Middle Ear Advanced

Question 1

Myringitis =

Answer 1

Infxn of DRUM

Question 2

Tympano =

Answer 2

Middle Ear cavity

Question 3

Bullous myringitis.- tx

Answer 3

Lance w/ micropic, pain stops

Question 4

Acute myringitis: Tx

Answer 4

Ofloxacin drops
Ciprodex
No tobramycin w/ TM perf (?)

Question 5

Malleolus position

Answer 5

Anterior, points posteriorly

Question 6

Stapes position

Answer 6

Posterior

Question 7

Worst quadrant for TM perf

Answer 7

Posterior inferior

Question 8

TM perf - inward

Answer 8

Squamous enters, stops healing

Question 9

TM perf - outward

Answer 9

Squamous not entering middle ear, easily healed/reattached

Question 10

Perforation vs. Retraction

Answer 10

retraction = air bubbles

Question 11

TM perf : tx

Answer 11

Drops
Ofloxacin
NO CORTOSPORIN (neomycin toxic, AA react)
NO ORAL

Question 12

TM perf : surgery

Answer 12

Steri-strip
Fat graft
Cartilage patch
Skin graft
Fascia/Perichondrium patch
Medial graft surgery

Question 13

Oto =

Answer 13

Inner ear

Question 14

Chronic Ear Disease : examples

Answer 14

Atelectasis
COM
Tympanosclerosis

Question 15

Otosclerosis: s/s

Answer 15

Conductive H.L.

Question 16

Otosclerosis: Tx

Answer 16

Fluoride
Hearing Aid
Stapedectomy

Question 17

Pulsating red/blue think in middle ear?

Answer 17

Carotid / jugular offshoot

Question 18

Middle ear tumors

Answer 18

Glomus tympanicum

Glomus jugulare

Question 19

Cholesteatoma : cause

Answer 19

Retraction theory

Mucosal blanket theory

Question 20

Cholesteatoma: sequelae

Answer 20

Hearing loss
Recurrent infxn
LSCC dehiscense
Tegmen erosion
Meningitis
Facial nerve palsy

Question 21

Cholesteatoma : positions

Answer 21

Posterior epitympanic
Posterior Mesotympanic
Anterior Epitympanic

Question 22

Occult cholesteatoma : cause

Answer 22

Recurrent infxns

Aural polyps

Question 23

Mastoiditis vs. Mastoid effusion

Answer 23

Mastoiditis = Bone destruction