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ENT

Primary and Secondary Otalgia

Built from Haynes-Glasscock-Shambaugh Surgery of the Ear, Seventh Edition

What’s inside

7 sections · 93 slides

  1. 01

    Overview

    • Otalgia: definition and clinical burden
    • Primary versus secondary otalgia
    • Embryologic basis of overlapping ear innervation
    • Sensory nerve supply of the ear
    • Bony landmarks around the external auditory meatus
    • Skull base from below with the styloid process
    • Convergence-projection theory of referred pain

    7 slides

  2. 02

    History and examination

    • Character of the pain as a diagnostic clue
    • Associated symptoms pointing to a primary source
    • Symptoms pointing to a secondary source
    • Systemic features suggesting serious disease

    4 slides

  3. 03

    Primary otalgia: the auricle

    • Structure of the auricle
    • Mechanisms and pattern of auricular trauma
    • Post-traumatic auricular haematoma
    • Auricular deformity after untreated haematoma
    • Perichondritis and relapsing polychondritis
    • Chondrodermatitis nodularis helicis
    • Treatment of chondrodermatitis nodularis helicis
    • Erysipelas and impetigo of the auricle

    8 slides

  4. 04

    Primary otalgia: external auditory canal

    • Tissue composition of the external auditory canal
    • Normal right eardrum
    • Otoscopic landmarks of the tympanic membrane
    • Furuncles and carbuncles of the ear canal
    • Differential diagnosis of a painful ear canal mass
    • Cerumen impaction and foreign bodies
    • Acute otitis externa: presenting symptoms
    • Acute otitis externa: examination findings
    • Clinical mimics of acute otitis externa
    • Complicating factors in acute otitis externa
    • Microbiology of acute otitis externa
    • Treatment of acute otitis externa
    • Prevention of recurrent otitis externa
    • Chronic otitis externa
    • Otomycosis in chronic otitis externa
    • Treatment and sequelae of chronic otitis externa
    • Malignant otitis externa
    • Microbiology and biopsy in malignant otitis externa
    • Imaging in malignant otitis externa
    • Imaging features predicting poor prognosis
    • Treatment and complications of malignant otitis externa
    • Herpes zoster oticus: Ramsay Hunt syndrome
    • Prognosis and treatment of Ramsay Hunt syndrome

    23 slides

  5. 05

    Primary otalgia: middle ear and temporal bone

    • Traumatic tympanic membrane perforation
    • Large tympanic membrane perforation
    • Acute otitis media: epidemiology and Eustachian tube factors
    • Risk factors for acute otitis media
    • Acute otitis media: clinical findings
    • Bacteriology of acute otitis media
    • Acute otitis media versus otitis media with effusion
    • AAP guideline: observation option in acute otitis media
    • Antibiotic therapy for acute otitis media
    • Chronic otitis media and tympanostomy tubes
    • Complications of untreated chronic otitis media
    • Petrous apicitis and Gradenigo syndrome
    • Acute mastoiditis and subperiosteal abscess
    • Pathogenesis of cholesteatoma
    • Mesotympanic cholesteatoma
    • Management principles in cholesteatoma
    • Middle ear neoplasms presenting with otalgia
    • Otoscopic appearances in primary otalgia

    18 slides

  6. 06

    Secondary otalgia

    • Definition and clinical importance of secondary otalgia
    • Maxillofacial and dental sources of referred otalgia
    • Anatomy of the temporomandibular joint
    • Compartments and movements of the temporomandibular joint
    • Primary disorders of the temporomandibular joint
    • Symptoms of temporomandibular joint dysfunction
    • Signs of temporomandibular joint dysfunction
    • Risk factors for temporomandibular joint disorders
    • Behavioural management of TMJ disorder
    • Medical and surgical management of TMJ disorder

    10 slides

  7. 07

    Aerodigestive tract and neck

    • Aerodigestive malignancy as a cause of otalgia
    • History and symptoms in suspected head and neck cancer
    • Physical examination for a secondary source
    • Otalgia related to chemoradiation therapy
    • Osteoradionecrosis of the temporal bone
    • Non-neoplastic aerodigestive and neck causes
    • Eagle syndrome
    • Treatment of Eagle syndrome
    • Summary of the approach to otalgia
    • References
    • References (continued)
    • References (continued)
    • References (continued)
    • References (continued)
    • References (continued)
    • Haynes-Glasscock-Shambaugh Surgery of the Ear, Seventh Edition
    • Join our WhatsApp groups

    17 slides