Auditory System And Disorders Flashcards
What is an idiopathic disorder?
A disorder which we do not know the cause
What is a congenital disorder?
A disorder present from birth
What is a retro cochlear disorder?
A disorder that is beyond the cochlea (nerve)
Explain the difference between SNHL, CHL, and MHL?
SNHL: usually worse in the HFs, permanent (inner ear and nerve are affected).
CHL: sometimes not permanent - the inner ear is not directly affected, it is middle ear pathology.
MHL: combination of SNHL and CHL, usually genetic or from head trauma
What is tinnitus and the 3 types?
Tinnitus is a perception of sounds being heard within the head that could be ringing, buzzing, hissing, pulsing, etc.
1. Subjective tinnitus: only audible to the person (most frequent) - usually due to hearing loss
2. Objective tinnitus: more rare, can be heard by other people, usually associated with TMJ
3. Pulsative: has to do with the heart/cardiovascular.
What is hyperacusis?
The intolerance or annoyance of sounds with increased loudness recruitment
What is the difference between misophonia and phonophobia?
Misophone is the dislike of sounds like chewing, slurping, etc…
Phonophobia is the fear of sounds
What is the difference between dysplasia and aplasia?
- Dysplasia : abnormal development
- Aplasia: complete lack of development
What is microtia and anotia?
Congenital disorders.
Microtia is the abnormal development of the external ear,
Anotia is the complete absence of the external ear
How many dB of hearing loss can an outer or middle ear abnormality cause?
60 dB
What are the four types of aplasia of the inner ear?
- Michel: total absence of cochlea
- Mondini: dysplasia of cochlea
- Scheibe: dysplasia of cochlea and saccule
- Alexander: cochlear duct (basal area) abnormality
How does impacted cérumen affect audiological results?
- Tympanogram: Type B with ECV below 0.8.
- Can have CHL
What is exostosis and how does it affect audiological results?
Bony growth in the ear canal due to swimming in cold waters, normally does not affect results.
What is Otitis externa? What are some symptoms? How is it treated?
- Normally caused by bacteria
- Can cause pain, swelling, discharge, itching
- Treatments include antibiotics and hydrocortisone
What is tympanosclerosis?
White composites that are observed on the eardrum (scarring) that occur from chronic ear infections.
What result can we see with a TM perforation? What are the treatment options?
Type B tympanogram with large ECV over 2.2.
Can cause CHL
Treatment: usually heals on its own - sometimes needs a myringoplasty
What is Otitis Media? Which population gets it most and why?
The infection of the middle ear, usually associated with Type B tympanograms.
CHL is common
Children under 7 have it more frequently because their Eustachian tube is still horizontal.
What is Eustachian tube dysfunction? Which population is most susceptible to it?
When the ET does not open properly or is blocked (Type C tympanogram).
People who have it most are those with cleft palates, have inflamed tonsils/adenoids, sinus infections, or other respiratory conditions.
What is Otitis media with effusion?
The accumulation of fluid in the middle ear
Name 5 complications of otitis media
- Facial paralysis
- Labyrinthitis
- Mastoiditis
- Cholesteatoma
- Break in the ossicular chain
What is a treatment option for otitis media with effusion if it does not resolve?
Pressure equalizing tubes
What is otosclerosis? What are some audiological findings?
Disease that causes stiffening in the middle ear, usually at the stapes
Type As tympanograms are observed, with Carharts notch observed at 2kHz and conductive hearing loss.
Can sometimes see a pinkish glow on TM