SlideShare una empresa de Scribd logo
1 de 83
Otosclerosis ,[object Object],[object Object]
 
Introduction ,[object Object],[object Object],[object Object],[object Object]
History of Otosclerosis and Stapes Surgery ,[object Object],[object Object],[object Object],[object Object],[object Object]
History of Otosclerosis and Stapes Surgery ,[object Object],[object Object],[object Object]
History of Otosclerosis and Stapes Surgery ,[object Object],[object Object]
History of Otosclerosis and Stapes Surgery ,[object Object],[object Object],[object Object],[object Object],[object Object]
History of Otosclerosis and Stapes Surgery ,[object Object],[object Object],[object Object],[object Object]
History of Otosclerosis and Stapes Surgery ,[object Object],[object Object],[object Object],[object Object]
Epidemiology ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Aetiology ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Aetiology- Measles?
Pathophysiology ,[object Object],[object Object],[object Object],[object Object]
Pathology ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Pathology ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Non-clinical foci of otosclerosis
Anterior footplate involvement
Annular ligament involvement
Bipolar involvement of the footplate
Round Window
Biscuit footplate
Pathophysiology of ,[object Object],[object Object],[object Object],[object Object]
Hyalinization of the spiral ligament
Erosion into inner ear
 
 
Organ of Corti
Cochlear Otosclerosis ,[object Object],[object Object],[object Object],[object Object]
Diagnosis  of Otosclerosis
Clinical features ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
History  ,[object Object],[object Object],[object Object],[object Object]
Physical Exam ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Physical Exam ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Differential Diagnosis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Audiometry ,[object Object],[object Object],[object Object],[object Object],[object Object]
Tympanometry ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
Acoustic Reflexes ,[object Object],[object Object],[object Object],[object Object],[object Object]
Pure Tone Audiometry ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
Imaging ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
 
 
Paget’s disease
Management Options ,[object Object],[object Object],[object Object],[object Object]
Medical ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Medical ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Medical ,[object Object],[object Object],[object Object],[object Object]
Amplification ,[object Object],[object Object]
Surgery ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Surgery ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Canal Injection ,[object Object],[object Object],[object Object]
Raise Tympanomeatal Flap ,[object Object],[object Object],[object Object]
Separation of chorda tympani nerve from malleus ,[object Object],[object Object],[object Object]
Curettage of Scutum ,[object Object],[object Object]
Middle ear examination ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
Measurement for prosthesis ,[object Object],[object Object]
Drill Fenestration ,[object Object],[object Object],[object Object],[object Object]
Laser Fenestration ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Stapedotomy
Oval window seal ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Total Stapedectomy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
 
 
 
Reconstructing the annular ligament
Stapedectomy  vs.  Stapedotomy ,[object Object],[object Object],[object Object],[object Object],[object Object]
Postoperative ,[object Object],[object Object],[object Object]
Special Considerations and Complications in Stapes Surgery
Overhanging Facial Nerve ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Floating Footplate ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Diffuse Obliterative Otosclerosis ,[object Object],[object Object],[object Object]
Perilymphatic Gusher ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
SNHL ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Reparative Granuloma ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Vertigo ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
Recurrent Conductive Hearing Loss ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
THANK YOU

Más contenido relacionado

La actualidad más candente

Superior Semicircular Canal Dehiscence Syndrome
Superior Semicircular Canal Dehiscence SyndromeSuperior Semicircular Canal Dehiscence Syndrome
Superior Semicircular Canal Dehiscence SyndromeAde Wijaya
 
11 surgery for otosclerosis.ppt copy
11 surgery for otosclerosis.ppt   copy11 surgery for otosclerosis.ppt   copy
11 surgery for otosclerosis.ppt copysocial service
 
Cholesteatoma etiology, theories, clinical features and management
Cholesteatoma  etiology, theories, clinical features and managementCholesteatoma  etiology, theories, clinical features and management
Cholesteatoma etiology, theories, clinical features and managementDivya Raana
 
