Otology Questions with Answers
Q1. A 24-year-old lady came with the complaints of left sided earache, foul-smelling ear discharge and reduced hearing since 3 years. She has seen multiple doctors and has taken medications but have been lost to follow-up after a few visits. Recently she has grown overly anxious about her disease and wants to get treated. You perform an otoscopy of the ear and find the following picture:
Enumerate three more symptoms that might be associated with this condition.
i. Facial palsy or weakness
ii.Tinnitus
iii. Dizziness
What imaging investigation would you consider for this patient?
High resolution CT (HRCT) scan of the temporal bones (preferably in DICOM format)
What type of hearing loss is expected to be found in this patient?
Conductive hearing loss
What would be the management for this patient?
Mastoid exploration with tympanoplasty (preferably inside-out mastoidectomy, i.e following the disease)
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