Anatomy of the Ear Outer Ear Direct soundwaves to + Outer ear fac casts ciel inmnmieee + Middle ear + Inner ear ~ Middle Ear Middle Ear + Air-filled * Contains: coe — Tympanic membrane Sa . ‘e . i. ~ Ossidfes Ong . a A Tce 2 OE Se ‘ Inner Ear Middle Ear + Flig-tited + osseles: GEL + Has two (2) labyrinths: toss ~ ony emir cana, coches and vest) ~ Membranous (series of _ ues) his Inner Ear cerimen * Antibacterial * Types of Fluid: + Also known as earwax properties: = perio (otsite the brcteTy ocr: ics) car = Acidic = Endolymp fnsde the uy + Has lubricant (prevents = Contains lysozyme dessetion) anc * antibacterial properties . aeeyetecentt — Antibodies Types of Cerumen : Types of Cerumen + wee PY oy. tone tow, oa rf sanee e ~ Gray and pss ay ~ common in tans and eooneons ~ Common in East Asians cao and Native Americans at : PHYSIOLOGY OF HEARINGNeural Pathways Neural Pathways + ferent fibers inthe tudtory din of _o G3)\ + Auditory impulses then feourteneneenviy xe 010 inferior collicul dint dorian aes een seritecciermucet 6 ees ea geniculate body of the thalamus, and into the ~ auditory cortex ante acetal Wiis ae! ASSESSMENT OF THE EAR Assessing the Ear 1, Inspect theauricles 2. palpate the auricles 2, Palpate the auricles: for: : 1. tnspeet the auricles for) 2 = Fold pina forward = oS = Texture {normaly mobile, er, ~ colnsmetryt se, and recis) Srepasten ~ Eythema inflammation, or — elasticity = Leslgns and tenderness ~ Agi otsipenor sept Sagem retin —~ + (ay indicate seer — Tenderness inflammaton/nfection : Color some a facil ee Fanta eben a ae? Le wae Tympanic Membrane 3. Inspect external canal 3. Inspect external canal Tympanic Membrane (Identify Left and Right) of ear: of ear: + Norma: 2 = bistal 34 with hale = Ayearsor older uP — py y . follicles and glands ard back) ~ 3yagrsor below (down — Weary eerumen Bigser ‘ + Abnormal: Hearing Loss Hearing Loss Hearing Loss A + Chesed a: ~ Pink, red yew, white, + May be: iat eae nen a ue or dl aurce ~Concive — Complete or paral on Serre . ee =v = Permanent or temporary ° . Heh ° Content eorine Uses Conductive Hearing Loss Conductive Hearing Loss + This means (characteristics): a ee + This means (characteristics): iH ooo + Results rom enteral or mil ear dsorders (Glock sound transmission) = Normal ability to discriminate sounds = Abnormal Weber test esults + Respond to medical or surgical intervention __ Negative Rinne test esuits ey ines cen (or both) : ‘ . “Aqui speaking voice . . = Improved hearing in noisy areasSensorineural Hearing Loss Sensorineural Hearing Loss This means ( + Results from disorders ofthe inner ear or CN vu characteristics): Sensorineural Hearing Loss + This means (characteristics): — Positive Rinne test Complains that others mumble or shout Poor hearing in nosy areas Mixed Hearing Loss * Combines aspects of conductive and sensorineural hearing loss Season 2, Episode 6 = Dificulty hearing high-frequency sound. ® innitus Functional Hearing Loss + Results from psychological factors other than organic damage ASSESSMENT OF HEARING ACUITY Assessment of Hearing Acuity Assessment of Hearing Acuity + Use normal tone of veer + her tests sng the funn or + here tty, thence ters my be oe car — wa oa Whispered word Watch Tick Test Watch Tick Test Whispered Word Test 1.30460 om 1:2 feet) from the patent, et ww one ger leper non onsective numbers Let cient epeat the Weber Test + Remember: + Results: + res frltrintion Poste watceld ear + bistance head ti vbraton eone = Abe to repeat oa condo ‘eordfrumbers (ona) fea egress) + place tuning fork at — Unable o repeat som of tHewatehti — caoinenes nein os) rine ofthe hese rumen mentioned (Coreen ser tatnda + Stony froved sway Sikinettonaterd aga Weber Test * Norm: + Abnormal + Abnormal: ~ Equal sound in both + Aske patent 0 state ‘on which sides louder Bia ~ tocatned 2 center of thehgas — rhe ; ~ castyas negative” Weber Test O08 + Compares air against bbone conduction + Place on mastoid surfaces ~ tateralization tothe process after striking tuning fork on a hard = lateralization tothe unaffected ear (sensorineural hearing toss) nerve or inner affected ear feonductve hearing oss) > obstruction of ossicles 7 ceardamage Rinne Test * Let patient tell you when it stops Quickly hold buzzing end near ear canal, then ask if patient can hear it ft sound i hears equalyon both ens ~ Peso may hate oma hang oil ees Osher iin * Patient then should tell you if the tone sounds louder with the fork on the mastoid or just outside the ear canal+ Normal Rinne Test + remember: pan = Air>Bone conduction a _ Paes wh conducive Sa - - faery Elderly = te ae Elderly iuzensed couse and =i ssi - os waren ar erm + Skin on ear may appear sis th sore: dry and less resilient id . (due 0 loss of + tases = = 4 connective tissue) ime. a eitac ceca) + easter oe Frees . 3 Elderly + Generalized hearing ere ge {oss (presbycussis) * Ifaffected by aes + Hearing loss occurs: oeeursinal presbycussis ~ More translucent reauencies: ~ ts ih ~ Sensorineural type = Loss of igh requen ese eee a PULL distorted and est in Pe ee scinge (ist srmatom) pat apes tbe ferent inappropriate or wy, Shand Ph confided behavior