Ears

Otosclerosis: Examination

A comprehensive clinical examination is the basis for selecting further diagnostic steps: General physical examination – including blood pressure, pulse, body weight, height. ENT medical examination – including inspection of the external ear and auditory canal. Otoscopy (ear examination): usually unremarkable, if necessary, the active reddish otosclerosis focus (as a so-called Schwartz sign; hyperemia (increased … Otosclerosis: Examination

Otosclerosis: Diagnostic Tests

Obligatory medical device diagnostics. Otoscopy(ear examination) [usually unremarkable, may be able to detect through the tympanic membranethe active reddish focus of otosclerosis (as a so-called Schwartz sign; hyperemia (increased blood flow) of the promontory (anatomical structure in the tympanic cavity of the middle ear)]. Tone audiometry – testing of hearing with the measurement of volumes … Otosclerosis: Diagnostic Tests

Otosclerosis: Surgical Therapy

1st order Staple surgery: Partial or complete surgical removal of the stapes: Stapedotomy (partial stapes removal) [gold standard]. Stapedectomy (stapes removal). Stapes replacement prostheses Note: Hearing improvement sought through surgery cannot be guaranteed to the patient preoperatively! Possible complications of stapesplasty Complete deafness (due to surgical work on the entry port to the inner ear!). … Otosclerosis: Surgical Therapy

Otosclerosis: Symptoms, Complaints, Signs

The following symptoms and complaints may indicate otosclerosis: Leading symptoms Gradual onset of conductive hearing loss in the low frequencies; hearing is better in noisy environments than at rest; onset usually unilateral Tinnitus (ringing in the ears) If necessary, sensorineural hearing loss If applicable, vertigo (dizziness) Note: The disease can affect one or both ears … Otosclerosis: Symptoms, Complaints, Signs

Otosclerosis: Causes

Pathogenesis (development of disease) The cause of otosclerosis has not been conclusively determined. The disease runs in families. Otosclerosis results in bone remodeling processes at the ossicles with fixation of the stapes at the oval window. The result is a conductive hearing loss (middle ear hearing loss). If the otosclerosis affects the cochlea (snail), a … Otosclerosis: Causes

Otosclerosis: Or something else? Differential Diagnosis

Congenital malformations, deformities, and chromosomal abnormalities (Q00-Q99). Genetically determined forms of hearing loss. Auditory canal stenosis (narrowing)/atresia of the auditory canal (nonunion of the auditory canal). Malformations of the ear, unspecified Osteogenesis imperfecta (OI) – genetic diseases with autosomal dominant inheritance, more rarely autosomal recessive inheritance; 7 types of osteogenesis imperfecta are differentiated; the main … Otosclerosis: Or something else? Differential Diagnosis

Ear Discharge (Otorrhea): Symptoms, Complaints, Signs

The following symptoms and complaints may occur together with ear flow (otorrhea): Leading symptom Ear flow Associated symptoms Earache Hearing loss Cave (Attention)! If mastoiditis (mastoid process inflammation; symptoms: renewed increase in otalgia (ear pain) in acute otitis media (middle ear infection) after initial improvement or unchanged persistence of symptoms beyond the third week of … Ear Discharge (Otorrhea): Symptoms, Complaints, Signs

Earache (Otalgia): Medical History

Medical history (history of illness) represents an important component in the diagnosis of otalgia (ear pain). Family history Is there a frequent history of ear disease in your family? Social history Is there any evidence of psychosocial stress or strain due to your family situation? Current medical history/systemic history (somatic and psychological complaints). How long … Earache (Otalgia): Medical History

Earache (Otalgia): Or something else? Differential Diagnosis

Respiratory System (J00-J99) Laryngitis (inflammation of the larynx). Peritonsillar abscess (PTA) – spread of inflammation to connective tissue between tonsil (tonsils) and constrictor pharyngis muscle with subsequent abscessation (collection of pus); predictors of peritonsillar abscess: male sex; age 21-40 years and smoker [unilateral sore throat/severe pain, trismus (lockjaw), potty voice, and deviation of uvula (uvula … Earache (Otalgia): Or something else? Differential Diagnosis