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Pathology of the Outer Ear
Pathologies of the Auditory System
51
Audiology
Graduate
09/28/2016

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Cards

Term
little ear; doesn't develop properly in utero; malformation of the pinna; often present with atresia
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Definition
MIcrotia
Term
Microtia is usually accompanied by some degree of ___ or ___
Definition
atresia; stenosis
Term
___=without perforation; ___=a narrowing
Definition
Atresia; stenosis
Term
condition where the EAC fails to develop properly, resulting in an abnormally closed or absent canal
Definition
Aural Atresia
Term
How does aural atresia develop?
Definition
any interruption of the embryologic development of the EAC can result in varying degrees of this disease; usually congenital
Term
Sometimes the middle ear is affected with aural atresia which can cause the ___ ___ to be absent and the ___ to be malformed or absent. Atresia can result in a ___ hearing loss
Definition
TM; ossicles; conductive
Term
-__-__ thousand malformations occur a year
-__-__% who have atresia have a unilateral atresia
Definition
8-10; 75-80
Term
Malformation in front of the Pinna in the soft tissue; opening to the sinus cavity; report to patient's doctor
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Definition
Pre-auricular sinus (pit)
Term
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Definition
Severe pre-auricular tag, stenotic ear canal
first branchial left cist
Term
non-cancerous growths around the tragus; extra skin
Definition
skin tags
Term
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Definition
Townes-Brocks syndrome with pre-auricular tags
Term
infectious and inflammatory condition of the middle ear associated with an effusion (fluid collection) behind an intact TM
Definition
Otitis Media
Term
A condition that is common in swimmers because of moist conditions; infection of the ear canal and/or the pinna that is often noticed in the summer; is bacterial; most common bacteria is pseudomonas; sudden onset; sometimes there is a gooy discharge
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Definition
Acute Otitis Externa
Term
Acute Otitis Externa:
severe cases may have ___ (swelling); common condition; ___ in men and women; ___ bacteria causes this most often
Definition
edema; equal; pseudomonas
Term
If otitis external persists over __ weeks it is categorized as chronic
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Definition
6
Term
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Definition
Acute otitis externa (viral - herpes zoster)
Term
External otitis due to fungal overgrowth; common in patients with hearing aids; Less common than bacterial infections; a sign is fuzz; people get it then they live in tropical environments
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Definition
Otomycosis
Term
Malignant or necrotizing otitis externa:
-Seen most commonly in ___
-The infection starts to ___ tissue if you have OE for too long (necrotizing)-very rare
-Begins as an episode of ___ ___ ___ but because of the host's compromised immune status, the infection is able to spread beyond the epithelium and soft tissue of the ear canal, and penetrate the ___ involving the underlying ___ ___
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Definition
diabetics; kill; AOE; periosteum; temporal bone
Term
Chemical irritants and allergies affecting the EAC may manifest as intense itching of the canal. Patients frequently complain of itching and dry flaky skin.
Definition
Dermatitis
Term
is a chronic, relapsing inflammatory skin condition.
sensitive, itchy red patches; hydrocortizone cream; can happen to anyone; may be associated with extema; common in people who have nickel allergies
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Definition
Contact seborrheic dermatitis
Term
Seborrheic Dermatitis (SD) has a predilection for areas rich in ___ glands, and the ___ is not an uncommon location, commonly presenting as an itchy ear.
Definition
sebaceous; auricle
Term
SD is often made based on ___ and ___ assessment. Presents as poorly defined erythematous ___, covered by large yellow greasy ___ that can be easily scraped. In the ear, it typically involves the ___ or the ___ area. Lesions are painless, but may be ___.
Definition
history; clinical; patches; scales; concha; retroauricular; itchy
Term
How is SD treated?
Definition
Topical agents. Most commonly used are antifungals
Term
Inflammation of the auricular perichondrial and cartilaginous layers; can be considered infectious or noninfectious
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Definition
Perichondritis
Term
____ perichondritis of the auricle is caused by trauma
Definition
Suppurative
Term
Perichondritis:
Signs: ___, redness, looks like ___ ___, doesn't respond to topical or ingested ___. People can get it after surgery. Associated with high ___ ___. Can result from contact sports or acupuncture. Sensitive to touch. Referral to the ___.
