Hearing Impairment & