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ENT

Ear Clinical Aspects of Cochleovestibular Disorders

Built from Behrbohm — Ear, Nose and Throat Diseases with Head and Neck Surgery

What’s inside

5 sections · 55 slides

  1. 01

    Overview

    • What this topic teaches

    1 slide

  2. 02

    Toxic Damage

    When drugs and poisons reach the inner ear

    • What ototoxicity means
    • How toxic damage shows up
    • Aminoglycoside antibiotics: why they hurt the ear
    • Aminoglycosides: which drug attacks what
    • Aminoglycosides: treatment and outlook
    • Chemotherapy drugs (cytostatics) and the ear
    • Two more chemical causes of inner-ear damage
    • Occupational (workplace) ototoxins

    8 slides

  3. 03

    Inflammatory Lesions

    Infections that inflame the hearing and balance organ

    • Herpes zoster oticus (Ramsay Hunt syndrome): what it is
    • Ramsay Hunt: the clinical picture
    • Ramsay Hunt: workup and treatment
    • Other viral infections
    • Serous labyrinthitis
    • Immune (autoimmune) disease of the inner ear

    6 slides

  4. 04

    Vestibular Disorders

    Diseases of the balance apparatus

    • Meniere disease: the classic triad
    • Where a tinnitus comes from (classification)
    • Meniere: definite vs probable disease
    • Meniere: what an attack feels like
    • Meniere: the mechanism (endolymphatic hydrops)
    • Meniere: why the attack then happens (and recovers)
    • Meniere: treatment DURING an attack
    • Meniere: between attacks and severe cases
    • Acute unilateral vestibular deficit
    • Acute vestibular deficit: treatment and course
    • Benign paroxysmal positional vertigo (BPPV)
    • BPPV: diagnosis and treatment
    • Central vestibular disorders: the RED FLAGS
    • What causes central vestibular disorders
    • Bilateral vestibular loss
    • Other peripheral causes: neck and whiplash
    • Motion sickness, perilymph fistula and Tullio
    • Vestibular migraine
    • Vestibular paroxysmia and SCDS
    • PPPD: functional chronic dizziness

    20 slides

  5. 05

    Sensorineural Hearing Disorders

    When the cochlea or its nerve fails

    • Sudden SNHL (SSHL): the definition
    • SSHL: clinical picture and possible causes
    • Levels at which hearing can fail
    • SSHL: how to investigate
    • SSHL: treatment
    • SSHL: outlook, plus chronic progressive loss
    • Presbyacusis: age-related hearing loss
    • Presbyacusis: why it happens
    • Presbyacusis: the four structural types
    • Presbyacusis: diagnosis, pitfalls and care
    • Numbers worth remembering
    • Three take-home ideas
    • Why does hearing loss from ototoxins begin with the HIGH tones?
    • 20-minute spinning attacks with fluctuating one-sided hearing loss, tinnitus and fullness. Diagnosis and mechanism?
    • Ear, Nose, and Throat Diseases: With Head and Neck Surgery

    15 slides