e.n.t 5th year, 2nd lecture (dr. muaid)
TRANSCRIPT
By
DR. Muaid I. Aziz
FICMS
Otolaryngologist - head & neck surgeon
History
Examination
Investigations
Deafness
Discharge
Pain
Itching
Tinnitus
vertigo
Definition
Types
CHL ?
SNHL?
Sudden onset causes
occlusion of EAM by wax or discharge
middle ear pathology as effusion , blast injury ,
perforating TM
vascular occlusion or viral infection affecting
inner ear ( emergency)
Consistency
(soft wax , serous or purulent , muco purulent ,
frank pus (offensive or not ), bloody , watery)
origin
Duration
origin
it’s a sensation of sound in the ear
Types
Causes
Definition
True vertigo or dizziness
Peripheral or central
Main common causes
Medical or rehabilitation therapy
Inspection
Palpation
Otoscopic examination
Microscopic examination
Hearing assessment
Other ENT parts assessment
Cranial nerves assessment
External ear
Rinnes weber
Audiometric Tests:
Includes:
1. Pure – tone Audiometry (PTA) which is most
commonly used used for measuring hearing
acuity.
2. Tympanometry
which provides a quick objective measurement
of the state of the middle ear.
Plain X-Ray; of the temporal bone show the
degree of pneumatization of the mastoid ,
clouding of the air cells can indicate infection
while area of erosion may be seen in
cholesteatoma , malignant disease.
CT-SCAN ; is now widely used specially in
complicated otitis media, in revision surgery.
