procedure

  • Title: Normal incus, L-189
  • Chapter: Surgical Pathology
  • Chapter section: Surgery for Otosclerosis
  • TB Case Number: 404
  • Comments: incus necrosis control
  • Gender: Female
  • Age(yrs.): 56
  • otologic_dx:

    1. Otosclerosis with stapes fixation, bilateral

    2. Stapedectomy with adipose tissue implant to oval window, right

    3. Iatrogenic infracture, fallopian canal, causing temporary postoperative facial palsy, right

  • Title: Incus necrosis, R-176
  • Chapter: Surgical Pathology
  • Chapter section: Surgery for Otosclerosis
  • TB Case Number: 404
  • Comments: incus necrosis after stapedectomy
  • Gender: Female
  • Age(yrs.): 56
  • otologic_dx:

    1. Otosclerosis with stapes fixation, bilateral

    2. Stapedectomy with adipose tissue implant to oval window, right

    3. Iatrogenic infracture, fallopian canal, causing temporary postoperative facial palsy, right

  • Title: Incus necrosis, L-189 + R-176
  • Chapter: Surgical Pathology
  • Chapter section: Surgery for Otosclerosis
  • TB Case Number: 404
  • Gender: Female
  • Age(yrs.): 56
  • otologic_dx:

    1. Otosclerosis with stapes fixation, bilateral

    2. Stapedectomy with adipose tissue implant to oval window, right

    3. Iatrogenic infracture, fallopian canal, causing temporary postoperative facial palsy, right

  • Title: Incus necrosis, L-189 + R-176
  • Chapter: Surgical Pathology
  • Chapter section: Surgery for Otosclerosis
  • TB Case Number: 404
  • Gender: Female
  • Age(yrs.): 56
  • otologic_dx:

    1. Otosclerosis with stapes fixation, bilateral

    2. Stapedectomy with adipose tissue implant to oval window, right

    3. Iatrogenic infracture, fallopian canal, causing temporary postoperative facial palsy, right

  • Title: Stapedectomy, R-193-2
  • Chapter: Surgical Pathology
  • Chapter section: Surgery for Otosclerosis
  • TB Case Number: 404
  • Comments: Stapedectomy - Robinson stapes prosthesis
  • Gender: Female
  • Age(yrs.): 56
  • otologic_dx:

    Clinical:

    1. Otosclerosis, clinical, with stapes fixation, right

    2. Stapedectomy, small fenestra, Robinson stainless steel prosthesis, right

    3. Profound hearing loss, left

    Histological:

    1. Otosclerosis, clinical, involving stapes footplate, bilateral

  • Title: Stapedectomy, R-193-1
  • Chapter: Surgical Pathology
  • Chapter section: Surgery for Otosclerosis
  • TB Case Number: 995
  • Comments: Stapedectomy - Robinson stapes prosthesis
  • Gender: Female
  • Age(yrs.): 80
  • otologic_dx:

    Clinical:

    1. Otosclerosis, clinical, with stapes fixation, right

    2. Stapedectomy, small fenestra, Robinson stainless steel prosthesis, right

    3. Profound hearing loss, left

    Histological:

    1. Otosclerosis, clinical, involving stapes footplate, bilateral

  • Title: Labyrinthitis ossificans, L-261
  • Chapter: Surgical Pathology
  • Chapter section: Surgery for Otosclerosis
  • TB Case Number: 992
  • Comments: Stapedectomy Polyethylene tube prosthesis with labyrinthis ossificans
  • Gender: Female
  • Age(yrs.): 95
  • otologic_dx:

    Clinical Diagnoses

    1. Otosclerosis, bilateral

    2. Profound hearing loss, left, status post total stapedectomy with polyethylene strut

    3. Mixed hearing loss, right, associated with otosclerosis

    Histologic Diagnoses

    1. Otosclerosis, clinical, bilateral

  • Title: Incus, R-151
  • Chapter: Surgical Pathology
  • Chapter section: Surgery for Otosclerosis
  • TB Case Number: 992
  • Comments: resorption of incus without stapedectomy
  • Gender: Female
  • Age(yrs.): 95
  • otologic_dx:

