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    OTOLOGY Sir Babar Ospe

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    The document discusses examination of the ear, including inspection of the external ear, tympanic membrane, and mastoid. It covers tests of hearing like the Rinne test and tuning fork tests. X-rays of the mastoid are also described, noting features like pneumatic, sclerotic, or radiolucent appearances that can indicate different conditions.

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    OTOLOGY Sir Babar Ospe

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    28 views23 pages
    The document discusses examination of the ear, including inspection of the external ear, tympanic membrane, and mastoid. It covers tests of hearing like the Rinne test and tuning fork tests. X-rays of the mastoid are also described, noting features like pneumatic, sclerotic, or radiolucent appearances that can indicate different conditions.

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    OTOLOGY sir babar ospe

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    The document discusses examination of the ear, including inspection of the external ear, tympanic membrane, and mastoid. It covers tests of hearing like the Rinne test and tuning fork tests. X-rays of the mastoid are also described, noting features like pneumatic, sclerotic, or radiolucent appearances that can indicate different conditions.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    28 views23 pages

    OTOLOGY Sir Babar Ospe

    Uploaded by

    One Piece
    The document discusses examination of the ear, including inspection of the external ear, tympanic membrane, and mastoid. It covers tests of hearing like the Rinne test and tuning fork tests. X-rays of the mastoid are also described, noting features like pneumatic, sclerotic, or radiolucent appearances that can indicate different conditions.

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    ■

    1a m
    ar
    Aural hematoma Perichondritis Keloid formation
    ~ ~ I\\ dr ot

    osteoma ~
    Chronic suppurative
    Acute mastoiditis auditory canal otitis
    media(tubotympanic
    type)
    k to

    co -
    rm ard
    Malignant otitis
    -

    , I
    .
    I
    '
    mpano sc
    Examination of ear
    Qt.q_Lqglgj Examination
    How is Mastoid?
    Is f!nJJA Normal?
    Is t.~M Normal?
    Is TM Normal?

    ~mlllYll.r Examination
    How Is Hearing on Voice Tests [What is the type of hearing Loss]?
    Tuning Fork Tests [ What is the 'Type of Hearing Loss]?
    Is facial nerve normal?
    Is there NY.$_t~m_~ [Yes/No
    Facial nerve
    Examination: Ear
    Size and shape of the gjoo~

    Extra cartilage tags/~ < ;µJar sinuses or pits.

    Signs of trauma to the moo.a.

    Suspicious skin lesions on the Jl!O.OJl, including nwqelCalil


    -
    ~Rl~i~ e I-•
    C I CN
    Skin conditions of the Q!OI~ and external canal.

    c.- ,
    •• . F , -
    History
    Classical symptoms : deafness, tinnitus, discharge (0!9rrh.Q~). pain
    (Q!s!g.@) and vertigo.

    Previous ear surgery, or head injury.

    Family history of deafness.

    Systemic disease (gg, stroke, multiple sclerosis, cardiovascular disease) .

    .9J.QtQ2<j~ drugs (antibiotics (gg, ~ ! l ). diuretics, ~ -

    Exposure to noise (gg, pneumatic drill or shooting).

    History of m and allergy in children


    Examination, tympanic membrane
    Handle/lateral process of the malleus.
    Light reflex/cone of light.
    Pars tensa and pars flaccida (attic)
    Long process of incus.
    Chorda tympani.
    Eustachian opening.
    Promontory of the cochlea.

    Perforations (note size, site and position) .


    Tympanosclerosis.
    Glue ear/middle-ear effusion .
    Retractions of the drum.
    Haemotympanum (blood in the middle ear).
    ~ ..
    \. -
    I•
    ......~
    !\
    ~~\ J
    f' ~ tc > C /J
    testin~) or bone ~ting for air
    conduction- I, ,.._ con~ction
    RINNE TEST
    TUNING FORK
    A 1
    TESTS

    for ~ coh duction orb


    conducion
    1400
    t200
    Type A
    ,.,.,
    1200
    TypeB
    ,.
    t200
    TypeC

    1000 1000 1000


    IOO 900 IOO

    l00 eoo too

    400 eoo
    200 200
    400 .,00 ·200 ·100 0 .,oo .200 .,400 .300 ·200 .,oo 0 •100 •200 .., -300 -200 .,oc, 0 .,oo e.200

    Type As Type AD
    140C)r-------------. ,t00--- - -------
    ,200 uoo
    1000 1000

    IOO 800
    tOO 600
    .,., eoo
    200 .__...i._ _,___c;.._.___;:;:::.,,.~ 200
    '--......_.__...._........_....._--J
    .400 ·300 ·200 .,oo O .,oo •200 . 0 -300 ·200 .,oo O .,oo .200
    pink dot s~ow
    ossi'-le
    X.r:ay mastoids Oblique lateral view
    Mastoid air cells

    External auditory canaJ

    Tympanic cavity

    Temporomandibular joint

    Qura! plate
    Sinus plate

    Dense bone of labyrinth


    1.S -- --
    I
    -
    I
    I
    2 I-
    .. g
    i!
    -- 1.0 ',. - - -· ' 1.e
    ev
    · - C, I
    ► 1 11
    ]f 0.5
    '
    I ·J:
    Ill
    !'!
    VI
    -
    0
    V 0
    I

    -400 -200 0 +200


    PresslftlndaPa
    Gb11rvatlon DIICtlpdo..
    l
    • Air cells cover mastoid
    Pneumatic
    • Air cells seen beyond dural and sinus plates

    • Air cells cover mastoid


    Moder~
    • Air cells not seen beyond dural and sinus plates

    • Absence of air cells


    • Whole antrum appears small in size
    sclerotk
    • Marked radiopacity
    • can be seen In Individuals suffering from chronic otltls media as well as In nonnal Individuals

    • Smgle radiolucent shadow is seen. It can be present in sclerotic as well as normal mastoid
    • Dlfferentlal diagnosis:
    • Cholestcatoma
    • Operated mllstoldectomy
    • Large antral cell
    • Large pen-antral cell
    Radloluccnt mastoid
    • Malignancy
    • Chronic masto1dlt1s with granulations
    • Eosinophllic gra nuloma
    • Tuberculosis
    • Multiple myeloma
    • Skull metastases from kidney, bronchus. breast etc.

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