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J R Soc Med. 1985 January; 78(1): 18–26.
PMCID: PMC1289540

Smith-McGuckin spot.

Abstract

Direct inspection of the tympanic membrane, especially with the help of the microscope, continues to be an important part of the examination of the patient suffering from ear disease. Accurate assessment of the varied appearances can be helpful in anticipating the prognosis in SMOM and may give information about the pathology of CSOM and cholesteatoma. The Smith-McGuckin spot was first described 20 years ago (Smith 1964, R Thomas 1965, personal communication) and its significance is reviewed. Further evidence of the relationship between skeletal disorders such as Turner's syndrome and persistent SMOM is described. It is suggested that bone resorption in the deep meatus, outer attic wall and ossicles may result from chronic hyperaemia rather than sepsis or avascular necrosis. The part played by cholesteatoma in bone erosion is questioned.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Baxter JD, Ling D. Ear disease and hearing loss among the Eskimo population of the Baffin Zone. Can J Otolaryngol. 1974;3(2):110–122. [PubMed]
  • Buckingham RA, Valvassori GE. Tomographic and surgical pathology of cholesteatoma. Arch Otolaryngol. 1970 May;91(5):464–469. [PubMed]
  • HOLBOROW CA. Deafness associated with cleft palate. J Laryngol Otol. 1962 Oct;76:762–773. [PubMed]
  • PROCTOR B. THE DEVELOPMENT OF THE MIDDLE EAR SPACES AND THEIR SURGICAL SIGNIFICANCE. J Laryngol Otol. 1964 Jul;78:631–648. [PubMed]
  • Sadé J. Pathogenesis of attic cholesteatomas. J R Soc Med. 1978 Oct;71(10):716–732. [PMC free article] [PubMed]
  • Sadé J, Teitz A. Cholesterol in cholesteatoma and in the otitis media syndrome. Am J Otol. 1982 Jan;3(3):203–208. [PubMed]

Articles from Journal of the Royal Society of Medicine are provided here courtesy of Royal Society of Medicine Press