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4190 MIDTERM
Lecture 3 Disorders
58
Audiology
Undergraduate 4
03/01/2012

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Cards

Term
Microtia
Definition
"small ear"
congenital deformity of pinna
occurs in 1 out of 8000-10,000 births
treatment- surgery
3 groups:
Term
Cauliflower Ear
Definition
AKA hematoma auris
condition among boxers
external portion suffers a bow, a blood clot
formation of fibrous tissue in overlying skin
may causes CHL
Term
Atresia
Definition
"no hole", closed off ear canal
unilateral is 6 times more common than bi
CHL
treatment- surgery to make canal
Term
Exostosis
Definition
benign bony growths
only significant if they occlude entire canal
caused by extended exposure to cold wind/water
"surfer's ear"
HL- minimal
no treatment
Term
Otitis Externa
Definition
Swimmer's Ear
inflammation of EAC
swelling, pain, drainage, smell
caused-common bacteria
CHL
treatment- meds
Term
TM Perforations
Definition
hole in TM
CHL
opens up ME to intrusion
heals on their own
treatment- myringoplasty
Term
Tympanosclerosis
Definition
white plaques form on TM
changes in connective tissue layer
abnormal deposits of calcium
no HL
no treatment
Term
Eustachian Tube dysfunction causes
Definition
inflammatory tissue change in nasopharynx
physical diff in anatomy
growth of mass in the nasopharynx
neg pressure created when ET is blocked
CHL
Term
Cholesteatoma
Definition
abnormal growth behind ear drum in ME
cysts or puches that shed layers of old skin
increase in size and destroy surrounding bones in ME
CHL
treatment-removal
Term
Congenital
Definition
embryonal epithelial cells
white mass medial to normal TM
Term
Primary Acquired
Definition
ET dysfunction
Poor aeration of the epitympanic space
retraction of pars flaccida
keratin accumulates, sac is enlarged
Term
Types of Fluid- Effusion
Definition
exudate- fluids leak from membranes
transudate- neg pressure pulls fluid from cells
purulent- fluid becomes infected
Term
Otosclerosis
Definition
ossicles fuse together-immovable mass
progressive disorder
HL-bilateral, Carhart Notch
may be hereditary
white, middle-aged women most at risk
treatment- nothing, HAs, sugery
Term
Ossicular Discontinuity
Definition
temporal bone fracture
traumatic membrane perforation
TM may or may not be perforated
HL
treatment- prosthetic ossicle
Term
Meniere's Disease
Definition
abnormality of IE
bilateral
"episodes"
HL- low freq SNHL
vertigo, tinnitus, pressure/pain
no cure
Term
Noise-Induced HL
Definition
affects stereocilia of hair cells
overstimulated ear
aka acoustic trauma
SNHL- typically 4000 Hz
no treatment to restore hearing
TTS and PTS
Term
Presbycusis
Definition
age-related HL
progressive, bilateral
SNHL- higher freq's
no treatment, but HAs
Term
Ototoxicity
Definition
meds cause HL
balance dysfunction/tinnitus
SNHL
HAs, stop meds
chemo drugs, mycin drugs, loop diurectics, asprin
Term
Sudden Onset of SNHL
Definition
develops instantly/instantaneously
HL- unilateral
often waking up in morning
call lose all hearing/can be mild
viral infection, vascular insult, IE rupture
Term
Autoimmune Inner Ear Disease (AIED)
Definition
immune system causes body to attack its own tissues
attacks IE
HL- bilateral, progressive SNHL
treatment- steroids
Term
Barotrauma
Definition
sudden changes in pressure
rupture of OV or RW
fistula
SNHL
treatment- patch the leak
Term
Benign Paroxysmal Positional Vertigo
Definition
small crystals come loose and float around in IE
cause vertigo
audiogram and vestib tests
certain positions
short duration
Term
Acoustic Tumors
Definition
neuromass- mass on 8th nerve
benign tissue
diagnosed via MRI
remove tumor, often patients lose hearing in that ear
Term
Neurofibromatosis
Definition
inherited/genetically transmitted
multiple neuromas on sensory nerves
bilateral
HL
treatment- HAs, remove neuromas
Term
OM
Definition
inflammation/infection in middle ear
-HL: in most cases
Tx: tubes or antibiotics if infected
Term
Types of OM:
Definition
WITHOUT EFFUSION: inflammation no fluid
WITH EFFUSION: fluid without S&S infection 'serous otitis' 'glue ear'
ACTUE OM: fluid rapid onset s&s infection
CHRONIC OM: infection persists
Term
OM with Effusion sometimes called
Definition
glue ear
Serous Otitis Media SOM
Term
Chronic OM problems
Definition
ongoing dx to middle ear and eardrum
patient will have language disorder
Term
3 TYPES OF FLUID in OM
Definition
Exudate Transudate Purulent
Term
Exudate
Definition
fluid leaks from membranes due to inflammation in ME space
Term
Transudate
Definition
(-) pressure pulls fluid from cells in lining of ME
Term
Purulent
Definition
resulting fluid becomes infected, containing pus
Term
Most common Dx in sick children in US
Definition
OM
Term
OM Facts:
Definition
-respiratory infection can lead to OM
-daycare
-bottle feeding
-fever ear pain, fussiness, feeding problems
Term
OM Factors
Definition
cleft palat, downs, allergies
-native americans/eskimos higher risk
-under age 5 who have their first ear infection before 6 mo.
