By Ram S Dhillon FRCS, Charles A. East FRCS
A textbook within the Illustrated color textual content sequence on ENT, geared toward scientific scholars and junior doctors.
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Additional info for Ear, nose and throat and head and neck surgery : an illustrated colour text
These are designed to enhance the process of central compensation. 48 shows the common otological diseases producing vertigo. Middle ear disease ■ Otitis media with effusion (glue ear) often causes children to become unsteady on their feet. If surgery is required, myringotomy, aspiration of fluid and grommet insertion restore stability. ■ Acute otitis media may produce various symptoms of imbalance, including true vertigo. Treatment is bed rest, antibiotics, analgesics and vestibular sedatives.
The astringent can be applied on an expanding otowick inserted into the ear canal. Alternatively, the agent may be massaged into a strip of ribbon gauze which is then gently pushed into place. Antibacterial agents Antibacterial agents are usually combined with a steroid and should be used for purulent infections. The steroid content is probably the component that is most effective in combating inflamed middle ear mucosa and chronic ear disease. Although most of these drops contain ototoxic agents, many otolaryngologists recommend them for short periods of 7–14 days for discharging grommets or exacerbations Step 1 Patient lies with ear to be treated uppermost Step 2 A second person pulls the pinna upwards and outwards Step 3 The external meatus is filled with aural drops.
Fig. 60 Blood in the middle ear (haemotympanum). Causes include otitic barotrauma, secretory otitis media and high jugular bulb. barotrauma, head injury or surgical trauma. Blast injuries Blast injuries may be produced by either explosions or a simple slap on the ear. There may be multiple sites of damage, depending on the intensity of the pressure wave. The typical injury produces a tympanic membrane rupture. The cochlea may be damaged, resulting in a sensorineural hearing loss and tinnitus, both of which may be permanent.
Ear, nose and throat and head and neck surgery : an illustrated colour text by Ram S Dhillon FRCS, Charles A. East FRCS