Challenging Problems in Clinical Otology

Abstract

Program Description: Approximately 35% of office visits in a general otolaryngologic practice are otologic in nature. Simple diagnosis such as cerumen impaction, presbycusis, or acute otitis media are very straight forward and rather easily treated. Other ear-related issues can be more challenging and may require additional office time and resources to manage. This miniseminar will discuss the otologic evaluation and management of progressive SNHL, pulsatile tinnitus, referred otalgia, unilateral middle ear effusion, and osteoradionecrosis of the EAC. While the presentation of these issues may appear benign, they may represent a more serious underlying illness. Emphasis will be placed on a detailed differential diagnosis, and appropriate testing that should be considered by the general otolaryngologist. Audience participation will be encouraged through case presentations.

Educational Objectives: 1) Recognize common patient presenting complaints that can be harbingers of a more serious problem. 2) Understand the basic workup that should be performed prior to referring the patient to a subspecialist. 3) Understand the essential treatment protocol that should be instituted prior to a referral.