Middle ear disease

Question 1

what would be the indication for waterproofing an ear in TM perforation

Answer 1

traumatic AOM perforation - pain and visible hole

Question 2

how should you manage AOM perforation

Answer 2

give topical drops (steroid and antibiotic) if ongoing discharge

Question 3

when should you suspect cholesteatoma

Answer 3

in any patient with unilateral ear discharge

Question 4

what is a cholesteatoma

Answer 4

keratin debris that has built up in a retracted TM,

benign, non-cancerous

can erode through structures

Question 5

what are some complications of cholesteatomas

Answer 5

intracranial infection
abscesses
hearing, taste abnormalities, tinnitus
facial nerve palsy

Question 6

when should you suspect a glomus tumour

Answer 6

• pulsatile tinnitus
• conductive hearing loss
• facial weakness