Dental + ENT Flashcards
What are the two different types of hearing impairment/loss?
Conductive
Sensorineural
What is conductive hearing loss?
When there is a reduced transmission of soundwaves due to an abnormality of the outer or middle ear impairs conduction of soundwaves to oval window
example impacted earwax or FB
What is sensorineural hearing loss?
Whether the disorder of nerves of inner ear or CNS
example - congenital or prolonged exposure to excessive noise
How is conductive and sensorineural hearing loss investigated and what are the considerations you have to take in while taking images on patients?
 neither conductive or Sensorineural hearing loss is investigated routinely - as this is not visible on images
Must take into consideration is communication with patience when undertaking other scans
What infection is found in the ear?
Acute otitis media
What is acute otitis media?
This is an information of the middle ear due to upward spread of infection via auditory tube in patient with URTI
What is a severe case of acute otitis media?
Infection may spread through temporal bone (as it is very thin) which can lead to a brain abscess and meningitis
What is acoustic neuroma?
It is a benign tumour cited in space from inner ear to brain - in the space is the vestibular and cochlear nerves
What is acoustic neuroma also known as?
Vestibular schwannoma
What are the Common symptoms of acoustic neuroma?
Uni sided hearing loss
Tinnitus left (sounds coming from within the body right)
Vertigo (feeling of moving or spinning)
What are the indications/symptoms of a larger neuroma?
Persistent headaches
Double vision (often temporary)
Uni sided numbness or ataxia (coordination)
Hoarse voice or swallowing difficulty
What imaging modality is used to image and acoustic neuroma?
MRI
Why is MRI used to image and acoustic neuroma?
Provides excellent contrast between all of the soft tissues present
Sensitivity and specificity are variable
Contrast is definite, if Selectively used
What is the Sinusitis?
Swelling of sinuses
Congested mucosa may cause blockage of openings between nose and sinuses preventing drainage of discharge
What are the symptoms of sinusitis?
Facial pain and headache
What may be the result of having repeated attacks of sinusitis?
It may result in the condition becoming chronic
What are nasal polyps?
Abnormal tissue growth in nasal passages and sinuses
What is the cause of sinusitis?
Infection
 The spread of microbes through the nose and pharynx to mucous membrane lining of sinuses.
Nasal polyps
What are the symptoms of nasal polyps?
Large diesel pops can block the nasal passage way and cause symptoms such as:
blocked nose
Runny nose
Snoring
Sinusitis
And the loss of smell and taste
What is the cause of nasal polyps?
Caused by inflammation and thought to be associated with allergic rhinitis (hayfever) and asthma