MIDDLE EAR MASSES 
DEFINITION
PATHOPHYSIOLOGY
CAUSES
CLINICAL MANIFESTATIONS
DIAGNOSTIC TESTS
COLLABORATIVE MANAGEMENT
NURSING INTERVENTIONS
Also called acoustic neuroma
Noncancerous slow-growing tumour on vestibular nerve.
Dizziness.
Unsteadiness with loss of balance.
Ringing on the affected area.
Facial numbness
Gradual hearing loss.
Loss of facial muscle movement.
History of chronic ear infections
Aging.
Malfunctioning gene on chromosome 22.
Magnetic resonance imaging confirming presence of tumour.
Computerized tomography scan for large tumours.
Audiometry by audiologist.
Stereotactic radiotherapy curbing growth of tumour.
Proton beam therapy eliminating tumour.
Stereotactic radiosurgery for small tumour.
Surgical removal of tumour.
Cochlea implant in case of hearing loss.
Earache
Abnormal growth of tumour occurs.
Transmission of sound waves gets impaired.
Ossicles are located here.
Hearing loss may result.
Middle ear is a small cavity.
PHARMACOLOGICAL THERAPY
Administer prescribed antibiotics for infection.
Encourage follow up treatment.
Administer prescribed analgesia for pain.
Encourage patient to:
Position patient for comfort
Analgesia for pain
Acetaminophen
Antibiotics for infection
Ceftriaxone
Avoid cigarette smoke.
Avoid sippy cups while lying down.
Maintain good hygiene minimizing infection.
Electronystagmography testing for balance
NURSING DIAGNOSIS
Disturbed sensory perception.
Risk of falls
Imbalanced nutrition due to weakened facial muscles.
Patient to guard and prevent falling.
Provide walking frame for patient.
Maintain nutritional status and hydration.