Steve Marlo M. Cambe, MD

08/12/2025

Kalingang-TSMC!

Tanza Specialists Medical Center joins the nation in observing Ear, Nose & Throat (ENT) Consciousness Week.
Protect your senses through early awareness and proper care.

For inquiries, you may message our ENT Secretary at 0960-456-1167.







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08/12/2025

Retraction pockets of the pars flaccida ( Shrapnell’s membrane) in chronic Eustachian tube dysfunction / attic disease.

Types

0 — Normal
Pars flaccida looks normal, no retraction.

I — Mild retraction
1.Retracts toward the neck of malleus.
2.Air space still visible behind the pocket.
3.Often reducible on Valsalva/suction.

II — Adherent retraction
1.Pars flaccida retracted and stuck to malleus neck.
2 .No visible air space.
3.Non-reducible → higher risk of progression.

III — Deep retraction beyond annulus
1.Retraction extends medial to / beyond the bony annulus.
2.May have early annular bone resorption or none.
3.Essentially a “true attic pocket.”

IV — Erosive attic pocket
1.Definite bony erosion of the annulus/scutum.
2.Strong association with attic cholesteatoma.

& plan

Type I–II: usually observation + treat ET dysfunction (nasal allergy control, autoinflation, etc.) unless recurrent infection/hearing issues.

Type III–IV: more likely to trap keratin and evolve into or coexist with cholesteatoma → often needs surgical evaluation (atticotomy/tympanoplasty ± mastoidectomy depending on extent).

08/12/2025

👂 𝐄𝐚𝐫, 𝐍𝐨𝐬𝐞, 𝐚𝐧𝐝 𝐓𝐡𝐫𝐨𝐚𝐭 𝐀𝐰𝐚𝐫𝐞𝐧𝐞𝐬𝐬 𝐖𝐞𝐞𝐤 🩺

This 𝐄𝐍𝐓 𝐀𝐰𝐚𝐫𝐞𝐧𝐞𝐬𝐬 𝐖𝐞𝐞𝐤, let’s take a moment to care for our ears, nose, and throat. Through 𝐚𝐰𝐚𝐫𝐞𝐧𝐞𝐬𝐬, 𝐩𝐫𝐞𝐯𝐞𝐧𝐭𝐢𝐨𝐧, and 𝐞𝐚𝐫𝐥𝐲 𝐜𝐚𝐫𝐞, we can protect our 𝐡𝐞𝐚𝐫𝐢𝐧𝐠, 𝐛𝐫𝐞𝐚𝐭𝐡𝐢𝐧𝐠, and 𝐜𝐨𝐦𝐦𝐮𝐧𝐢𝐜𝐚𝐭𝐢𝐨𝐧 for a healthier life.

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08/12/2025

Peritonsillar Abscess (Quinsy) incision & Drainage site.

of incision:
1.At the point of maximum bulge above the upper pole of the tonsil,
OR
2.Just lateral to the junction of the anterior pillar with a line drawn through the base of the uvula.

:
1.Use a guarded knife to make a small stab incision.
2.Insert sinus forceps to open and drain the abscess cavity.

:
Re-insertion of sinus forceps next day may be needed to drain reaccumulated pus.

30/11/2025

22/11/2025

Hearing loss in different ear disease,surgical targets/outcomes.

1.SSCDS(superior semicircular canal dehiscence syndrome) Tullio trigger: >100 dB
2.Ossicular discontinuity: ~60 dB
3.Mucosal COM + ossicular loss: 50–60 dB HL
4.Congenital ossicular abnormality (air conduction loss): ~50 dB
5.Complete canal occlusion (wax): ~40 dB
6.Early mucosal COM: 30–40 dB HL
7.OME (typical loss range): 20–35 dB HL
8.OME mean poorer ear threshold: 31 dB HL
9.Bilateral OME eligibility: ≥20 dB HL
10.Post-AOM persistent ABG (1 month): >20 dB
11.Otosclerosis surgery consideration: ≥20 dB ABG
12.Otosclerosis diagnostic ABG: ≥15 dB
13.OME ABG weak clue: ≥10 dB
14.Otosclerosis / OME strong ABG clue: >30 dB
15.Congenital ossicular abnormality (ABG): ~35 dB
16.Carhart notch improvement after surgery: ~12 dB
17.Ventilation tubes (OME improvement): ~12 dB
18Functional benefit target after surgery: within ~20 dB
18.Ossiculoplasty outcome: ABG 0–10 dB (≈50%)
19.Ossiculoplasty outcome: ABG 0–20 dB (≈80%)
20.Stapes surgery outcome: ABG ≤10 dB

Source: Scott-Brown’s Otorhinolaryngology & Head neck surgery,8th Edition