Disorders Friday!!!! - PowerPoint PPT Presentation

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Disorders Friday!!!!

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Cerumen build-up (otoscope) Itching, irritation. Mild to moderate conductive hearing loss ... (wet) cerumen? Diagnosis. Impacted Cerumen. Treatment Irrigation ... – PowerPoint PPT presentation

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Title: Disorders Friday!!!!


1
Disorders Friday!!!!
  • Or Fear Loathing in the Outer Ear

2
Outer Ear Disorder 1
  • Symptoms
  • Ear red swollen
  • May be some watery discharge
  • Acute or chronic
  • Diffuse or localized
  • Typically mild
  • Population
  • Swimmers
  • Ear constantly moist
  • Anyone (most common ailment)
  • Scratching or irritation to area
  • Fungal
  • Diagnosis
  • Otitis Externa
  • Keep dry, use topical antibiotics
  • Very treatable, 1 week recovery

3
Outer Ear Disorders 2
  • Symptoms
  • Colored ear
  • Black (85), yellow, gray, white, blue-green
  • Itchy
  • Wet or full feeling
  • Initially mild hearing loss, may be progressive
  • Population
  • Recent users of antibiotics
  • Residents of very hot, humid environments
  • Diagnosis
  • Otomycosis (special case of Otitis Externa)
  • Keep dry, use topical antibacterial
  • More difficult treatment

4
Outer Ear Obstruction 1
  • Symptoms
  • Better hearing in Sound Field than Earphone
  • Soft cartilage
  • Moderate hearing loss, especially with high
    frequencies
  • Population
  • Older adults
  • Diagnosis
  • Collapsed ear canal
  • Obstruction blocks sound
  • Ear collapses with earphones
  • Ear may be held open, but the problem is chronic

5
Obstruction 2
  • Symptoms
  • Cerumen build-up (otoscope)
  • Itching, irritation
  • Mild to moderate conductive hearing loss
  • Mild tinnitus (rare)
  • Population
  • Anyone
  • Asian (dry) vs. Euro-African (wet) cerumen?
  • Diagnosis
  • Impacted Cerumen
  • Treatment Irrigation
  • May cause middle ear infection, require multiple
    attempts
  • Softening Drugs (see Guest et al., 2004)

6
Neoplasms 1
  • Symptoms
  • Fullness (possible pain)
  • Otoscopic inspection shows growth
  • Unilateral mild conductive hearing loss
  • Population
  • Anyone
  • Older adults
  • Diagnosis
  • Exotoses/Osteomas bony tumors
  • Benign
  • May be removed with surgery

7
Neoplasms 2
  • Symptoms
  • Fullness
  • Mild conductive hearing loss
  • Otoscopic inspection shows blockage
  • Purple growth
  • Population
  • Infants, less than 2 months of age
  • Diagnosis
  • Hemangiomas Blood filled growth
  • If unusual size may displace structures
  • Blockage of the Meatus
  • Very RARE
  • Treatment
  • Self resolving (age 5)
  • Steroids

8
Outer Ear Disorders Big Picture
  • Infections blockages
  • Typically mild conductive hearing loss
  • Less than 10 dB HL difference
  • Neoplasms
  • Growths with low risk of affecting hearing
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