The Tamilnadu Dr MGR Medical University Prefinal OtolaryngologyExaminationFebruary 2009 Question paper with solutionsDr. T. Balasubramanian
MBBS (Prefinal Otolaryngology February 2009)
Essay questions: 2x15=30 marks1.Describe the etiopathology of conductive deafness. Describe the types of tympanoplasty
Definition:Conductive deafness is defined as deafness caused due to defect in the soundconducting mechanism of the ear. A majority of these conditions can be corrected bysurgical procedures.Causes of conductive deafness can be classified into:a. External ear causesb. Causes involving the ear drumc. Middle ear causesd. Inner ear causesExternal ear causes:These are the common causes of conductive deafness. These conditions preventsound waves from reaching and vibrating the ear drum. They include:Impacted cerumenOsteomas of external auditory canalAtresia of external auditory canalImpacted foreign bodies in the external ear (rare)Tumors of external canalCauses involving the ear drum:Tympanic membrane plays a vital role in sound connection mechanism. Failure of theear drum to vibrate adequately will cause conductive deafness. Common such causesinclude:Perforations involving the ear drum – Could be due to CSOM / ASOM / Trauma.Deafness is directly proportional to the size of the perforation. Sometimes if the ear drum perforation occurs close to the round window niche then deafness will be morepronounced. This condition can be surgically managed by closing the perforation withsuitable graft material (Myringoplasty).Tympanosclerotic plaques on the ear drum – These plaques are calcareous depositsover the mucosal layer of the ear drum. The presence of these patches / plaquesprevent the normal vibration of the ear drum predisposing to conductive deafness.
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Tamil Nadu Dr MGR Medical University ENT MBBS Prefinal Feb 2009 question paper with solution
This E book contains MBBS otolaryngology prefinal question paper Feb 2009 of Tamil Nadu Dr MGR Medical University with solutions
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