OME-Otitis Media with effusion in children
OME-Otitis Media with effusion in childrenOME-Otitis Media with effusion in children
OME-Otitis Media with effusion in childrenRazal M
 
Tinnitus and It's Treatment
Tinnitus and It's Treatment Tinnitus and It's Treatment
Tinnitus and It's Treatment Amit kumar
 
Baha & active middle ear implants
Baha & active middle ear implantsBaha & active middle ear implants
Baha & active middle ear implantsUtpal Sarmah
 
Otosclerosis dr.p.kartyhikeyan,07.03.2016
Otosclerosis dr.p.kartyhikeyan,07.03.2016Otosclerosis dr.p.kartyhikeyan,07.03.2016
Otosclerosis dr.p.kartyhikeyan,07.03.2016ophthalmgmcri
 
MENIERE'S DISEASE
MENIERE'S DISEASEMENIERE'S DISEASE
MENIERE'S DISEASESuraj Dhara
 
Middle ear implants
Middle ear implantsMiddle ear implants
Middle ear implantsVinod M K
 
Congenital malformation of external ear and it’s management
Congenital malformation of external ear and it’s managementCongenital malformation of external ear and it’s management
Congenital malformation of external ear and it’s managementYousuf Choudhury
 
MIDDLE EAR ANOMALIES
MIDDLE EAR ANOMALIESMIDDLE EAR ANOMALIES
MIDDLE EAR ANOMALIESJINORAJ RAJAN
 
Glomus tumours pakistan
Glomus tumours pakistan Glomus tumours pakistan
Glomus tumours pakistan Anwaaar
 
sudden sensorineural hearing loss
sudden sensorineural hearing losssudden sensorineural hearing loss
sudden sensorineural hearing lossMamoon Ameen
 

La actualidad más candente (20)

Otosclerosis
OtosclerosisOtosclerosis
Otosclerosis
 
Otosclerosis
OtosclerosisOtosclerosis
Otosclerosis
 
Superior Semicircular Canal Dehiscence Syndrome
Superior Semicircular Canal Dehiscence SyndromeSuperior Semicircular Canal Dehiscence Syndrome
Superior Semicircular Canal Dehiscence Syndrome
 
11 surgery for otosclerosis.ppt copy
11 surgery for otosclerosis.ppt   copy11 surgery for otosclerosis.ppt   copy
11 surgery for otosclerosis.ppt copy
 
Cholesteatoma etiology, theories, clinical features and management
Cholesteatoma  etiology, theories, clinical features and managementCholesteatoma  etiology, theories, clinical features and management
Cholesteatoma etiology, theories, clinical features and management
 
OME-Otitis Media with effusion in children
OME-Otitis Media with effusion in childrenOME-Otitis Media with effusion in children
OME-Otitis Media with effusion in children
 
Otosclerosis
OtosclerosisOtosclerosis
Otosclerosis
 
Tinnitus and It's Treatment
Tinnitus and It's Treatment Tinnitus and It's Treatment
Tinnitus and It's Treatment
 
Baha & active middle ear implants
Baha & active middle ear implantsBaha & active middle ear implants
Baha & active middle ear implants
 
Otosclerosis dr.p.kartyhikeyan,07.03.2016
Otosclerosis dr.p.kartyhikeyan,07.03.2016Otosclerosis dr.p.kartyhikeyan,07.03.2016
Otosclerosis dr.p.kartyhikeyan,07.03.2016
 
OTOSCLEROSIS
OTOSCLEROSISOTOSCLEROSIS
OTOSCLEROSIS
 
MENIERE'S DISEASE
MENIERE'S DISEASEMENIERE'S DISEASE
MENIERE'S DISEASE
 
Ossiculoplasty
OssiculoplastyOssiculoplasty
Ossiculoplasty
 
Middle ear implants
Middle ear implantsMiddle ear implants
Middle ear implants
 
Congenital malformation of external ear and it’s management
Congenital malformation of external ear and it’s managementCongenital malformation of external ear and it’s management
Congenital malformation of external ear and it’s management
 
