Term
| You can tell you have a conductive hearing loss when you have a ___ ___ ___ |
|
Definition
|
|
Term
injury caused by a change in air pressure, typically affecting the ear or the lung.
[image] |
|
Definition
|
|
Term
Parotitis Media:
occurs to extreme changes in ___ ___; see this in scuba divers and sky divers; people who have been exposed to ___; not specific to the ear; can result in TM ___; in extreme cases can rupture the membranes of the ___ ear |
|
Definition
| air pressure; blasts; perforation; inner |
|
|
Term
Longitudinal Temporal Bone Fracture:
-Hit on the ___ of the head.
-___% incidence of facial palsy |
|
Definition
|
|
Term
Transverse Temporal Bone Fracture:
-Blow to the ___ of the head
-___ likely to survive a transverse fracture
-more likely to involve the ___ ___
-secondary to ___ accidents |
|
Definition
| front; less; middle ear; auto |
|
|
Term
There are 2 kinds of transverse temporal bone fractures:
-Otic capsule ___ (fracture line doesn't reach inner ear) and otic capsule ___ (inner ear is affected) |
|
Definition
|
|
Term
| Most temporal bone fractures are to young ___ |
|
Definition
|
|
Term
|
Definition
Bleeding in the ME
[image] |
|
|
Term
-Lines of fractures and dislocations are common at ___ or at the more narrow, ___ parts of the ossicular chain
-The ___ breaks the most often |
|
Definition
|
|
Term
-"ice cr[image]eam cone” appearance of ossicles is consistent with ___ articulation
-On the right, ___ ossicles secondary to temporal bone fracture
[image] |
|
Definition
|
|
Term
| Theres a ___ to the magnitude of a conductive hearing loss; won't see one that is greater than ___ dB air bone gap |
|
Definition
|
|
Term
Acute Otitis Media:
-most ___ form of ear infection
-___ of the middle ear-swelling of tissues particularly tissues around the eustachian tube
-prevents the eustachian tube from ___ normally and as a result the middle ear from ___ normally
-___
-consequence of inflammation is ___ accumulation in the ME
-TM is drawn into the outer ear and turns ___ |
|
Definition
common; inflammation; opening; venting; effusion; fluid; pink
[image] |
|
|
Term
s fluid accumulation behind the eardrum that remains after an acute middle ear infection or blockage of the eustachian tube. A previous ear infection is the usual cause, but some children may develop it as a result of a blocked eustachian tube
[image] |
|
Definition
| Serous (secretory) otitis media |
|
|
Term
| Fluid has been sitting in the ear for a while so it starts to thicken |
|
Definition
Chronic serous otitis media (glue ear)
[image] |
|
|
Term
| Ear snot; looks similar to glue ear but they just result from different things; treated similarly; removed with suction; Symptoms: Otalgia-ear pain |
|
Definition
Mucoid otitis media
[image] |
|
|
Term
| What are the risk factors for Otitis Media? |
|
Definition
1. Native American / Inuit race
2. Family history of OM
3. Low SES
4. Day care in first two years of life
5. Parental smoking (in utero and
after birth)
6. Pacifier use (small increased
risk)
7. Not breastfed in first three
months
8. Winter |
|
|
Term
| What does PE stand for in PE tubes? |
|
Definition
| Pressure equalization or Poly Ethylene |
|
|
Term
| What is the function of a PE tube? |
|
Definition
| Ventilates middle ear and drain fluid |
|
|
Term
Bullous myringitis (hemmorhagic blister on TM):
-___ trauma, ___ trauma
-usually a secondary consequence of an ___ ___
-acute (__ weeks or less) or chronic (longer than __ weeks).
-Complain of ___ or ___ in the ear, congestion or heaviness in the ear.
