slp 373 final exam

Microtia & anotia

Small Pinna, No Pinna

• SOL: outer, pinna/auricle

• HL: none

• yes OAE

• Tymp A

Atresia

no hole

• SOL: outer, EAM

• HL: conductive

• OAE: no

• Tymp B

Severe Osteoma & Exostosis

Overgrowth of bone in the ear canal ((1 bony growth, many)

• SOL: outer, EAM

• HL: conductive

• no OAE

• Tymp B

Impacted Cerumen/Foreign Object

• SOL: EAM

• HL: conductive

• OAE: no

• Tymp B

Otitis Externa & Otomycosis

swelling of outer ear

• SOL: outer, EAM

• HL: conductive, severe

• OAE no

• Tymp B

Large Perforation in Tympanic Membrane

• SOL: middle, TM

• HL: conductive, severe

• OAE no

• Tymp B

Tympanosclerosis

white plaques on eardrums, usually doesn’t cause H.L

• SOL: middle, TM

• HL: none

• OAE yes

• Tymp As

Eustachian Tube Dysfunction

Sinusitis, Adenoiditis, Tonsillitis, or growth of a mass

• SOL: middle ear, eustachian tube

• HL: conductive, mild

• OAE no

• Tymp C

Otitis Media with Effusion

fluid buildup without infection

• SOL: middle, TM

• HL: conductive slight-mild

• OAE no

• Tymp B

Acute Otitis Media

fluid buildup WITH infection

• SOL: middle, TM

• HL: conductive, mild-moderate

• OAE no

• Tymp B

Chronic Otitis Media

unresolved infection, non-intact eardrum

• SOL: middle, TM

• HL: conductive, mild-moderate

• No OAE

• Tymp B

Cholesteatoma/keratoma

accumulation of dead skin cells, aka keratoma

• SOL: middle, TM

• HL: conductive, mild

• No OAE

• Tymp B

Otosclerosis

fixation of stapes in oval window, “spongy” bone

• SOL: middle, Stapes Bone in Oval window (Ossicles)

• HL: conductive, mild-severe

• No OAE

• Tymp As

Ossicular Disarticulation/Discontinuity

disruption of ossicular chain from trauma

• SOL: middle, ossicles

• HL: conductive, mild-severe

• No OAE

• Tymp Ad

Ototoxicity

Antineoplastic, aminoglycoside antibiotics, analgesics & antimalarials

• SOL: inner, cochlear + vestibular system

• HL: SNHL

• No OAE

• Tymp A

Presbycusis

age-related HL

• SOL: inner, cochlear - OHC

• SNHL

• No OAE in high freqs

• Tymp A

Noise Induced Hearing Loss

• SOL: inner, cochlear, OHC

• SNHL

• No OAE in high frequencies

• Tymp A

Otosyphilis

“the great imitator,” progressive loss & fluctuating

• SOL: inner, cochlear - spinal fluid

• SNHL

• No OAE

• Tymp A

Endolymphatic Hydrops

• SOL: inner, vestibular system

• SNHL

• No OAE

• Tymp A

Meniere’s Disease

low frequency loss, roaring tinnitus, aural pressure, vertigo

• SOL: inner, cochlear & vestibular

• SNHL

• No OAE

• Tymp A

Auditory Processing Disorder

no hearing loss, just difficulty processing

• SOL: inner, cortical

• no HL

• yes OAE

• Tymp A

Sudden Sensorineural Hearing Loss

unknown reasons, multimodal treatment

• SOL: inner, auditory nerve

• SNHL

• Yes OAE

• Tymp A

Acoustic Neuroma & NFT 2

benign growth on vestibular nerve

• SOL: inner, vestibular nerve

• SNHL

• yes OAE

• Tymp A

Auricular Tag

tag on the pina comprising of skin, fat, or cartilage

• SOL: outer, pinna

• no HL

• yes OAE

• Tymp A

Exostosis

benign bone tumor within the ear canal

• SOL: outer, EAM

• HL: conductive

• No OAE

• Tymp B

SMALL / P.E Tube Perforation in Tympanic Membrane

• SOL: middle, TM

• no HL

• Yes OAE

• Tymp B

Cytomegalovirus (CMV)

type of infection related to herpes

• SOL: inner, cochlear

• SNHL

• No OAE

• Tymp A

Congenital Syphilis

• SOL: inner, cochlear, spinal fluid

• SNHL

• no OAE

• Tymp A

Auditory Neuropathy

ear detects sound normally but has a problem sending it to the brain)

• SOL: inner, auditory nerve retrocochlear, hair cells

• SNHL

• Yes OAE

• Tymp A

Hyperacusis

sensitivity to sounds

• SOL: inner, cortial retrocochlear

• SNHL

• Yes OAE

• Tymp A

Ramsay Hunt Syndrome

• SOL: inner, vestibulocochlear

• SNHL only 10%

• No AOE

• Tymp A

Acoustic Schwannoma

• SOL: Auditory Nerve Retrocochlear

• SNHL

• No OAE

• Tymp A

Meningioma

tumor that grows from membranes surrounding brain and spinal cord

• SOL: inner, auditory nerve retrocochlear

• SNHL

• no OAE

• Tymp A

Temporal Bone Fracture

• SOL: inner, Vestibulocochlear

• SNHL

• No OAE

• Tymp Ad