In case you were curious…
Here’s a bit about me. Surgery’s on May 11. Everybody throw down!
Background: Cholesteatoma is a destructive wound of the middle ear and/or mastoid, a process that produces complications by erosion of the temporal bone. The clinical hallmarks of cholesteatomas, namely: invasion, migration, uncoordinated proliferation, altered differentiation, aggressiveness and recidivism, are traits typically associated with the neoplastic cell.
A cholesteatoma can form in the middle ear by means of an improperly functioning eustachian tube. The eustachian tube is a canal which connects the middle ear to the back of the nose. It is responsible for equilibrating middle ear pressure to the pressure in the external environment. This tube is normally collapsed in its resting state and when we swallow or yawn, the muscles around the tube contract and cause the tube to open allowing the influx of air into the middle ear space. When this tube does not work appropriately, a relative negative middle ear pressure is generated and maintained. Over time the intact eardrum begins to retract back toward the inner ear. Eventually a skin-lined sac forms which continues to grow and cause infection and bony destruction.
Erosion of the ossicles or bones behind the eardrum can lead to a conductive hearing loss. The bone over the facial nerve can also be destroyed and a facial paralysis can result. The inner ear is composed of a bony labyrinth which can also be partially destroyed. This can lead to a sensorineural hearing loss and dizziness. The infection can also spread into the veins carrying blood from the brain to the heart. This large vein called the lateral venous sinus can obstruct and cause excessive fluid to accumulate within and around the brain leading to a condition called hydrocephalus. The infection can also spread to the covering of the brain and cause meningitis. In rare circumstances, a brain abscess can result.
Frequently the mastoid bone located behind the ear must be explored to remove any cholesteatoma that may have spread there through the middle ear. Another reason to perform a mastoidectomy is to improve ventilation of the middle ear. Whether the bony partition between the external ear canal and mastoid is removed or not depends on the extent of disease. Canal-wall-down refers to the removal of this bony partition. Canal-wall-up refers to keeping this bony partition intact. The term modified radical mastoidectomy refers to an operation where this bony partition is removed and the eardrum and ossicles are reconstructed. A radical mastoidectomy is an operation where this bony partition is removed and the eardrum, malleus and incus bones are permanently removed so that the inner lining of the large cholesteatoma sac can be safely cleaned in the office. This operation is done when an extensive cholesteatoma is encountered or one that is adherent to the inner ear or facial nerve.
February 28th, 2006 at 9:04 am
so i’m sitting in a depressing fluorescent-lit classroom, studying anatomy and stuff… it’s going to be a 15 hour day of sitting here stressing with anatomy books and papers strewn in front of me… with my only break being a jaunt to the anatomy lab to search for some structures in my wonderfully mangled cadaver who looks like she’s been hit by a train. so, i think, “hey, lydia’s updated her blog. let’s check out what she has to say.” and what do i find? MORE FUCKING ANATOMY LESSONS!
love that facial nerve! it has 5 branches coming out of the parotid gland, ya know… temporal, zygomatic, buccal, mandibular, and cervical. and do you know the opening of the eustachian tube is called the torus tubarius? or that the facial nerve emerges through the external acoustic meatus and gives off a branch called the chorda tympani that supplies taste sensation to the anterior 2/3 of the dorsum of the tongue? regarding those venous sinuses… did you know that the facial vein and superior opthalmic vein communicate with the cavernous sinus in the brain, meaning that if you squeeze zits on your face and they get infected, you can get meningitis? huh? 
when it comes to anatomy, i win. 
surgery, eh? sorry to hear that, i hope everything goes well!! if you need another anatomy lesson, just call
March 16th, 2006 at 11:47 pm
little girls pee
hidden cameras girls bathroom girl pee standing girls pee standing up piss flaps
March 17th, 2006 at 2:42 am
squirting female orgasms
female squirt vagina squirt female squirt girl squirt
March 17th, 2006 at 2:55 am
small tits
tits big nipples boob big black tits
March 17th, 2006 at 3:00 am
gay men
gay wrestling gay fuck gay cock gay teens
March 17th, 2006 at 3:03 am
creedence clearwater revival
maire [clannad] brennan whisper to the wild water mp3 download marie fredriksson
March 17th, 2006 at 3:06 am
public flashing
flashing teen flashing spring break girls young teens flashing thongs texas department of public safet…
March 17th, 2006 at 3:09 am
young porn
young nudists young sex young virgins young sluts
March 17th, 2006 at 3:11 am
queen big spender mp3 download
queen love of my life mp3 download queen love of my life mp3 download queen god save the queen mp3 download …
March 17th, 2006 at 4:46 am
wet panties
piss drinking golden shower women peeing gay piss
March 17th, 2006 at 4:54 am
ejaculation
boobs oops tit fuck huge boobs busty perky breasts oops …
March 31st, 2006 at 12:17 am
sears
sears
April 28th, 2006 at 2:23 pm
gangbang porn
free gang bang gangbangsquad asian gang bang
April 28th, 2006 at 7:38 pm
dailybasis
fuckk teen titans xxx ampland movies
April 29th, 2006 at 9:52 am