Middle ear reconstruction
Middle ear reconstructionMiddle ear reconstruction
Middle ear reconstruction
 
MIDDLE EAR ANOMALIES
MIDDLE EAR ANOMALIESMIDDLE EAR ANOMALIES
MIDDLE EAR ANOMALIES
 
Glomus tumours pakistan
Glomus tumours pakistan Glomus tumours pakistan
Glomus tumours pakistan
 
Audiometry Ashly
Audiometry  AshlyAudiometry  Ashly
Audiometry Ashly
 
sudden sensorineural hearing loss
sudden sensorineural hearing losssudden sensorineural hearing loss
sudden sensorineural hearing loss
 

Destacado (11)

4. otosclerosis
4. otosclerosis4. otosclerosis
4. otosclerosis
 
Otosclerosis
OtosclerosisOtosclerosis
Otosclerosis
 
Otosclerosis
OtosclerosisOtosclerosis
Otosclerosis
 
Otosclerosis
OtosclerosisOtosclerosis
Otosclerosis
 
Otosclerosis
OtosclerosisOtosclerosis
Otosclerosis
 
Ear wax management
Ear wax managementEar wax management
Ear wax management
 
Impacted wax
Impacted waxImpacted wax
Impacted wax
 
Otosclerosis
OtosclerosisOtosclerosis
Otosclerosis
 
Otosclerosis
OtosclerosisOtosclerosis
Otosclerosis
 
Otosclerosis, tratamiento y complicaciones
Otosclerosis, tratamiento y complicaciones Otosclerosis, tratamiento y complicaciones
Otosclerosis, tratamiento y complicaciones
 
Otosclerosis
OtosclerosisOtosclerosis
Otosclerosis
 

Similar a Otosclerosis (20)

surgical management of ototsclerosis
surgical management of ototsclerosissurgical management of ototsclerosis
surgical management of ototsclerosis
 
Complications of Stapes surgery.pptx
Complications of Stapes surgery.pptxComplications of Stapes surgery.pptx
Complications of Stapes surgery.pptx
 
Otosclerosis
OtosclerosisOtosclerosis
Otosclerosis
 
Otosclerosis
OtosclerosisOtosclerosis
Otosclerosis
 
Otosclerosis & Meniere's disease.pptx
Otosclerosis & Meniere's disease.pptxOtosclerosis & Meniere's disease.pptx
Otosclerosis & Meniere's disease.pptx
 
otosclerosis-200825060058 (1).pptx
otosclerosis-200825060058 (1).pptxotosclerosis-200825060058 (1).pptx
otosclerosis-200825060058 (1).pptx
 
Otosclerosis(sbo 3)
Otosclerosis(sbo 3)Otosclerosis(sbo 3)
Otosclerosis(sbo 3)
 
otosclerosis.pptx
otosclerosis.pptxotosclerosis.pptx
otosclerosis.pptx
 
OTOSCLEROSIS - causes, types, symptoms & treatment
OTOSCLEROSIS - causes, types, symptoms & treatmentOTOSCLEROSIS - causes, types, symptoms & treatment
OTOSCLEROSIS - causes, types, symptoms & treatment
 
8 otosclerosis
8 otosclerosis8 otosclerosis
8 otosclerosis
 
Otosclerosis
OtosclerosisOtosclerosis
Otosclerosis
 
Otosclerosis Dr R S mane
Otosclerosis Dr R S maneOtosclerosis Dr R S mane
Otosclerosis Dr R S mane
 
Dr ABI OTOSCELEROSIS.pptx
Dr ABI OTOSCELEROSIS.pptxDr ABI OTOSCELEROSIS.pptx
Dr ABI OTOSCELEROSIS.pptx
 
Otosclerosis
OtosclerosisOtosclerosis
Otosclerosis
 
OTOSCLEROSIS
OTOSCLEROSISOTOSCLEROSIS
OTOSCLEROSIS
 
Otosclersis and stapes surgical management
Otosclersis and stapes surgical managementOtosclersis and stapes surgical management
Otosclersis and stapes surgical management
 
Otosclerosis
OtosclerosisOtosclerosis
Otosclerosis
 
Otosclerosis
OtosclerosisOtosclerosis
Otosclerosis
 
F benoudiba jl sarrazin transmissional hearing loss with normal tympanic memb...
F benoudiba jl sarrazin transmissional hearing loss with normal tympanic memb...F benoudiba jl sarrazin transmissional hearing loss with normal tympanic memb...
F benoudiba jl sarrazin transmissional hearing loss with normal tympanic memb...
 
