Ear Surgery

Question 1

Answer 1

Question 2

Conservative Aural Hematoma Tx

Answer 2

Aspiration + steroid injection

Question 3

Aural Hematoma Surgical Tx

Answer 3

Incision, drainage, suture
S shaped incision on CONCAVE surface, FULL THICKNESS sutures, sutures PARALLEL to incision

Question 4

Indications: Lateral Wall Resection

Answer 4

REVERSIBLE otitis externa
Small tumor not extending into horizontal canal
Patent horizontal canal
NO COCKER SPANIELS

Question 5

Complications: Lateral Wall Resection

Answer 5

Dehiscence of incision (tension, chronic infection, slow healing)
Stenosis of horizontal ear canal
Self trauma

Question 6

Indications: Vertical Ear Canal Resection

Answer 6

Vertical ear canal severely diseased
Horizontal ear canal NORMAL
Trauma or avulsion

Question 7

Indications: TECABO

Answer 7

Chronic disease
End stage ear disease
Narrow horizontal canal
Neoplasia of ear canal
Extensive middle ear disease

Question 8

Complications: TECABO

Answer 8

Hemorrhage
Facial nerve paralysis
Horner’s
Inner ear infection
Loss of hearing

Question 9

Surgical indications for septic otitis media/interna

Answer 9

Lack of improvement with medical management after 4-6 weeks
Neurologic signs requiring tympanic decompression