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MIDDLE EAR MASSES OIPXDH8SACB (NURSING INTERVENTIONS (Encourage patient to…
MIDDLE EAR MASSES
DEFINITION
Also called acoustic neuroma
Noncancerous slow-growing tumour on vestibular nerve.
PATHOPHYSIOLOGY
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.
CAUSES
History of chronic ear infections
Aging.
Malfunctioning gene on chromosome 22.
CLINICAL MANIFESTATIONS
Dizziness.
Unsteadiness with loss of balance.
Ringing on the affected area.
Facial numbness
Gradual hearing loss.
Loss of facial muscle movement.
Earache
DIAGNOSTIC TESTS
Magnetic resonance imaging confirming presence of tumour.
Computerized tomography scan for large tumours.
Audiometry by audiologist.
Electronystagmography testing for balance
COLLABORATIVE MANAGEMENT
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.
NURSING INTERVENTIONS
Administer prescribed antibiotics for infection.
Encourage follow up treatment.
Administer prescribed analgesia for pain.
Encourage patient to:
Avoid cigarette smoke.
Avoid sippy cups while lying down.
Maintain good hygiene minimizing infection.
Position patient for comfort
Patient to guard and prevent falling.
Provide walking frame for patient.
Maintain nutritional status and hydration.
PHARMACOLOGICAL THERAPY
Analgesia for pain
Acetaminophen
Antibiotics for infection
Ceftriaxone
NURSING DIAGNOSIS
Disturbed sensory perception.
Risk of falls
Imbalanced nutrition due to weakened facial muscles.