Neuro otology
Neuro otologyNeuro otology
Neuro otology
 

Último

Call Girls Service Jaipur {9521753030} ❤️VVIP RIDDHI Call Girl in Jaipur Raja...
Call Girls Service Jaipur {9521753030} ❤️VVIP RIDDHI Call Girl in Jaipur Raja...Call Girls Service Jaipur {9521753030} ❤️VVIP RIDDHI Call Girl in Jaipur Raja...
Call Girls Service Jaipur {9521753030} ❤️VVIP RIDDHI Call Girl in Jaipur Raja...Sheetaleventcompany
 
Mumbai ] (Call Girls) in Mumbai 10k @ I'm VIP Independent Escorts Girls 98333...
Mumbai ] (Call Girls) in Mumbai 10k @ I'm VIP Independent Escorts Girls 98333...Mumbai ] (Call Girls) in Mumbai 10k @ I'm VIP Independent Escorts Girls 98333...
Mumbai ] (Call Girls) in Mumbai 10k @ I'm VIP Independent Escorts Girls 98333...Ishani Gupta
 
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...Dipal Arora
 
Manyata Tech Park ( Call Girls ) Bangalore ✔ 6297143586 ✔ Hot Model With Sexy...
Manyata Tech Park ( Call Girls ) Bangalore ✔ 6297143586 ✔ Hot Model With Sexy...Manyata Tech Park ( Call Girls ) Bangalore ✔ 6297143586 ✔ Hot Model With Sexy...
Manyata Tech Park ( Call Girls ) Bangalore ✔ 6297143586 ✔ Hot Model With Sexy...vidya singh
 
Independent Call Girls Service Mohali Sector 116 | 6367187148 | Call Girl Ser...
Independent Call Girls Service Mohali Sector 116 | 6367187148 | Call Girl Ser...Independent Call Girls Service Mohali Sector 116 | 6367187148 | Call Girl Ser...
Independent Call Girls Service Mohali Sector 116 | 6367187148 | Call Girl Ser...karishmasinghjnh
 
Russian Call Girls Service Jaipur {8445551418} ❤️PALLAVI VIP Jaipur Call Gir...
Russian Call Girls Service  Jaipur {8445551418} ❤️PALLAVI VIP Jaipur Call Gir...Russian Call Girls Service  Jaipur {8445551418} ❤️PALLAVI VIP Jaipur Call Gir...
Russian Call Girls Service Jaipur {8445551418} ❤️PALLAVI VIP Jaipur Call Gir...parulsinha
 
Coimbatore Call Girls in Coimbatore 7427069034 genuine Escort Service Girl 10...
Coimbatore Call Girls in Coimbatore 7427069034 genuine Escort Service Girl 10...Coimbatore Call Girls in Coimbatore 7427069034 genuine Escort Service Girl 10...
Coimbatore Call Girls in Coimbatore 7427069034 genuine Escort Service Girl 10...chennailover
 
Call Girls Service Jaipur {8445551418} ❤️VVIP BHAWNA Call Girl in Jaipur Raja...
Call Girls Service Jaipur {8445551418} ❤️VVIP BHAWNA Call Girl in Jaipur Raja...Call Girls Service Jaipur {8445551418} ❤️VVIP BHAWNA Call Girl in Jaipur Raja...
Call Girls Service Jaipur {8445551418} ❤️VVIP BHAWNA Call Girl in Jaipur Raja...parulsinha
 