Term
OTOSCLEROSIS
Definition
ossicles become fused together into immovable mass
formation fo spongy bone over stepdial footplate
Term
HL of Otosclerosis
Definition
bilateral, Carhart Notch (2000 Hz sensorineural)
Term
Otosclerosis is a ____ Disorder
Definition
Progressive
Term
TX Otosclerosis
Definition
-do nothing
-HA for CHL
-Stapdectomy
Term
OSSICULAR DISCONTINUITY
Definition
temporal bone fracture
Traumatic Tympanic Membrane Perforation (may/may not)
Ossicles disengaged and not in chain
Term
DISORDERS OF INNER EAR
Definition
-Meniere
-NIHL
-Presbycusis
-Ototoxicity
-Sudden SNHL
-AIED
-Barotrauma
Term
MENIERE'S
Definition
IE DISORDER
'episodes' fluid & fluid retnetion in inner ear
HL: low frequency SNHL (200-8000Hz) ***
Tx:
diet
medications for vertigo
endolymphatic shunt
Term
Hearing Loss from Noise Exposure
Definition
Mechanical: affects steriocilia
Biochemical: overstimulated ear can't maintain appropriate chemical balances
Term
NIHL is also called
Definition
Acoustic Trauma
Term
NIHL has
HL:
TX:
Noise Exposure Terms:
Definition
HL: SNHL, 4000 Hz Notch
Tx: no treatment -- EDUCATE PEOPOLE
Terms:
TTS - Temporary Threshold Shift
PTS: Permanent Threshold Shift
OSHA: Occupational Safety and Health Administration
Term
PRESBYCUSIS
Definition
age-related hearing loss
-men early 60s women late 60s
progressive bilateral symmetrical SNHL
-sensory cells fo inner ear cannot repair
-ypically HL at Higher Requency
TX: no medical tx but HA for SNHL
Term
Capacity for certain medications to cause hearing loss:
Definition
OTOTOXICITY
Term
Drugs for Ototoxicity
Definition
-Antineopastic -chemo
Aminoglycoside Antibiotics: mycin
Loop Diuretic: fluid
Analgeics: asprin
Term
Ototoxicity associated with
Definition
balance dysfunction
tinnitus
SNHL, may resolve when stop taking meds
Term
Sudden Onset of SNHL
Definition
develops instantaneously
unilateral HL
ISSHL
-wake up in morning
Term
3 Causes of Sudden Onset SNHL
Definition
1. viral
2. vascular insult
3. fistula (inner ear rupture)
Term
inflammatory conditions that occur when immune system causes body to attack it's own tissues:
Definition
AIED: AutoImmune Inner Ear Disease
Term
HL in AIED
Definition
bilateral, fluctuating progressive SNHL
Term
Barotrauma
Definition
sudden chagnes in pressure
rupture of round/oval window
Fistula (perillymph leak)
can patch fistula
Term
Crystals lose and float inside inner ear:
Definition
BPPV: Benign Paroxysmal Positional Vertigo
Term
Rupture of Oval or Round Window may cause
Definition
Barotrauma
Term
Incidence of Acoustic Tumors/Acoustic Neuromas
Definition
1/100,000
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