Causes of Conductive Hearing Loss Flashcards

1
Q

describe what otitis externa is

A

inflammation of skin of ear canal, almost always infective, may be bacterial or fungal

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2
Q

what are some common causes of otitis externa

A

water, cotton buds, skin conditions(eg dermatitis)

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3
Q

what group of people is acute otitis media seen in most commonly

A

children

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4
Q

what symptom and other condition is acute otitis media associated with

A

associated with glue ear

commonly associated with URTIs

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5
Q

what is included in chronic otitis media

A

otitis media with effusion(ie glue ear), cholesteatoma, perforation

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6
Q

what are some of the causes of conductive hearing loss

A

otitis externa, otitis media(with/without effusion), cholesteatoma, perforation, otosclerosis

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7
Q

what pathology is otitis media with effusion(glue ear) associated with

A

Eustachian tube dysfunction or obstruction

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8
Q

what causes of otitis media with effusion(glue ear) must be considered in adults

A

rhinosinusitis, nasopharyngeal carcinoma, nasopharyngeal lymphoma

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9
Q

describe the conductive hearing loss seen in otitis media with effusion(glue ear)

A

conductive hearing loss with flat tympanogram, means no air behind the drum(due to effusion)
may be different presentation in young adults(ie speech development problems)

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10
Q

what can cause perforation of the ear drum

A

commonly due to acute otitis media, may also occur after trauma

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11
Q

describe what cholesteatoma is

A

presence of keratin within middle ear, erodes surrounding bone

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12
Q

what clinical features are associated with cholesteatoma

A

conductive hearing loss, discharge, complications

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13
Q

what treatment is generally required for cholesteatoma

A

surgical excision and reconstruction

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14
Q

what medial complications are associated with otitis media and cholesteatoma

A

sensorineural hearing loss, tinnitus, vertigo, facial palsy

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15
Q

what superior complications are associated with otitis media and cholesteatoma

A

brain abscess, meningitis

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16
Q

what inferior complications are associated with otitis media and cholesteatoma

A

venous sinus thrombosis

17
Q

describe what otosclerosis is

A

gradual onset conductive hearing loss due to fixation of stapes

18
Q

what group of people is otosclerosis most commonly seen in and when does it progress more rapidly

A

females, progresses more rapidly in pregnancy