Call Girls Madurai Just Call 9630942363 Top Class Call Girl Service Available
Call Girls Madurai Just Call 9630942363 Top Class Call Girl Service AvailableCall Girls Madurai Just Call 9630942363 Top Class Call Girl Service Available
Call Girls Madurai Just Call 9630942363 Top Class Call Girl Service AvailableGENUINE ESCORT AGENCY
 
8980367676 Call Girls In Ahmedabad Escort Service Available 24×7 In Ahmedabad
8980367676 Call Girls In Ahmedabad Escort Service Available 24×7 In Ahmedabad8980367676 Call Girls In Ahmedabad Escort Service Available 24×7 In Ahmedabad
8980367676 Call Girls In Ahmedabad Escort Service Available 24×7 In AhmedabadGENUINE ESCORT AGENCY
 
Best Rate (Patna ) Call Girls Patna ⟟ 8617370543 ⟟ High Class Call Girl In 5 ...
Best Rate (Patna ) Call Girls Patna ⟟ 8617370543 ⟟ High Class Call Girl In 5 ...Best Rate (Patna ) Call Girls Patna ⟟ 8617370543 ⟟ High Class Call Girl In 5 ...
Best Rate (Patna ) Call Girls Patna ⟟ 8617370543 ⟟ High Class Call Girl In 5 ...Dipal Arora
 
Call Girls Kolkata Kalikapur 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Girl Se...
Call Girls Kolkata Kalikapur 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Girl Se...Call Girls Kolkata Kalikapur 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Girl Se...
Call Girls Kolkata Kalikapur 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Girl Se...Namrata Singh
 
Low Rate Call Girls Bangalore {7304373326} ❤️VVIP NISHA Call Girls in Bangalo...
Low Rate Call Girls Bangalore {7304373326} ❤️VVIP NISHA Call Girls in Bangalo...Low Rate Call Girls Bangalore {7304373326} ❤️VVIP NISHA Call Girls in Bangalo...
Low Rate Call Girls Bangalore {7304373326} ❤️VVIP NISHA Call Girls in Bangalo...Sheetaleventcompany
 
Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...
Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...
Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...tanya dube
 
Most Beautiful Call Girl in Bangalore Contact on Whatsapp
Most Beautiful Call Girl in Bangalore Contact on WhatsappMost Beautiful Call Girl in Bangalore Contact on Whatsapp
Most Beautiful Call Girl in Bangalore Contact on WhatsappInaaya Sharma
 
Call Girls Hosur Just Call 9630942363 Top Class Call Girl Service Available
Call Girls Hosur Just Call 9630942363 Top Class Call Girl Service AvailableCall Girls Hosur Just Call 9630942363 Top Class Call Girl Service Available
Call Girls Hosur Just Call 9630942363 Top Class Call Girl Service AvailableGENUINE ESCORT AGENCY
 
Models Call Girls In Hyderabad 9630942363 Hyderabad Call Girl & Hyderabad Esc...
Models Call Girls In Hyderabad 9630942363 Hyderabad Call Girl & Hyderabad Esc...Models Call Girls In Hyderabad 9630942363 Hyderabad Call Girl & Hyderabad Esc...
Models Call Girls In Hyderabad 9630942363 Hyderabad Call Girl & Hyderabad Esc...GENUINE ESCORT AGENCY
 
Call Girl in Indore 8827247818 {LowPrice} ❤️ (ahana) Indore Call Girls * UPA...
Call Girl in Indore 8827247818 {LowPrice} ❤️ (ahana) Indore Call Girls  * UPA...Call Girl in Indore 8827247818 {LowPrice} ❤️ (ahana) Indore Call Girls  * UPA...
Call Girl in Indore 8827247818 {LowPrice} ❤️ (ahana) Indore Call Girls * UPA...mahaiklolahd
 
