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Head And Neck > Outer And Middle Ear Disorders > Flashcards

Outer And Middle Ear Disorders Flashcards

1
Q

How does auricular haematoma occur?

A

Due to damage of the auricle

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2
Q

What is the management of auricular haematoma?

A

Incision and drainage
Pressure dressing- prevents re accumulation
Antibiotics- prevent infection of cartilage pinna

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3
Q

What are complication of auricular haemotoma?

A

Cauliflower ear- necrosis of cartilage of auricle

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4
Q

What is the management of foreign body in ear?

A

Removal (if very small it will come out with wax)
Urgency of removal depends on type of foreign body

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5
Q

How soon should you remove a button battery?

A

Within hours?

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6
Q

How soon should you take out an organic foreign body?

A

Within days

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7
Q

How soon should you take out an inorganic foreign body?

A

Within weeks

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8
Q

What is otitis externa?

A

Inflammation of external auditory meatus

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9
Q

How does otitis externa present?

A

§ Pain
§ Discharge
§ Itching
§ Hearing loss

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10
Q

What is the management of otitis externa?

A

§ Antibiotics/ steroid ear drops
§ +/- suction under microscope

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11
Q

What is prevention of otitis externa?

A

Don’t use water or cotton buds

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12
Q

What is malignant otitis externa?

A

Can spread
Osteomyelitis of temporal bone

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13
Q

How does malignant otitis externa present

A

Severe pain in elderly diabetic
Granulations in external auditory meatus
+/- cranial nerve palsies

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14
Q

Malignant Otitis externa management?

A

Antibiotics for weeks or months

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15
Q

What is otitis media with effusion?

A

Sterile fluid in middle ear

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16
Q

How does otitis media with effusion present?

A

Hearing loss
Speech delay

17
Q

How is otitis media with effusion managed?

A

Observation for 3 months
Otovent- a look up the nose
Gromnet- plastic tube that sits in the eardrum

18
Q

Wha is acute supportive otitis media?

A

Pus in middle ear

19
Q

How does acute supportive otitis media present?

A

Otalgia +/- otorrhoea

20
Q

How is otitis media managed?

A

Observation +/- antib

21
Q

What is tympanisclerosis?

A

Calcification in tympanic membrane +/- middle ear

22
Q

How does tympanosclerosis present?

A

Usually asymptomatic
Can have white patches in tympanic membrane

23
Q

What is the management of tympanosclerosis?

A

None

24
Q

What are the complications of chronic supportive otitis media?

A

Dead ear
Facial palsy
Meningitis
Brain abscess

25
Q

What causes perforation of tympanic membrane?

A

Infection
Trauma
Grommet

26
Q

What is the presentation of perforation of tympanic membrane?

A

Recurrent infection
Hearing loss

27
Q

What is the management of perforation of tympanic membrane?

A

Water precautions
+/- myringoplasty

28
Q

What is cholesteatoma caused by?

A

Eustachian tube dysfunction
Impaired skin migration

29
Q

How does Cholesteatoma present?

A

Persistent offensive otorrohoea

30
Q

What is the management for Cholesteatoma?

A

Mastoidectomy

31
Q

What is the presentation of otosclerosis?

A

Conductive hearing loss
Normal tympanic membrane

32
Q

What is the pathology of otosclerosis?

A

Fixation of stapes by extra bone

33
Q

What is the management of otosclerosis?

A

Hearing aid
Stapedectomy

34
Q

What is the clinical features of facial nerve palsy?

A

Lower motor neuron facial palsy

35
Q

What are the differential diagnosis to FNP?

A

Intratemporal eg cholesteatoma
Extratemporal eg parotid tumour
Idiopathic = Bell’s palsy

36
Q

What is the management of FNP?

A

Treat underlying cause
Steroids
Eye care

Head And Neck (9 decks)

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