This is an extra rib present in d neck in about 1 to 2% subject ear occicles, bony labyrinth, canal of facial nerve, sinus plate, tegman tympani cholstoma has d property 2 distroy bone e.g. attic cholstoma may extends backwards 2 aditus,antrum,mastoid, downward in2 mesotympanum and medialy surrounds d incus 4m d middle ear invade d surrounding structure and follows d path of least resistance and then enzymatic bone distruction always asociated with d posterosuperior marginal or sometimes central perforation
![space tunnel sony vegas intro template space tunnel sony vegas intro template](https://i.pinimg.com/originals/18/bf/ae/18bfaea834d08ef5c9aec14c466138aa.png)
there is already pre-exisisting perforation in d pars tensa persistent -ve pressure in d attic causes a retraction pocket which accumulate keratin debris there is primary bcos there no history of previous otitis media/perforation presents as white mass behind d intact tympanic membrane and causes conductive hearing loss sites: middle ear,petrous apex,cerebellopontine angle Middle ear mucosa undergoes metaplasia due 2 repeated perforation and convert in2 squamous type=Sades theory The epithelium 4m d meatus grows in2 middle ear through a pre-existing perforation=Habermans theoryĥ=metaplasia.
#SPACE TUNNEL SONY VEGAS INTRO TEMPLATE SKIN#
The basal cels of germinal layer of skin proliferate due 2 infection=Ruedis theoryĤ=epithelial invasion. consisting of keratin debris produced by matrixĢ=invagination of tympanic membrne 4m d attic in form of retraction pocket=Wittmaacks theoryģ=basal cell hyperplasia.
![space tunnel sony vegas intro template space tunnel sony vegas intro template](https://technicoz.com/wp-content/uploads/2021/03/t1.jpg)
made of keratinised squamous epithlm resting on d thin stroma of fibrous tissue Recurrent cholangitis wit high grade fever In this technique posterior wall of byst can be left, after removal of mucosaġ. Type 3 - endoscopic sphincterntomy is adequate Type 2- excision of diverticulum wit suturing of CBD. Type1- excision of cyst followed by Roux-en-y-hepaticojejunostomy. MRI - reveal relation between bile duct & pancreatic duct.Įxcision of cyst & reconstruction is treatment of choice Slow progressive laundice, recurrent attacks with abdominal pain.ġ.USG - confirm presence of abnormal cystĢ.
![space tunnel sony vegas intro template space tunnel sony vegas intro template](https://editorsdepot.imgix.net/thumbs/1058_5.png)
Abdominal distention due to large cyst & cyst palpated.Ĥ. Type4- Dilatation of CBD + intrahepatic biliary dilatation.ģ. Type 3 - Dilatation of intraduodenal segment of CBD Type 2- lateral saccular diverticuli of CBD