0:05

Do you remember this case? Now? Now,

0:06

now this should be relatively straightforward to you because we sort of

0:09

discussed it. Yes. Yeah. So this is, so you tell me what this is then.

0:15

This one is, uh, T two first sprinkler, graft and normally Perfect.

0:19

Perfect. Now, now, how do you know that? So gimme a couple reasons. Let's

0:23

Start. Whenever we see a lesion in the parran,

0:27

which extend to the subular space,

0:30

we might think of this diagnosis.

0:33

Yes. Yes. And so clinically, how would the patient present with,

0:36

because this is a nice example here, when they looked in the ear,

0:41

how would they, how would they present with

0:46

Then we would see in the, uh, oscopy, you can see a,

0:50

a defect between the membranes and car carino.

0:56

E s C.

0:57

Yeah. I wouldn't say a defect. Defect. Mm-hmm. I wouldn't say a defect,

1:00

but I'd say like a little. I saw the

1:02

Papilla. Yes,

1:05

Yes, yes.

1:06

Pap is a, is a nole like that. It's a red color. Nole.

1:11

What do you mean? What, what do we mean by papilla? Is it a nole, A lesion?

1:17

Yeah. Yeah. A little cystic lesion. So think, oh,

1:20

Cystic, okay.

1:21

Yeah. A little cystic, because I think, I don't know what,

1:23

I had one of my otologist tell me. It's more common than you think it is,

1:26

because sometimes they'll see a little papilla right here, right, the junction,

1:29

the bony and cartilaginous junction of the eac, so, mm-hmm. You know, they'll,

1:34

they'll, then they'll say it's a little bit more common than you think it is.

1:37

Radiologically typically, they won't image that. They will just say, well,

1:41

I think that's what it is.

1:42

But the only times that we see it is that if it actually presents with a

1:47

subandi space mass. So in this case, you can see on the,

1:51

on your left screen,

1:53

we can see this cyst right here that's involved in the deep low,

1:56

the product line. And then on the coronal images,

2:00

then you can see this multi multiloculated cystic mass that probably

2:05

became infected extending into the subandi space.

2:08

So if they present with this, then they'll, then we'll end up doing a,

2:13

then we'll end up doing a, um, uh, an imaging study on it.

2:18

See this on the right hand side,

2:21

you can see the mass right here involved in the sub space there.

2:26

And now it's gonna involve the deep load of the product gland and come all the

2:29

way up into the.