    Clinical Diagnoses

    1. Otosclerosis, bilateral

    2. Profound hearing loss, left, status post total stapedectomy with polyethylene strut

    3. Mixed hearing loss, right, associated with otosclerosis

    Histologic Diagnoses

    1. Otosclerosis, clinical, bilateral

  • Title: Incus, R-151
  • Chapter: Surgical Pathology
  • Chapter section: Surgery for Otosclerosis
  • TB Case Number: 992
  • Comments: resorption of incus without stapedectomy
  • Gender: Female
  • Age(yrs.): 95
  • otologic_dx:

    Clinical Diagnoses

    1. Otosclerosis, bilateral

    2. Profound hearing loss, left, status post total stapedectomy with polyethylene strut

    3. Mixed hearing loss, right, associated with otosclerosis

    Histologic Diagnoses

    1. Otosclerosis, clinical, bilateral

  • Title: Ossicles, L-236
  • Chapter: Surgical Pathology
  • Chapter section: Surgery for Otosclerosis
  • TB Case Number: 1012
  • Comments: 86 yr old woman with otosclerosis. Anatomical relationships between manubrium, plica mallearis, incus and footplate are shown.
  • Gender: Female
  • Age(yrs.): 86
  • Title: Ossicles, L-236
  • Chapter: Surgical Pathology
  • Chapter section: Surgery for Otosclerosis
  • TB Case Number: 1012
  • Gender: Female
  • Age(yrs.): 86
  • Title: Stapedectomy, R-212-26
  • Chapter: Surgical Pathology
  • Chapter section: Surgery for Otosclerosis
  • TB Case Number: 1012
  • Comments: 86 yr old woman with otosclerosis. Underwent stapedectomy with 4.5 mm gelwire prosthesis at age 58. She had a residual 10-30 dB air-bone gap. There are adhesions between the wire and facial canal, probably responsible for the gap.
  • Gender: Female
  • Age(yrs.): 86
  • Title: Stapedectomy, L-241-1
  • Chapter: Surgical Pathology
  • Chapter section: Surgery for Otosclerosis
  • TB Case Number: 992
  • Gender: Female
  • Age(yrs.): 95
  • otologic_dx:

    Clinical Diagnoses

    1. Otosclerosis, bilateral

    2. Profound hearing loss, left, status post total stapedectomy with polyethylene strut

    3. Mixed hearing loss, right, associated with otosclerosis

    Histologic Diagnoses

    1. Otosclerosis, clinical, bilateral

  • Title: Labyrinthitis ossificans, L-241
  • Chapter: Surgical Pathology
  • Chapter section: Surgery for Otosclerosis
  • TB Case Number: 992
  • Comments: Stapedectomy Polyethylene tube prosthesis with labyrinthis ossificans
  • Gender: Female
  • Age(yrs.): 95
  • otologic_dx:

    Clinical Diagnoses

    1. Otosclerosis, bilateral

    2. Profound hearing loss, left, status post total stapedectomy with polyethylene strut

    3. Mixed hearing loss, right, associated with otosclerosis

    Histologic Diagnoses

    1. Otosclerosis, clinical, bilateral

  • Title: Stapes mobilization, L-174
  • Chapter: Surgical Pathology
  • Chapter section: Surgery for Otosclerosis
  • TB Case Number: 1015
  • Comments: 91 yr old F with stapes footplate mobilization, removal of superstructure and placement of Polyethylene Tube Prosthesis at age 50 for otosclerosis. Preop 50-60 dB air-bone gap. Post-op air-bone gap of 20-30 dB for remainder of life.
  • Gender: Female
  • Age(yrs.): 92
  • otologic_dx:

    Clinical:

    1. Otosclerosis, S/P mobilization of stapes footplate with polyethylene tube prosthesis, left

    2. Chronic otitis media with central perforation and middle ear cholesteatoma, S/P tympanoplasty type III (minor columella, polyethylene strut), right

