Some patients may have findings of a red mass that blanches with pneumatic otoscopy
, called Browns sign.
The standard recommendation, according to the literature (1) on COME, is the use of pneumatic otoscopy
as the primary diagnostic method, with tympanometry reserved as a confirmatory test.
However, pneumatic otoscopy
of the left ear produced vertical/ torsional nystagmus and subiective vertigo.
Blanching of the mass on pneumatic otoscopy
is commonly referred to as Brown's sign, and it is pathomnemonic for a glomus tumor.
The uninvolved portion of the tympanic membrane was normal and mobile on pneumatic otoscopy
demonstrated fixation of the tympanic membrane to the promontory.
We also reported that pneumatic otoscopy revealed normal or moderate tympanic membrane mobility in 61 of 65 successfully treated ears (93.
We performed posttest pneumatic otoscopy in 34 of the 43 ears in the former control group in which hearing had been restored to within normal limits.
Exclusion criteria were the presence of a tympanic membrane perforation and/or a pressure equalization tube and a failure to undergo all testing, which included diagnostic audiometry (including tympanometry), pneumatic otoscopy, and acoustic reflectometry.
If any discrepancy was noted between the results of tympanometry and the results of acoustic reflectometry, we used the pneumatic otoscopy diagnosis for data analysis.
Clinical examination revealed a scarred left tympanic membrane that moved well on pneumatic otoscopy
0-mm disposable plastic speculums, wax and foreign body removal loops, a vented side for pneumatic otoscopy
, and a 90[degrees] bent light rod for oral and sinus examinations.