Premium Call Girls In Jaipur {8445551418} ❤️VVIP SEEMA Call Girl in Jaipur Ra...
Premium Call Girls In Jaipur {8445551418} ❤️VVIP SEEMA Call Girl in Jaipur Ra...Premium Call Girls In Jaipur {8445551418} ❤️VVIP SEEMA Call Girl in Jaipur Ra...
Premium Call Girls In Jaipur {8445551418} ❤️VVIP SEEMA Call Girl in Jaipur Ra...parulsinha
 

Último (20)

Call Girls Service Jaipur {9521753030} ❤️VVIP RIDDHI Call Girl in Jaipur Raja...
Call Girls Service Jaipur {9521753030} ❤️VVIP RIDDHI Call Girl in Jaipur Raja...Call Girls Service Jaipur {9521753030} ❤️VVIP RIDDHI Call Girl in Jaipur Raja...
Call Girls Service Jaipur {9521753030} ❤️VVIP RIDDHI Call Girl in Jaipur Raja...
 
Mumbai ] (Call Girls) in Mumbai 10k @ I'm VIP Independent Escorts Girls 98333...
Mumbai ] (Call Girls) in Mumbai 10k @ I'm VIP Independent Escorts Girls 98333...Mumbai ] (Call Girls) in Mumbai 10k @ I'm VIP Independent Escorts Girls 98333...
Mumbai ] (Call Girls) in Mumbai 10k @ I'm VIP Independent Escorts Girls 98333...
 
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
 
Manyata Tech Park ( Call Girls ) Bangalore ✔ 6297143586 ✔ Hot Model With Sexy...
Manyata Tech Park ( Call Girls ) Bangalore ✔ 6297143586 ✔ Hot Model With Sexy...Manyata Tech Park ( Call Girls ) Bangalore ✔ 6297143586 ✔ Hot Model With Sexy...
Manyata Tech Park ( Call Girls ) Bangalore ✔ 6297143586 ✔ Hot Model With Sexy...
 
Independent Call Girls Service Mohali Sector 116 | 6367187148 | Call Girl Ser...
Independent Call Girls Service Mohali Sector 116 | 6367187148 | Call Girl Ser...Independent Call Girls Service Mohali Sector 116 | 6367187148 | Call Girl Ser...
Independent Call Girls Service Mohali Sector 116 | 6367187148 | Call Girl Ser...
 
Russian Call Girls Service Jaipur {8445551418} ❤️PALLAVI VIP Jaipur Call Gir...
Russian Call Girls Service  Jaipur {8445551418} ❤️PALLAVI VIP Jaipur Call Gir...Russian Call Girls Service  Jaipur {8445551418} ❤️PALLAVI VIP Jaipur Call Gir...
Russian Call Girls Service Jaipur {8445551418} ❤️PALLAVI VIP Jaipur Call Gir...
 
Coimbatore Call Girls in Coimbatore 7427069034 genuine Escort Service Girl 10...
Coimbatore Call Girls in Coimbatore 7427069034 genuine Escort Service Girl 10...Coimbatore Call Girls in Coimbatore 7427069034 genuine Escort Service Girl 10...
Coimbatore Call Girls in Coimbatore 7427069034 genuine Escort Service Girl 10...
 
Call Girls Service Jaipur {8445551418} ❤️VVIP BHAWNA Call Girl in Jaipur Raja...
Call Girls Service Jaipur {8445551418} ❤️VVIP BHAWNA Call Girl in Jaipur Raja...Call Girls Service Jaipur {8445551418} ❤️VVIP BHAWNA Call Girl in Jaipur Raja...
Call Girls Service Jaipur {8445551418} ❤️VVIP BHAWNA Call Girl in Jaipur Raja...
 
