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Dr. Simon H.W. Wong Specialist in Otorhinolaryngology 黃漢威耳鼻喉科專科醫生Management of Tinnitus Dr. Simon H.W. Wong Specialist in Otorhinolaryngology 黃漢威耳鼻喉科專科醫生
Tinnitus Subjective sensation of sound in the ear Rarely objectiveAssociated with any form of ear disease Idiopathic in 20%
Management Objective Find cause Treat cause Treat symptom
Causes Outer, Middle or Inner? Central: Structural or FunctionalSystemic: Renal, anaemia
History Age Duration Frequency Positional Nasal symptoms Hearing lossVertigo
Examination Full ENT exam Must see the ear drumAlways check nasopharynx Audiometry
Microscopic Exam Ear toilet Wax hook, suction, forceps CultureGrommet insertion
Ear Wax Impaction
Otitis Externa Suction clearance Topical antibiotics Ear wickPain relief
Fungal Otitis Externa
Fungal Otitis Externa Repeated ear toilet Clotrimazole ear dropOral Nystatin
Otitis Media with Effusion
Adhesive OM Eustachian tube dysfunction AntihistaminesSteroid nasal spray
Chronic Suppurative Otitis MediaSuction clearance Topical antibiotics Antihistamines Tympanoplasty
Cholesteatoma Keratinized epithelium in middle ear Topical antibioticsCT scan Mastoidectomy
Nasopharyngeal CarcinomaBiopsy Tinnitus Hearing loss Epistaxis Cervical LN
Impedance TympanometryEustachian Tube Dysfunction Middle Ear Effusion
Pure Tone Audiometry
Pure Tone Audiometry Down sloping SNHL 4 kHz dip Conductive HLLow frequency SNHL: Meniere’s Asymmetrical SHNL
Acoustic Neuroma Schwannoma Facial palsy or numbness Gamma/X-knifeSurgery
Medical Management Vasodilator: Betahistine, Ca2+ antagonistCerebral activator: Nicergoline (Sermion) Almitrine : increase PaO2 Gingko
Medical Management ? Vitamin B12 Sedatives Maskers Hearing aid
Medical Management Self-help groups Psychological counseling
Conclusion Tinnitus treatable Underlying cause Treat symptom
Hearing Testing Characteristics of a Hearing Loss Hearing Testing Middle Ear Measurement.
ENT UPDATE FOR PRIMARY CARE WEST CUMBERLAND HOSPITAL 05/06/2013
CHRONIC SUPPURATIVE OTITIS MEDIA (CSOM) by: Dr. Saad Al Asiri MD, DLO, KSF, Rhino General Secretary Assistant for Training & Program Accreditation ENT.
Director of cochlear implant program at KFMC
Glue Ear and Otitis Externa Martin Porter Consultant ENT Worcester.
DRUGS DO NOT DO DRUGS !!! Hearing disorders in children/ Hala AlOmari.
Otology Dave Pothier St Mary’s 2003.
Hear ye, Or 10 minutes on hearing loss. The ear Assessment 1 History - as ever, onset and progression sudden loss may follow trauma/infection/idiopathic.
Dr. Abdussalam M jahan ENT depart, Misurata university, faculty of medicine Otitis media.
Secretory otitis media
HEARING CONSERVATION PROGRAM EAR DISORDERS AND HEARING LOSS 1 26 Jan 2013.
Synonyms Secretory otitis media Non- purulent otitis media Serous otitis media Glue ear Definition: presence of non-purulent fluid within.
King Abdulaziz University Hospital
The ear and causes of hearing loss. City Lit Learning objectives to describe how the ear works to identify the different types of hearing loss To explain.
Acute and chronic otitis externa
Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved. Chapter 13 Ear.
Disorders Friday!!!! Or Fear & Loathing in the Outer Ear.
بسم الله الرحمن الرحيم.
Conductive hearing loss in children and adults.
A Yacht called Grommets Are ENT procedures evidence-based? By Gary Kroukamp.
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