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Otitis Externa
Published in Firza Alexander Gronthoud, Practical Clinical Microbiology and Infectious Diseases, 2020
Tympanostomy tube or perforated eardrum allows for purulent middle ear secretions to enter the ear canal and cause infectious eczematoid dermatitis of the ear canal. Management of the underlying otitis media requires systemic antibiotics.
Acute facial palsy
Published in S. Musheer Hussain, Paul White, Kim W Ah-See, Patrick Spielmann, Mary-Louise Montague, ENT Head & Neck Emergencies, 2018
Richard M Irving, Raghu Nandhan Sampath Kumar
Due to the nature of force required, the majority of patients with temporal bone fractures will have multiple injuries, including possible intracranial and cervical spine injury. Therefore, initial assessment follows advanced trauma life support protocols with multidisciplinary involvement. Once the patient is stabilised, a complete neuro-otological examination is required, including otoscopy for haemotympanum/perforated eardrum, evidence of postauricular ecchymosis (Battle’s sign), CSF leak from the ear or nose and, in the conscious patient, assessment of facial nerve function, nystagmus and hearing loss (bedside tuning fork test and formal audiometric testing at the earliest opportunity). In the critically ill patient, rapid imaging with high-resolution CT is essential to evaluate the temporal bone but also the intracranial contents and potential cervical spine injury.
Myringoplasty
Published in John C Watkinson, Raymond W Clarke, Christopher P Aldren, Doris-Eva Bamiou, Raymond W Clarke, Richard M Irving, Haytham Kubba, Shakeel R Saeed, Paediatrics, The Ear, Skull Base, 2018
Myringoplasty can be defined as the surgical repair of the tympanic membrane.1 In the majority of cases the damage is likely to be a persisting perforation of the drum but there are also situations where a thin or retracted drum may need to be reinforced. This chapter will focus on the perforated eardrum but some of the techniques described are also applicable to reinforcement myringoplasty. Wullstein in 19562 classified tympanoplasty, with myringoplasty being classified as a Type I tympanoplasty.
Prevalence of extended high-frequency hearing loss among adolescents from two rural areas in Colombia
Published in International Journal of Audiology, 2021
Daniel Peñaranda, Lucía C. Pérez-Herrera, Diana Hernández, Sergio Moreno-López, Ilene Perea, Mario Jacome, Nancy Suetta-Lugo, Juan Manuel García, Augusto Peñaranda
The otoscopic findings recorded during the otologist clinical examination were discriminated by ear. Regarding the right ear, 363 normal tympanic membranes (99.18%) and 3 dry perforated eardrums (0.82%) were found. In the left ear otoscopic findings, 365 normal tympanic membranes (99.73) and 1 perforated eardrum with discharge (0.27%) were documented. It is relevant to note up that less than 1% of the ears had chronic otitis media otoscopic findings. Thus, when these findings were included in the statistical analysis, they did not entail a significant fluctuation of the results.