Call Girls Madurai Just Call 9630942363 Top Class Call Girl Service Available
Call Girls Madurai Just Call 9630942363 Top Class Call Girl Service AvailableCall Girls Madurai Just Call 9630942363 Top Class Call Girl Service Available
Call Girls Madurai Just Call 9630942363 Top Class Call Girl Service Available
 
8980367676 Call Girls In Ahmedabad Escort Service Available 24×7 In Ahmedabad
8980367676 Call Girls In Ahmedabad Escort Service Available 24×7 In Ahmedabad8980367676 Call Girls In Ahmedabad Escort Service Available 24×7 In Ahmedabad
8980367676 Call Girls In Ahmedabad Escort Service Available 24×7 In Ahmedabad
 
Best Rate (Patna ) Call Girls Patna ⟟ 8617370543 ⟟ High Class Call Girl In 5 ...
Best Rate (Patna ) Call Girls Patna ⟟ 8617370543 ⟟ High Class Call Girl In 5 ...Best Rate (Patna ) Call Girls Patna ⟟ 8617370543 ⟟ High Class Call Girl In 5 ...
Best Rate (Patna ) Call Girls Patna ⟟ 8617370543 ⟟ High Class Call Girl In 5 ...
 
Call Girls Kolkata Kalikapur 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Girl Se...
Call Girls Kolkata Kalikapur 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Girl Se...Call Girls Kolkata Kalikapur 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Girl Se...
Call Girls Kolkata Kalikapur 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Girl Se...
 
Low Rate Call Girls Bangalore {7304373326} ❤️VVIP NISHA Call Girls in Bangalo...
Low Rate Call Girls Bangalore {7304373326} ❤️VVIP NISHA Call Girls in Bangalo...Low Rate Call Girls Bangalore {7304373326} ❤️VVIP NISHA Call Girls in Bangalo...
Low Rate Call Girls Bangalore {7304373326} ❤️VVIP NISHA Call Girls in Bangalo...
 
Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...
Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...
Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...
 
Most Beautiful Call Girl in Bangalore Contact on Whatsapp
Most Beautiful Call Girl in Bangalore Contact on WhatsappMost Beautiful Call Girl in Bangalore Contact on Whatsapp
Most Beautiful Call Girl in Bangalore Contact on Whatsapp
 
Call Girls Hosur Just Call 9630942363 Top Class Call Girl Service Available
Call Girls Hosur Just Call 9630942363 Top Class Call Girl Service AvailableCall Girls Hosur Just Call 9630942363 Top Class Call Girl Service Available
Call Girls Hosur Just Call 9630942363 Top Class Call Girl Service Available
 
Models Call Girls In Hyderabad 9630942363 Hyderabad Call Girl & Hyderabad Esc...
Models Call Girls In Hyderabad 9630942363 Hyderabad Call Girl & Hyderabad Esc...Models Call Girls In Hyderabad 9630942363 Hyderabad Call Girl & Hyderabad Esc...
Models Call Girls In Hyderabad 9630942363 Hyderabad Call Girl & Hyderabad Esc...
 
Call Girl in Indore 8827247818 {LowPrice} ❤️ (ahana) Indore Call Girls * UPA...
Call Girl in Indore 8827247818 {LowPrice} ❤️ (ahana) Indore Call Girls  * UPA...Call Girl in Indore 8827247818 {LowPrice} ❤️ (ahana) Indore Call Girls  * UPA...
Call Girl in Indore 8827247818 {LowPrice} ❤️ (ahana) Indore Call Girls * UPA...
 
🌹Attapur⬅️ Vip Call Girls Hyderabad 📱9352852248 Book Well Trand Call Girls In...
🌹Attapur⬅️ Vip Call Girls Hyderabad 📱9352852248 Book Well Trand Call Girls In...🌹Attapur⬅️ Vip Call Girls Hyderabad 📱9352852248 Book Well Trand Call Girls In...
🌹Attapur⬅️ Vip Call Girls Hyderabad 📱9352852248 Book Well Trand Call Girls In...
 
Premium Call Girls In Jaipur {8445551418} ❤️VVIP SEEMA Call Girl in Jaipur Ra...
Premium Call Girls In Jaipur {8445551418} ❤️VVIP SEEMA Call Girl in Jaipur Ra...Premium Call Girls In Jaipur {8445551418} ❤️VVIP SEEMA Call Girl in Jaipur Ra...
Premium Call Girls In Jaipur {8445551418} ❤️VVIP SEEMA Call Girl in Jaipur Ra...
 

Otosclerosis