conditions Flashcards
(30 cards)
mode of inheritance of otosclerosis/
autosomal dominant
what sign do you get on audiogram for otosclerosis?
carhaarts notch
what can make hearing better in otosclerosis?
background noise
otosclerosis involves fixation of ? to ?
footplate of stapes to oval window
management of otoscerosis ?
hearing aid
replacement of stapes
co2 lasers
cochlear implant
what is cholesteatoma ?
skin growth in the middle ear (nn cancerous)
what kind of discharge do you get in cholesteatoma
foul smelling, cheesy discharge
on examination, what would the tympanic membrane look like in cholesteatoma
pearly white
management of cholesteatoma
surgical removal
what is glue ear also known as?
otitis media with effusion
is there a source of infection in otitis media with effusion?
no
typical patient with OME?
child
what can OME be a sign of in adults?
nasopharyngeal cancer
what is OME associated with ?
eustachian tube dysfunction
what is OME associated with in terms of school?
behaviour problems, deafness, speech delay, decreased performance at school
what would you see with OME on inspection ?
retracted membrane, fluid level, bubbles
what is the purpose of grommets
to improve hearing
treatment of OME in under 3 years ?
grommets
1st time in child over 3 years?
grommets
if second time OME in patient over 3 years?
adenoidectomy
when would you refer a patient with OME?
if they’re had it for over 3 months, bilateral, significant hearing loss or impact on behaviour
vestibular schwanomma is a benign tumour of?
nerve sheath of CN8
VS, how does it usually present?
unilateral, hearing loss, distorted sound, unsteadiness, vertigo
what is bilateral VS associated with?
neurofibromatosis type 2
