Paediatric ENT Flashcards
3 main considerations in children with hearing loss
congenital vs acquired
unilateral vs bilateral
conductive vs sensorineural
history
ear symptoms speech and development behaviour delivery issues and neonatal infections ...
subjective hearing assessment?
distraction tests to see if child moves head
tests with earphones
objective assessment? (3)
otoacoustic emissions
auditory brain stem response
tympanometry
glue ear symptoms? (5)
otitis media with effusion
hearing loss speech delay behavioural academic decline imbalance
glue ear signs?
dull TM with fluid level and bubbles
aetiology of glue ear?
eustachian tube dysfunction
adenoidal hypertrophy
glue ear treatment? (3)
auto-inflation
grommets
bone anchored hearing aid
otitis externa age and main complication?
3-18months
brain abscess is complication
otitis externa history?
short history
pain
fever
discharge
microbiology in otitis externa? (3)
H.influenza
P.pneumonia
Moraxella catarrhalis
otitis externa treatment?
antibiotics (co-amoxiclav)
grommets
adenoidectomy if recurrent
potential consideration in unresolved otitis externa?
consider cholesteatoma if chronic discharging ear and hearing loss with failure of treatment
mastoidectomy
development to aeration?
0-4m ethmoids/maxillary
3-7y sphenoids
8y-adolescent frontal
important enquiry in child ENT?
foreign body
