3 - ENT - Otology - Other conditions of the ear

Question 1

3 other conditions that may affect ear

Answer 1

AIDS
Glomus tumour
Tinnitus

Question 2

AIDS and the ear - external ear conditions?

Answer 2

Kaposi sarcoma, fungal OE, malignant OE

Question 3

AIDS and the ear - middle ear and inner ear conditions?

Answer 3

mid - AOM (supp/eff)

inn - cochlear nerve neuropathy (SN loss), iatrognenic hearing loss

Question 4

Glomus tumour - describe it? arise where?

Answer 4

rare, benign vascular tumour

arise at carotid body

Question 5

Glomus tumour - presentation?

Answer 5

tinnitus synchronous with pulse, hearing loss (C or SN), facial paralysis, other CN paralysis
pulsatile red mass behind ear drum

Question 6

Tinnitus is the …

Answer 6

..sensation of non-verbal sound not from outside the body

Question 7

two types of tinnitus?

Answer 7

subjective and objective tinnitus

Question 8

Subjective Tinnitus - describe noise heard? a feature of this?

Answer 8

ringing, buzzing, hissing

short bursts <15 mins

Question 9

Subjective tinnitus - 3 types of cause? if they’re ruled out?

Answer 9

local
general
drugs

if ruled out - subjective idiopathic tinnitus

Question 10

Local causes of subjective tinnitus

Answer 10

OM, hearing loss, presbyacusis, noise-induced, head injury, otosclerosis

Question 11

general causes of subjective hearing loss

Answer 11

HTN, anaemia, CHF

Question 12

Drugs causing subjective tinnitus

Answer 12

aspirin, loop diuretics, aminoglycosides, quinine, alcohol

Question 13

Objective tinnitus - what is it? type of sound? correspond to where?

Answer 13

noises could be heard by others too

popping/clicking - commonly mid ear
pulsatile sounds - often vascular

Question 14

mgmt of tinnitus

Answer 14

underlying cause
advice - use background noise to mask it
psych support
hearing aids

unilateral? - needs Ix for acoustic neuroma