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DISEASES

OF THE EAR
OUTER EAR

• The OUTER EAR


collects sound,
whose pressure is
amplified through
the middle ear
MIDDLE EAR
• MIDDLE EAR
includes the
eardrum (also
called tympanic
membrane) and
ossicles.
INNER EAR
• INNER EAR also
called labyrinth, It
consists of two
parts:

1. Cochlea - the organ


of hearing; filled
with water

2. Vestibular System -
responsible for
balance.
WEBER TEST
• Lateralization test that
compares right & left ear

NEGATIVE – NORMAL
• Sound heard in both ears

POSITIVE – ABNORMAL
• Heard better in bad ear =
conductive hearing loss

• Heard better in good ear =


sensorineural hearing loss
RINNE TEST
• Compares air
conduction with bone
conduction

POSITIVE – NORMAL
• Air conduction is >
than bone conduction

NEGATIVE – ABNORMAL
• Bone conduction is =
or longer than air
conduction
(Conductive Hearing
Loss)
OTITIS EXTERNA
• inflammatory or
allergic responses
involving the
structure of the
external auditory
canal or the auricles

• more common in
children & termed as
“SWIMMER’S EAR”
OTITIS MEDIA

• Inflammation of the
MIDDLE ear

• Etiologic Factors:
– Strep pneumonia
– Hemophilus
influenzae
– Moraxela
catarrhalis
OTITIS MEDIA

Complications:

– Conductive Hearing loss


– Abscess
– Meningitis
– Mastoiditis
OTITIS MEDIA
INTERVENTIONS:
• clean drainage
• feed infants in an with sterile
upright position cotton swabs
• avoid chewing during
the acute period • administer of
analgesics or
• Provide local heat &
antipyretics &
have the child lie with
antibiotics as
affected ear down
prescribed
OTOSCLEROSIS

Formation of spongy
bone in the labyrinth

Fixation of stapes

No transmission of
auditory vibration to
inner ear
OTOSCLEROSIS

ASSESSMENT:

• Progressive
conductive
hearing loss

• Tinnitus
OTOSCLEROSIS
MANAGEMENT:

STAPEDECTOMY
• Removal of diseased
portion of stapes

• Replaced with a
prosthesis to
conduct vibrations
MENIERE’S DISEASE

• ENDOLYMPHATIC
HYDROPS

• dilation of the
endolympathic system by
either
1.overproduction or
2. decreased reabsorption
of endolymphatic fluid
MENIERE’S DISEASE

characterized by:
• Tinnitus

• unilateral
sensorineural
hearing loss

• vertigo
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MENIERE’S DISEASE
INTERVENTIONS:
• Instruct the
client to move
• Preventing the head slowly -
injury during to prevent
vertigo attacks worsening of
vertigo
• Bed rest in a • Initiate Na &
quiet fluid restrictions
environment
MENIERE’S DISEASE

• Administer Nicotinic • Administer


acid (Niacin) - antiemetics
vasodilating effect
• Administer
• Administer tranquilizers &
antihistamines sedatives
- reduce of histamine • - to calm client &
production & allow rest, control
inflammation the vertigo, N&V

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