Paeds ENT Flashcards
Differences between adults and childs ENT
Child has larger tongue in proportion to head
Eustachian tube is more horizontal
O2 requirement is double of an adults
Smaller airways, tinier lungs
What is the 1st hearing assessment a child will have?
Newborn hearing screening programme - within 5 weeks of birth
What is AOAE
Otoacoustic emissions (AOAE) - cochlea makes a sound because is stim’d
What is AABR?
Auditory brainstem response testing
ECG changes in response to sound
What is VRA?
Visual reinforcement audiometry
Turns head to sound and rewarded with visual reward
What is BVA
0-6m
Observed in norm vs during loud noise
What is performance test
For child >30 m
Child presented with stimulus in sound field
Must cooperate by playing the game
What is Play audiometry
Play action in response to sound
RF congenital hearing loss
Prematurity Downs FHx NICU stay Jaundice
Causes of AOM in paeds
Barotrauma
Bacterial
Viral
What % of kids have AOM before 3 v
80%
Predisposing factors AOM (6)
Enviro Bottle fed White/Indian Males Comorbidities FHX Winter
Sx AOM
Fever Headache Ear ache Irritable Poor feed Bulging ™ with reduced mobility
Mx AOM
Supportive
Who to give ABx for AOM
If <6 m
If at risk of complications
If Sx have persisted >4 days
