16/11/2025
comparison of the pre-operative and post-operative findings
✅ Pre-operative (Before Surgery) – Left Ear
From the endoscopic images in the discharge summary:
• The ear cavity shows inflamed mucosa, irregular tissue, and evidence of chronic infection.
• There is mucosal disease consistent with chronic suppurative otitis media.
• The images show granulation tissue / squamous debris, suggesting a cholesteatoma or mucosal pathology.
• The eardrum area (tympanum) appears abnormal, not smooth, and has diseased tissue.
• The discharge note confirms:
“Left chronic suppurative otitis media with mucosal disease – squamous”
and the operation done was:
Left tympanoplasty + atticotomy + mastoidectomy
→ indicating significant pre-existing disease.
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✅ Post-operative (After Surgery) – Left Ear
From the endoscopic postoperative images and the large endoscopic picture:
• The cavity looks clean with smooth, healthy-looking mucosa.
• No visible inflamed or infected tissue.
• Surgically reconstructed areas (e.g., tympanoplasty graft) appear well-placed and healing.
• The postoperative ear cavity shows:
• No granulation tissue
• No discharge
• No residual cholesteatoma-like material
• Overall appearance is much healthier and well aerated compared to the pre-operative state.
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⭐ Summary of Improvement
Aspect Pre-operative Post-operative
Infection Present, chronic Cleared
Mucosal health Inflamed, irregular Smooth, healing
Squamous disease / debris Present Not visible
Tympanic membrane status Diseased / abnormal Reconstructed, clean
Overall cavity Pathological Healthy postoperative cavity
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✔️ Overall Interpretation
The post-operative images show a significant improvement compared to the pre-operative state. The surgery appears to have:
• Cleared the diseased tissue
• Restored a clean middle ear cavity
• Set the ear on a good healing path
This is consistent with a successful tympanoplasty + atticotomy + mastoidectomy.