1. Clinical Anatomy and Physiology

A . T H E E X T E R N A L E A R1. Clinical Anatomy and Physiology

1. Clinical Anatomy and Physiology

B . T H E M I D D L E E A R1. Clinical Anatomy and Physiology

1. Clinical Anatomy and Physiology

1. Clinical Anatomy and Physiology

C. T H E I N N E R E A RT h e c o c h l e a1. Clinical Anatomy and Physiology

1. Clinical Anatomy and Physiology

1. Clinical Anatomy and Physiology

1. Clinical Anatomy and Physiology

The vestibular labirinth1. Clinical Anatomy and Physiology

External Ear Great auricular (C2 and C3), Laser occipital (C2)Auriculo temporal (Cranial nerve V)Sensory branch of Facial (Cranial nerve VII)Vagus (Cranial nerve X)

Middle EarGlossopharyngeal (Cranial Nerve IX)

Inner EarNo somatic sensory innervation SENSORY INNERVATION OF THE EAR1. Clinical Anatomy and Physiology

2. History and Examination

2. History and Examination

2. History and Examination

2. History and Examination

2. History and Examination

2. History and Examination

2. History and Examination

2. History and Examination

2. History and Examination

3. Investigation of auditory, vestibular, and facial nerve functionPURE TONE AUDIOMETRY

STAPEDIAL REFLEXEST Y M P A N O M E T RY 3. Investigation of auditory, vestibular, and facial nerve functionELECTRICAL RESPONSE AUDIOMETRY Electrocochleography ( ECohG )Auditory Brainstem Responses ( ABR )Auditory Cortical Response ( ACR )

OTOACOUSTIC EMISSIONCALORIC TESTINGELECTRONISTAGMOGRAPHYELECTRONEURONOGRAPHY (ENoG)RADIOLOGY- Plain Films- Computed Tomographic (CT) Scanning- Magneting Resonance Imaging (MRI) 3. Investigation of auditory, vestibular, and facial nerve function

CAULIFLOWER EARIMPACTED WAX 4. Common Problems of the External EarAURICULAR HAEMATOMA

4. Common Problems of the External Ear

OTITIS EXTERNA- Reactive- Infective

S y m p t o m sT r e a t m e n t 4. Common Problems of the External Ear

4. Common Problems of the External Ear

NECROTIZING (MALIGNANT) OTITIS EXTERNAI n v e s t i g a t i o n sT r e a t m e n tKey PointBeware of otitis externa in diabetic petientsFURUNCLE OF THE EXTERNAL EARFOREIGN BODIESEAR CANAL TRAUMATUMOURS 4. Common Problems of the External Ear

4. Common Problems of the External Ear

5. Common Conditions of the Middle Ear

MIDDLE EAR EFFUSION IN ADULTSCHRONIC SUPPURATIVE OTITIS MEDIA

- SAFE / BENIGN MUCOSAL TYPE- UNSAFE / MALIGNANT BONY TYPE5. Common Conditions of the Middle Ear

CSOM - SAFE TYPEExaminationInvestigationsTreatmentCSOM - UNSAFE TYPECholesteatomaExaminationInvestigatisonsTreatment5. Common Conditions of the Middle Ear

5. Common Conditions of the Middle Ear

6. Disorders of the Inner EarACOUSTIC NEUROMA I n v e s t i g a t i o n sT r e a t m e n t

6. Disorders of the Inner Ear

P R E S B Y A C U S I S M a n a g e m e n t 6. Disorders of the Inner Ear

SUDDEN SENSORINEURAL HEARING LOSS M a n a g e m e n t :- Early- LateP r o g n o s i sMENIERES DISEASEPathologyInvestigations

T r e a t m e n t :- Medical : acute phase - Prophylaxis- Surgery

6. Disorders of the Inner Ear

6. Disorders of the Inner Ear

ACUTE VESTIBULAR FAILURE (VESTIBULAR NEURONITIS)BENIGN POSITIONAL VERTIGO (BPV)BAROTRAUMA AND PERILYMPH FISTULA (BPV) 6. Disorders of the Inner Ear

6. Disorders of the Inner Ear

N I H L 6. Disorders of the Inner Ear

AIDS AND THE EAR 6. Disorders of the Inner Ear

GLOMUS TUMOURS HERPES ZOSTER OTICUS(RAMSAY HUNT SYNDROME)O T O T O X I C I T Y SymptomsExaminationTreatmentT I N N I T U SNON-ORGANIC HEARING LOSS 6. Disorders of the Inner Ear

7. The Facial Nerve

BELLS PALSY

AUDIOLOGICAL ASSESSMENTParental SuspicionHealth VisitorConditioning AudiometryElectrical Response Audiometry (ERA) 8. Pediatric OtologyEXAMINATION OF THE EAR

8. Pediatric Otology

ACUTE SUPPURATIVE OTITIS MEDIA SymptomsExaminationTreatment8. Pediatric Otology

RECURRENT OTITIS MEDIAACUTE MASTOIDISTIS AND MASKED MASTOIDITIS8. Pediatric Otology

A e t i o l o g yS y m p t o m sE x a m i n a t i o nT r e a t m e n tVentilating tubes (grommets)OTITIS MEDIA WITH EFFUSION ( O M E ) ( CHRONIC SEROUS OTITIS MEDIA/ C S O M = GLUE EAR )8. Pediatric Otology

8. Pediatric Otology

SENSORYNEURAL HEARING LOSSG e n e t i cA c q u i r e dM a n a g e m e n tE d u c a t i o nS i g n L a n g u a g e

8. Pediatric Otology8. Pediatric Otology

8. Pediatric Otology

Microtia8. Pediatric OtologyCONGENITAL DEFORMITIES OF THE EARBat EarsPre-auricular sinuses

T Y P E S 9. Hearing Aids, Cochlear Implats, and Tinnitus MaskersHEARING AIDS Component Limitations Hearing therapy Behind the ear (BE) Body worn (BW) In the ear and in the canal aids Bone anchored aids Implantable hearing aids

Fig. 119 - 124 9. Hearing Aids, Cochlear Implats, and Tinnitus Maskers

9. Hearing Aids, Cochlear Implats, and Tinnitus Maskers

COCHLEAR IMPLANTS 9. Hearing Aids, Cochlear Implats, and Tinnitus Maskers

9. Hearing Aids, Cochlear Implats, and Tinnitus Maskers

9. Hearing Aids, Cochlear Implats, and Tinnitus Maskers TINNITUS MASKERS