Paediatrics - ENT

Question 1

Name 3 causes of conductive hearing loss

Answer 1

glue ear, wax, perforated ear drum, abnormal outer ear, eustrachian tube dysfunction

Question 2

What can happen if hearing loss if not identified?

Answer 2

communication difficulties, social isolation, depression, increased quality of life, decreased independance

Question 3

What is the difference between conductive and sensorineural hearing loss?

Answer 3

Conductive loss - bone conduction better than sensorineural due to problems in middle/inner ear, eardrum
Sensorineural - bone and sensorineural loss same due to problem in cochlear

Question 4

How would you treat glue ear?

Answer 4

1. Do nothing
2. Input grommets
3. Hearing aids

Question 5

What is glue ear?

Answer 5

Otitis media with effusion in children <12 years
with hearing loss 25-30 dB
on 2 occasions, 3 months apart

Question 6

Why are children more prone to otitis media?

Answer 6

eustachian tubes are shorter, horizontal and function badly

Question 7

What are grommets?

Answer 7

ventilation tubes put into eardrum to allow air to pass into the middle ear