Definition
swelling; skin infection; antibiotics; ear piercings; doctor
Term
Presents as a painful nodule or papule on the helix which results from inflammation of the cartilage and skin of the ear
Definition
Chondrodermatitis Nodularis Helicis
Term
Chondrodermatitis Nodularis Helicis:
painful but ___; treatment is to avoid ___, rarely treat with steroids or surgery; just leave it alone
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Definition
benign; pressure
Term
refers to growths that take the shape of a horn; refers to sideways growth out of the ear; not inflammation; just tissue where it shouldn't be; usually occur in a spot where there has been trauma to the ear; benign; only concern is cosmetics concerns
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Definition
Auricular keloid formation
Term
Accumulation of fluid in the ear tissue; the skin separates from the cartilage and an infection can occur in that space and the fluid will remain; draining and plastic surgery can help
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Definition
Otohematoma (cauliflower ear)
Term
Benign, slow growing tumor rising from the temporal bone; abnormal bone growth into the ear canal
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Definition
Osteoma
Term
Osteoma:
-Common?
-etiology?
-usually just 1 growth growth, not a ___ of growths
-usually ___ (having a stalk)
Definition
fairly; unknown; collection; padunculated
Term
Benign, bony outgrowths. Frequently multiple and bilateral and are associated with swimming and water sports.
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Definition
Exostoses
Term
What is the etiology of exostoses?
Definition
Not entirely sure. There is a theory that it has to do with exposure to cold water for long periods of time
Term
Exostoses:
-not ___
-occur ___ in men and women
-treatment?
-if they get too big and cause hearing loss then you might want to do ___
Definition
inflammatory; evenly; leave it alone; surgery
Term
Most common type of skin cancer; growths that rises from the basal cells that are in the epidermis (lower skin layer); not obvious at first; early stages may but look like a bump; slow growing; might become irritated but patient won't know they are there until they erupt; not painful
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Definition
Basal cell carcinoma
Term
1 in __ people are diagnosed with a skin cancer in their life
Definition
5
Term
is an uncontrolled growth of abnormal cells arising in the squamous cells, which compose most of the skin’s upper layers
Definition
Squamous cell carcinoma
Term
Squamous cell carcinoma:
-Skin ___ that might not heal
-closely associated with ___ exposure to skin
-will usually be ___ immediately and become more ___ as it grows
-more common on the ___ than inside the ear canal
Definition
lesion; sun; uncomfortable; tender; Pinna
Term
Arises from melanin cells-melanocytes will grow out of control
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Definition
Lentigo maligna melanoma
Term
Slow growing malignant tumor that arises from the saliva glands in the neck and head; surgical removal or chemo therapy
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Definition
adenocystic carcinoma
Term
Growth from granleous fibrous tissue around the ear canal that is benign; develops from scar tissue; won't spread anywhere else; can be drained
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Definition
Granuloma
Term
Not a growth of bone; tissue overgrowth; not a cancer; associated with some syndromes
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Definition
Hamartoma
Term
Abnormal blood vessel growth; Not a cancer; overgrowth of vascular tissue; kind of looks like a birth mark; common in children; goes away on its own
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Definition
Hemangioma
Term
Viral wart on the skin
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Definition
Squamous papilloma (HPV)
Term
Benign growth from hair follicles; common in children; rarely can become malignant
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Definition
Pilomatrixoma
Term
Arises from sebaceous glands; glandlier tumor; create bumps or plaques
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Definition
Sebaceous adenoma
Term
grow inside hair follicles; thorny, stiff look; grow fairly quick; looks similar to a basal cell carcinoma
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Definition
Keratoacanthoma
Term
are scaly, crusty growths (lesions) caused by damage from the sun’s ultraviolet (UV) rays. Premalignant
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Definition
Actinic keratosis
Term
Senile wart/Verruca-most common non-cancerous skin growths; brown or black; usually more than one; usually left alone unless removed for cosmetic reasons
Definition
Sebhorreic keratosis
Term
Cerumen is the most concerning when it becomes ___ (cerumen inspissatum)-dried out and stuck
Definition
impacted
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