alice in chains it ain’t like that mp3
alice in chains iron gland mp3 alice in chains sea of sorrow mp3
April 29th, 2006 at 12:54 pm
pantyhose sex
risque lingerie christmas lingerie trashy reve…
April 29th, 2006 at 3:14 pm
mature blondes
blonde teen hot blonde teens bl…
April 29th, 2006 at 3:55 pm
green day jinx mp3
green day bullet in a bible (dvd) mp3 american idiot by green day
April 29th, 2006 at 7:02 pm
slipknot pulse of the maggots mp3
slipknot digipak - interloper mp3 slipknot live in manchester 2000 mp3 download
April 30th, 2006 at 5:25 am
latina lesbians
asian lesbians lesbian kissing lesbian sisters
April 30th, 2006 at 5:25 am
free upskirts
voyeurs hidden cams sk…
April 30th, 2006 at 5:12 pm
sexy lingerie models
lingerie model sexy plus size lingerie s…
April 30th, 2006 at 5:18 pm
frank sinatra serenade in blue
frank sinatra swing easy mp3 download frank sinatra paper doll mp3 frank sinatra swingin’ down the lane mp3
May 1st, 2006 at 7:24 am
girls peeing pants
pissing girls guy pissing desperate housewives cast
May 1st, 2006 at 7:32 am
stevie wonder characters mp3 download
stevie wonder you will know mp3 stevie wonder i wanna talk to you mp3 isn’t she lovely by stevie wonder
May 1st, 2006 at 8:01 am
teen fisting
pussy fisting cunt fisting girl fisting
May 1st, 2006 at 8:01 am
anal sex
fine ass ass phat booty
May 1st, 2006 at 3:28 pm
cum in pussy
anal cumshots horse cum swallowing
May 1st, 2006 at 6:11 pm
public upskirt
cheerleader upskirt college girls flashing the free project voyeur
May 2nd, 2006 at 2:21 am
cheap air fares
cheap air fares
May 2nd, 2006 at 1:21 pm
robbie williams better days mp3
advertising space robbie williams robbie williams escapology mp3
May 2nd, 2006 at 1:28 pm
nude teens
teens teen nudist teen girls
May 2nd, 2006 at 2:24 pm
nine inch nails starfuckers
nine inch nails closer to god mp3 download nine inch nails albums
May 2nd, 2006 at 9:27 pm
drunken boxing
drunk blowjob drunken girls drunk spring break girls
May 2nd, 2006 at 9:27 pm
secretary desk
secretary s panties secretary of state michigan fucking secretary
May 3rd, 2006 at 12:33 pm
teens bra
preventing drunk driving mature granny large labia
May 3rd, 2006 at 1:03 pm
met art gallery
herfirstlesbiansex first time auditions met…
May 3rd, 2006 at 1:39 pm
masturbating girls
squirting glass dildo
May 3rd, 2006 at 1:44 pm
lingerie model
brooke burke lingerie plus size sexy lingerie
May 3rd, 2006 at 1:50 pm
moby rushing mp3
moby you mp3 moby have you seen my baby mp3
May 3rd, 2006 at 6:01 pm
craig david rise and fall (ft. sting) mp3
craig david human mp3 craig david live in amsterdam mp3 download
May 3rd, 2006 at 6:32 pm
mobscene marilyn manson
pink lonely girl mp3 the reason by hoobastank rolling stones painted black
May 3rd, 2006 at 7:18 pm
moonlight 8 mp3
moonlight damaisa mp3 moonlight zobaczyc siebie mp3
May 3rd, 2006 at 7:41 pm
metallica the shortest straw mp3
mindless self indulgence thank god boa duvet (cyberia mix by - dj wasey) mp3
May 3rd, 2006 at 8:20 pm
offspring i wanna be sedated mp3
offspring all along mp3 offspring jennifer lost the war mp3
May 3rd, 2006 at 9:04 pm
large and plus size lingerie
brother rapes sister brother and sister breed insest sex
November 15th, 2008 at 9:48 pm
Penis Enlargement Pills, How to Suck Cock, Sex Secrets, Woman Masturbation, Penis Techniques, Sexual Performance, Sex Instructons & Positions. Visit: http://www.sinepenis.com
May 1st, 2009 at 5:34 am
premiumporn.info…
I’ ve spent two seasons hating on Torres like it was my full time job. Clearly, he’ s a great player but as far as all the psycho fangirling goes, I’ m not on board. I enjoy leering at half- naked Spanish men as much as the next girl but several …
May 11th, 2009 at 4:44 am
Big Natural Boobs Porn…
Busty milf trinity sucks, fucks and masturbates in her sexy clothing. busty secretary, big tit teacher .. great free tour…
June 11th, 2009 at 6:40 am
friend using their vibrator…
There is this really hot babe that works in the office building across the street. I have seen her coming and going for the past couple months. She would wear these tight v neck shirts that left little if anything to the imagination. She was my kind of…
June 11th, 2009 at 12:17 pm
Double Penetration, Anal Sex, Cumshot Swallowing - Multiple,…
Bill Clinton should be laughing his ass off—– and everybody thought he was such a Hill Billy.—- MOST of the white people up in Alaska, fuck it, ALL of the white people up in Alaska are from some where else; usually some Southern state that brough…
June 11th, 2009 at 1:17 pm
big tits pictures…
Chili’ s chicken finger looks like chocolate Easter bunny. Here it is folks! The strangest chicken finger to ever get posted on eBay. I got this chicken finger on my plate at Chili’ s. Just seconds before this prized gem almost ended up in my mouth…
June 13th, 2009 at 2:08 pm
Frank Sinatra - Strangers In The Night…
Tina Sinatra, who gave Scorsese permission to use her father’s recordings, will presumably have veto power over casting since she’s an executive producer of the film. More over, Sinatra fanatics are interfireing in with their choices. “I think Johnn…
June 15th, 2009 at 4:47 am
Rough Sex…
“ It’ s back. Have you missed it terribly? That shrieking, teetering, shrilly hysterical, piercingly ambitious, 26- legged, doe- eyed monster of oestrogen that is the Australia’ s Next Top Model uber- beast. It’ s St Trinian’ s on crack. It…
June 26th, 2009 at 10:10 am
I found lydiasteier.blog.friendster.com very informative. The article is professionally written and I feel like the author knows the subject very well. lydiasteier.blog.friendster.com keep it that way.