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Ear and balance - 2. page

L’esame otovestibolare

Dizzy and the Unsteadiness ’ are a very frequent problem, can affect both young and old, both healthy people who with Comorbidities and can be extremely disabling.

Our balance depends on a great number of factors, in fact, our brain processes much information coming from 2 organs of ’ balance (placed in the ’ inner ear), from view, from our touch and our joints. Integrating this information we are able to perceive our position in space. When one of the mechanisms at play or the brain's ability to integrate information are compromised here is that you can check the ’ instability and dizziness.

The shapes that depend on ’ organ of ’ balance ’ are framed and followed by Otolaryngologist, While those who depend on our brains are followed by neurologist. Only rarely do the shapes are quite separate so the patient often giddy is evaluated for the first time by ’ Otolaryngologist also for neurological forms.

L ’ Otolaryngologist has thereby the responsibility first of all to identify the shapes which can pose a real risk to the life of the patient (some forms of stroke may present with Vertigo) and then differentiate into shapes of Central and peripheral set a correct diagnosis. Continue reading

The tympanic membrane perforations and l ’ simple otitis media

Tympanic membrane perforation which concerns the dials right, through the drilling you can appreciate the bracket
Tympanic membrane perforation which concerns the right rear quadrant, through the drilling you can appreciate the bracket

The tympanic membrane has an elliptical shape and completely isolates the middle ear from the outer ear canal.
Has a dual function:
-barrier, protecting l ’ middle ear infections
-amplify sounds and pass them on to the auditory ossicles.

And’ consisting of three layers: skin on the external side, connective tissue and mucous layer on the internal side.

The membrane can go in against such a perforation or infection or a trauma ’. Continue reading

Scuba diving and ENT diseases

Diver who is reporting to the mate of their difficulties in compensation of middle ear ’

Person engaged in sports and in particular diving and apnea is more exposed to a number of issues of jurisdiction ORL.
See them with order considering what caused, How to prevent them and how to cure them.

 

 

 

 

 

 

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The cholesteatoma

cholesteatomaAs cholesteatoma is a nest of epidermal cells that develops mainly level of middle ear ’. The cholesteatoma is not a tumor but has many features in common to neoplastic diseases, It can also increase greatly eroding and destroying adjacent bone structures.

Most colesteatomi are acquired, associated with tympanic membrane perforations or major retractions in the same. Continue reading

Dell ’ ear keloid

2015-06-25 10.58.55Voluminous keloid right auricle Helix revolted after making a hole for earrings. Keloids are scar after traumatisms of exaggerated responses/engravings, are due to a personal and racial predisposition (are more frequent in blacks and Asians).

L ’ removal requires a simple surgery but there is a high risk that repeat offenders.

Wegener with polyangiitis (Wegener's Granulomatosis)

image14Wegener with polyangiitis (GPA or with an old terminology Wegener's Granulomatosis) is a rare Vasculitis affecting small and medium-sized vessels that may involve many organs with predilection for the upper and lower Airways and for kidneys.
Has a prevalence of 2.4-15.7 people each 100000, has a slight predilection for males (♂ : ♀ = 1,5 : 1), the first diagnosis is generally has between 40-55 years. Current treatments allow excellent survival with a good symptom control.
The first symptoms are very often at the level of the upper airways and is therefore often the Otolaryngologist physician who sees patients first and must suspect this disease and confirm the diagnosis and then follow with the patient to an immunologist.

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Acute otitis media

Picture of acute otitis media right

L ’ acute otitis media is the ’ infection, Typically, bacterial, Dell ’ middle ear. And’ characterized by a very intense pain, often button, that is accentuated by lying, It also causes hearing loss and feeling ovattamento headset, It is often accompanied by fever, headache and malaise. Can follow a ’ infection of the upper Airways or effusive otitis media ’. Continue reading

The 8th cranial nerve Schwannoma (vestibulocochlear nerve)

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Dell ’ VIII cranial nerve Schwannoma massive left

Dell ’ VIII cranial nerve Schwannoma (vestibulocochlear nerve), sometimes improperly called acoustic nerve neurinoma, is a benign tumor that arises from Schwann cells (Schwannoma).

Hits 7-10 subjects per million per year. Shows a slight preference for the female sex and the highest incidence in the 5th decade. Represents the 8-10% of intracranial tumors and 80% of cancers of the pontocerebellar angle. In most cases originates from the vestibular nerve component. And’ almost always unilateral in rare bilateral forms is frequently associated to Neurofibromatosis Type 2.

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