Otology Flashcards
Name six symptoms relates to the ears
Tinnitus Vertigo Facial Weakness Otalgia Otorrhoea Hearing Loss
How do you manage an auricular haematoma?
Incision and drainage
Pressure dressing
Antibiotics
What is otitis externa and how is it managed?
Inflammation of the external auditory canal
Managed with antibiotics and topical steroids
What is malignant otitis externa and in who does it typically present?
Osteomyelitis in the temporal bone with granulations in the external auditory meatus.
Typical patient is an elderly diabetic.
How does glue ear/otitis media with effusion present and how should it be managed?
Presents in young children as hearing loss and delayed speech.
Should be observed for 3 months as usually self limiting but if not then can insert a grommet or get the child to try using an otovent.
What is tympanosclerosis and how does it present?
Calcification of the tympanic membrane
Usually is asymptomatic and is found incidentally so doesn’t require treatment.
How does a perforated tympanic membrane present and how should it be managed?
Presents with recurrent ear infections and hearing loss.
Advise about water in the ear and possible myringoplasty.
What is cholesteatoma, how does it present and how is it managed?
Dysfunction of the Eustachian tube resulting in impaired skin migration.
Presents with offensive otorrhoea
Needs a mastoidectomy (drill into skull and take out skin)
What is otesclerosis and how is it managed?
Fixation of stapes by extra bone resulting in hearing loss.
Needs a hearing aid or stapedectomy.
What is benign positional vertigo, how is it diagnosed and how is it managed?
It is a build up of otoconia (calcium crystals) in the semi circular ear canal that causes vertigo when repositioning the head.
Diagnosed with the Dix-Hallpike test.
Managed with the Epley manoeuvre which is a series of movements designed to remove the otoconia.