  • Title: Stapes mobilization, L-174
  • Chapter: Surgical Pathology
  • Chapter section: Surgery for Otosclerosis
  • TB Case Number: 1015
  • Comments: 91 yr old F with stapes footplate mobilization, removal of superstructure and placement of Polyethylene Tube Prosthesis at age 50 for otosclerosis. Preop 50-60 dB air-bone gap. Post-op air-bone gap of 20-30 dB for remainder of life.
  • Gender: Female
  • Age(yrs.): 95
  • otologic_dx:

    Clinical:

    1. Otosclerosis, S/P mobilization of stapes footplate with polyethylene tube prosthesis, left

    2. Chronic otitis media with central perforation and middle ear cholesteatoma, S/P tympanoplasty type III (minor columella, polyethylene strut), right

  • Title: Stapes mobilization, L-200
  • Chapter: Surgical Pathology
  • Chapter section: Surgery for Otosclerosis
  • TB Case Number: 1015
  • Comments: 91 yr old F with stapes footplate mobilization, removal of superstructure and placement of Polyethylene Tube Prosthesis at age 50 for otosclerosis. Preop 50-60 dB air-bone gap. Post-op air-bone gap of 20-30 dB for remainder of life.
  • Gender: Female
  • Age(yrs.): 92
  • otologic_dx:

    Clinical:

    1. Otosclerosis, S/P mobilization of stapes footplate with polyethylene tube prosthesis, left

    2. Chronic otitis media with central perforation and middle ear cholesteatoma, S/P tympanoplasty type III (minor columella, polyethylene strut), right

  • Title: Stapes mobilization, L-200
  • Chapter: Surgical Pathology
  • Chapter section: Surgery for Otosclerosis
  • TB Case Number: 1015
  • Comments: 91 yr old F with stapes footplate mobilization, removal of superstructure and placement of Polyethylene Tube Prosthesis at age 50 for otosclerosis. Preop 50-60 dB air-bone gap. Post-op air-bone gap of 20-30 dB for remainder of life.
  • Gender: Female
  • Age(yrs.): 92
  • otologic_dx:

    Clinical:

    1. Otosclerosis, S/P mobilization of stapes footplate with polyethylene tube prosthesis, left

    2. Chronic otitis media with central perforation and middle ear cholesteatoma, S/P tympanoplasty type III (minor columella, polyethylene strut), right

  • Title: Stapes mobilization, L–222
  • Chapter: Surgical Pathology
  • Chapter section: Surgery for Otosclerosis
  • TB Case Number: 1015
  • Comments: 91 yr old F with stapes footplate mobilization, removal of superstructure and placement of Polyethylene Tube Prosthesis at age 50 for otosclerosis. Preop 50-60 dB air-bone gap. Post-op air-bone gap of 20-30 dB for remainder of life.
  • Gender: Female
  • Age(yrs.): 92
  • otologic_dx:

    Clinical:

    1. Otosclerosis, S/P mobilization of stapes footplate with polyethylene tube prosthesis, left

    2. Chronic otitis media with central perforation and middle ear cholesteatoma, S/P tympanoplasty type III (minor columella, polyethylene strut), right

  • Title: Stapes mobilization, L-222
  • Chapter: Surgical Pathology
  • Chapter section: Surgery for Otosclerosis
  • TB Case Number: 1015
  • Comments: 91 yr old F with stapes footplate mobilization, removal of superstructure and placement of Polyethylene Tube Prosthesis at age 50 for otosclerosis. Preop 50-60 dB air-bone gap. Post-op air-bone gap of 20-30 dB for remainder of life.
  • Gender: Female
  • Age(yrs.): 92
  • otologic_dx:

    Clinical:

    1. Otosclerosis, S/P mobilization of stapes footplate with polyethylene tube prosthesis, left

    2. Chronic otitis media with central perforation and middle ear cholesteatoma, S/P tympanoplasty type III (minor columella, polyethylene strut), right

  • Title: Mastoid cavity
  • Chapter: Surgical Pathology
  • Chapter section: Surgery for Otitis Media Mastoidectomy
  • Title: Mastoid cavity
  • Chapter: Surgical Pathology
  • Chapter section: Surgery for Otitis Media Mastoidectomy