ENT Doctors

Otitis Media With Effusion (Ome) ‘Glue Ear’ 85% of children experience glue ear at some stage. 50% will resolve spontaneously within three months. Peak ages are two and five years and a hearing assessment quantifies severity. Winter, URTI’s, child care settings and passive smoking are accepted environmental risk factors. Symptoms and signs:   According to  ENT Specialist In National Hospital There will be a noticeable hearing impairment and/or speech and language difficulties and behavioral problems. There may be an association with recurrent acute otitis media. The salient features on otoscopy are a drum that appears dull, retracted or poorly mobile. There may be an air-fluid level or bubbles visible behind the tympanic membrane. Such changes, which are usually bilateral, are best seen using a pneumatic otoscope. Tympanometry can be used to confirm the presence of an effusion. Treatment:  Reduce exposure to cigarette smoke. Persistent effusions do not respond to oral decongest

Otitis Externa Otitis externa is extremely common according to ENT Consultant in Lahore . Predisposing factors are scratching of the external canal with cotton buds or other implements and narrow external auditory canals. A particularly important factor is wet ears (humid climates, swimming, syringing without drying the canal, frequent hair washing or lying in the bath to wash the hair). Symptoms and signs:  Whatever the predisposing factor, the skin of the external auditory canal becomes oedematous. Otalgia, otorrhoea and a blocked sensation in the ears with a mild hearing loss are common in the acute stage. In the chronic form itching is a frequent complaint. my site Treatment : It is essential that debris in the ear canal is removed so that the ear drops are absorbed effectively. If the practice nurse is not trained in the aural toilet, this may require the patient to be referred for suction clearance. Systemic antibiotics are not usually required unless there are signs of as

Vertigo And Dizziness The majority of dizziness in the elderly is of vascular or degenerative origin. Unsteadiness and lightheadedness are usually non-otological. Aetiology          Medical :            Cardiovascular, metabolic and neurological conditions, anaemia, ocular disease,medications and cervical spine problems.                                   Psychological: Anxiety and hyperventilation                                   Otological:        Benign paroxysmal positional vertigo, acute vestibular failure (labyrinthitis), Meniere’s disease, some middle ear disease and very rarely acoustic neuroma. Symptoms : If the symptoms are from the inner ear then the patient will describe a hallucination of movement, usually rotational in nature and frequently accompanied by nausea, vomiting, and nystagmus. Meniere’s syndrome consists of a triad of episodic vertigo, associated tinnitus, and a fluctuating hearing loss. In benign paroxysmal positional vertigo (BPPV), short-lived episode

Tinnitus Tinnitus is the sensation of sound which does not come from an external source. Tinnitus is a troublesome and common condition which is not always curable. It can occur in any age group but is more common with increasing age. According to ENT Consultant in Lahore Persistent tinnitus occurs in about 10% of the population. It is essential to exclude serious pathology (such as an acoustic neuroma if the tinnitus is unilateral) and then to treat and to support the sufferer as best one can. Etiology Local:               Any hearing loss. General:               Hyperdynamic circulations (as in hypertension or anemia), carotid bruits (associated with a carotid artery stenosis). Drugs: eg. NSAIDs, caffeine, alcohol. Symptoms : Tinnitus affects people in different ways. On the one hand, it may be nonintrusive or on the other can contribute to suicide. Most patients recognize the link between their level of emotional and physical stress and the perceived “loudness” of the t