REFERRED OTALGIA

REFERRED OTALGIA

DEFINITION: Pain in the ear that originates outside the ear. WHY IT HAPPENS: Different parts of the head and neck send pain signals to the same nerves that supply the ear.  The brain can’t tell where the signal started and often projects the pain into the ear....
BENIGN POSITIONAL PAROXYSMAL VERTIGO (BPPV)

BENIGN POSITIONAL PAROXYSMAL VERTIGO (BPPV)

ANATOMY AND PHYSIOLOGY The inner ear has three semi-circular canals at right angles to each other.  They detect rotational acceleration in all plains.  Via nerve reflexes, they keep your eyes fixed on a target despite head movements. HISTORY The patients wake up...
COMPLICATIONS OF SINUSITIS

COMPLICATIONS OF SINUSITIS

GENERAL Acute bacterial sinusitis can complicate especially is untreated or if the patient has poor immunity. Spread can occur to neighbouring structures, namely the eye, the brain, the bone and the skin, and can affect other systems. ORBITAL COMPLICATIONS. The...
BELL’S PALSY

BELL’S PALSY

OVERVIEW This is a sudden onset of weakness of the whole of one side of the face.  The life-time incidence is about one in sixty.  There is also an increased incidence during pregnancy, if you have diabetes, a recent upper respiratory tract infection, and it...
MENIERES SYNDROME

MENIERES SYNDROME

SYMPTOMS Patients with this debilitating syndrome experience recurring episodes of spinning dizziness (vertigo), decreased hearing, fullness in the ear, and tinnitus.  These episodes typically last a few minutes to a few hours.  They severely impact the...
CAULIFLOWER EAR

CAULIFLOWER EAR

DEFINITION: This is a distorted pinna post healing after trauma and it is regarded as a badge of honour for rugby players. ANATOMY: The pinna is made up of cartilage covered with perichondrium and skin.  The blood vessels pass through the perichondrium to the...