Otic polyp Otic polyp An otic polyp (also called aural polyp) is a benign proliferation of chronic inflammatory cells associated with granulation tissue, in response to a longstanding inflammatory process of the middle ear. Patients usually present with otorrhea, conductive hearing loss, and otalgia, while bleeding and a sensation of a mass are much less common. Although imaging is not required to yield a diagnosis, it may be obtained to exclude other disorders, such as a concurrent cholesteatoma. By gross description, there is usually a solitary, polypoid, reddish mass behind an intact ear drum (typmanic membrane). The tissue is often friable, measuring
Skeletal changes of organisms transitioning from water to land tetrapod. In the tetrapod and higher clades from the lower-middle Famennian there are several defining changes on the basis of anatomy of "Ichthyostega", "Tulerpeton", and "Acanthostega". In the cranium, there is a stapes derived from the hyomandibular of fishes; a single bilateral pair of nasal bones, and a fenestra ovalis in the otic capsule of the braincase. The opening of the otic wall of the braincase can be considered a paedomorphic feature for tetrapods and is linked to the stapes functionally. The stapes was thought to be just a structural support between the palate and the stapedial plate of the