Puntastic Otosclerosis #ENT

It's a PUNtastic topic .

To start with the distribution it's common in Indians ( pathologically rich nation , that we are ) and Whites ( racist Dhingra ).

Females are mostly affected but in India males predominate ( females are Pavitra savitris )

Age is 20-40 usually ( Yeh Jawani hai diwani) ( lol, I mean loud music)

The disease doesnot occur alone it is associated with two other diseases ,(teen patti ) . When together for convenience they are given a name called Van der hoeve syndrome ( wonder huiwi ? 😜)

3 different organs are involved ear ,eye and bone ( bura dekha Ya kaha to haddi todh dungi ) blue sclera , otosclerosis and osteogenesis inperfecta.

Types

It's further divided into 3 types :

1. Stapedial OS : biscuit type - OVAL window and footplate of stapes is involved. Conductive deafness.

2. Cochlear type OS : SNHL . Round window & capsule involved.

3. Histological OS : symptomless . No hearing loss ( no idea why it is even classified . He is too illogical )

Symptoms :

1. Paracusis Willisii : hears better in noisy surroundings .

2. Speech : Monotonous , soft ( robot like ... Fardeen Khan... PMs speech )

3. Hearing loss : painless progressive bilateral ( Pee Pee)

Signs :

1. Schwartz Sign : When you look at the tympanic membrane , you see a reddish hue on the promontory ( It blushes a little)

2. Tuning fork tests :

- Rinnie Test : negative ( Rinni says Nai!)

- Weber : lateralised to ear with greater hearing loss ( sympathy !)

-ABC : Decreased in cochlear otosclerosis

3 . Carharts notch ( car $ heart ) appears dip at 20 dB at 2000 Hz

4. Stapedial reflex absent after stapes is fixed. (Cold feet?)

Treatment ;

Stapedectomy

Stapedotomy

Kbye

Comments

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