ENT

Question 1

surfer with ear getting cold and wet complaining of hearing loss and infections

Answer 1

exostosis- need to protect ear with plugs, can have canaloplasty to remove boney growths, can have hearing aids

Question 2

what is this and how to you manage

Answer 2

fungal otitis externa, red/yellow crusty ear canal. Needs mcirosuction and clotrimazole

Question 3

management for membrane perforation with granulation on rim and patches of tympanosclerosis

Answer 3

keep ear dry, check up in 2 months, do audiometry.

May need tympanoplasty

Question 4

what

Answer 4

retraction of the tympanic membrane, can see from malleolus positioning. Opaque, may be bubbles

OME - pure tone audiometry /grommets / hearing aid

Question 5

OME in child Mx

Answer 5

can watch and wait for 3 months or Otovent to reinflate middle ear, may need Abx if infection, see if affecting development

GROMMETS

Adenoidectomy/hearing aid

Question 6

cholesteatoma management

Answer 6

Arranging emergency hospital admission if there is suspected advanced or extensive disease (e.g. facial nerve palsy or neurological signs) , or clinical features suggesting a potentially serious or life-threatening complication.

Arranging prompt ENT referral for audiology assessment, specialist imaging, confirmation of the diagnosis, possible surgical intervention, and follow-up.

CT head to assess temporal bone