-Sometimes some hearing ___
-most common in ___
-if the blister ___ and the TM ___ then you may need surgery. |
|
Definition
| Penetrating; pressure; ear infection; 3; 3; pain; itching; impairment; children; busts; perforates |
|
|
Term
Eustachian Tube Dysfunction:
-Report ___ and ___, feeling of being ___ or ___
-___ report dizziness
-can happen in children and adults, more often in children because eustachian tube is still developing and they are ___ more often
-risk factors are similar for ear infections
-People who have had a ___ are at risk for this
-___ is important in evaluating this, swallow, and then another tympanogram
-can be checked with a scope up the ___
-treatment-___ or antihistamines, nasal sprays |
|
Definition
| fullness; pressure; blocked; muffled; rarely; horizontal; stroke; tympanometry; nose; antibiotics |
|
|
Term
| where internal sounds are really loud like when you chew or you can hear your heartbeat. Happens with patulous ET |
|
Definition
|
|
Term
| TM is being pulled into the ME farther than it should be |
|
Definition
|
|
Term
Perforation of the TM and the only layer that healed was the outer layer; so translucent that it looks like the hole is still there
[image] |
|
Definition
|
|
Term
| last chance to repair the ossicular chain-graft the TM to the stapes |
|
Definition
|
|
Term
| Can develop if you have an active or untreated ear infection for 6 weeks or more; long term problem; Production of pus in the ME behind an intact TM; can lead to perforation of the TM |
|
Definition
Chronic suppurative otitis media
[image] |
|
|
Term
Thick fluid; not thin like AOM; bacterial called pseudomonas aeruginosa is associated with this illness; Secondary to CSOM
[image] |
|
Definition
|
|
Term
CSOM:
Risk factors-More common in ___ countries
-Irrigate with ___ ___ like water or salene solution |
|
Definition
|
|
Term
Fills cells with fluid in the mastoid bone; treat with antibiotics; can lead to meningitis
[image] |
|
Definition
|
|
Term
Scar tissue where the TM healed; looks like plaques
[image] |
|
Definition
|
|
Term
Tympanosclerosis:
-Acquired after ___ or ___
-asymptomatic
-no ___
-may ___ less efficiently
-most show no ___ ___, some show a mild conductive hearing loss
-don't confuse this with ____
-May recommend ___ if conductive hearing loss is present
-can have ___ surgery |
|
Definition
| injury; surgery; pain; vibrate; hearing loss; cholesteatoma; hearing aids; laser |
|
|
Term
| Benign growths in the endocrine system; grow in various places but common along the defending pathways of the artery system, particularly the carotid artery. |
|
Definition
|
|
Term
Glomus jugulare:
Growth that occurs in the ___ ___-just below the middle ear space. Runs along ___ fibers; it can press on and create disfunction among those nerve fibers and affect body ___ and ___ ___; potential for ___ of the brain stem, spine, and skull base; can impede ___ ___
[image] |
|
Definition
| jugular fossa; nerve; temperature; blood pressure; compression; blood flow |
|
|
Term
Glomus Jugulare:
can produce ___ problems and ___ because it can grow big enough to suppress the pharynx and larynx; ___ in the ear and sensation of ___ |
|
Definition
| swallowing; hoarseness; pain; fullness |
|
|
Term
Glomus Jugulare type:
compresses the 9,10, 11, and 12th cranial nerve |
|
Definition
|
|
Term
Glomus Jugulare type:
compresses the eye |
|
Definition
|
|
Term
Glomus Jugulare type:
compressess cranial nerves 9,10, and 11 |
|
Definition
|
|
Term
Glomus tympanicum:
Same sort of growth as the glomus jugulare but grows in the ___ ___ space; begins in the ___ ___ space; slow growing; highly ___; more likely to interrupt ___ than glomas jugulare; can cause ___ hearing loss; ___ tinnitus is a symptom-can hear the blood pulsing through this |
|
Definition
| ME; TM; vascularized; hearing; conductive; pulsatile |
|
|
Term
Glomus tympanicum:
-___ mass on an intact TM-both glomus types
-___ isn't predictive; can confirm it with ___-CT or MRI
-Treatment: ___ treatment and ___ if it doesn't shrink; surgeries are usually successful and so is radiation
[image] |
|
Definition
| Red; Tympanometry; imaging; radiation; surgery |
|
|
Term
| A glomus tympanicum is a paraganglioma of the middle ear cavity. It is a relatively rare, highly ___ tumor. The tumor is ___ invasive but can rarely metastasize (spread by the blood stream or lymphatic system). It can also be ___ with separate tumors developing in other parts of the body. |
|
Definition
| vascular; locally; multi-focal; |
|
|
Term
| Causes the ossicles to fix in place |
|
Definition
|
|
Term
Otosclerosis:
-2 kinds of bones that cause this?
-What is the most common site?
-___ this structure and eventually won't move at all
-slow ___ growth
-related to ___ activity
-How does this structure get fixed in place?
-less common in the ___-___ joint
-most common cause of ___HL in adults |
|
Definition
| white opaque bone and/or lucent bone-can see through it; stapes footplate; fixes; bony; metabolic; Too much bone growth in one area; incus-stapedial; conductive |
|
|
Term
Indicators of Otosclerosis:
-Not ___-its the deposition of ___ around the stapes
-Schwartze's sign. What is this?
-___, no sudden changes
-In one or both ears?
-How is speech recognition?
-What are tymps like?
-What does the audiogram look like?
-Bit worse in the ___ frequencies than the ___ frequencies related to increased ___ in the ossicular chain |
|
Definition
| inflammation; bone; Redness of the TM; Gradual; starts in one ear but ends up in both ears eventually; speech rec is usually pretty good; tyms can be normal or show reduced compliance; Carhart Notch and stiffness tilt; low; high; stiffness |
|
|
Term
Prevalence of Otosclerosis:
More common in what gender?
-more common in what ethnicity?
-More common in what age group?
-women who have otosclerosis and are ___ have a faster developing otosclerosis for some reason |
|
Definition
| women than men; caucasians-genetic abnormality; young adults; pregnant |
|
|
Term
Possible Symptoms of Bell's Palsy:
-Droopy ___, dry eye, or excessive ___
-Facial ___, twitching, or ___
-Drooping corner of ___, dry mouth, impaired ___ |
|
Definition
| eyelid; tears; paralysis; weakness; mouth; taste |
|
|
