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DISORDERS OF THE INTERNAL EAR (MENIEERE'S DISEASE (Clinical…
DISORDERS OF THE INTERNAL EAR
MENIEERE'S DISEASE
Definition
It is a disease of unknown cause affecting the membranous labyrinth of the ear.
Causess
Improper fluid drainage.
Abnormal immune response.
Viral infection.
Genetic predisposition.
Clinical manifestations
Vertigo.
Hearing loss.
Tinnitus.
Aural fullness.
A feeling of being pulled onto the ground.
Risk factors
Family history.
Pre-existing autoimmune disorders.
Allergies.
Trauma to the head.
Syphilis.
Pathophysiology
There is tissue changes in the labyrinth.
Trigger production of endolymph.
It distorts the contour of the membranous labyrinth.
It destroys the delicate and vestibular and cochlear hair cells.
Nursing management
Tell the patient to reduce salt intake.
Surgical management
Endolymphatic sac surgery.
Medical management
Long term medication use.
Use of diuretics.
Nursing care plan
Prevent infection.
Reduce pain.
Alley anxiety.
Teach the patient about the condition.
HEARING LOSS
Definition
Is an impairment that occurs when there is problem with or damage to one or more parts of the ear.
Inability to hear.
Causes
Congenital.
Conductive.
Damage to the inner ear.
Gradual build-up of earwax.
Abnormal bone growth.
Clinical manifestations
Poor performance at school.
A need to increase the volume of the radio.
Increase inability to hear.
Trauma on the ear.
Pathophysiology
Occur as a result of decreased sound transmission.
From outside world to the cochlear.
Hair cell destruction in the cochlear.
Damage to the eight cranial nerve.
Sound perceived by the brain are both diminished and distorted.
Risk factors
Ear infection.
Prolonged exposure to noise.
Foreign bodies.
Ototoxin medication.
Poor ear hygiene.
Nursing management
A thorough assessment need to be done.
Refer the patient to a physician for proper and correct diagnosis.
Refer a patient to audiologist for proper assessment.
Surgical management
Canalplasty.
Tympanoplasty.
Ossicular reconstruction.
Stapedoctomy.
Medical management
Administration of antibiotics.
Administration of analgesics.
Nursing care plan
Care of ears and how to clean it.
The role of the ear in communication.
Educate about the proper use of the wick and it disposal.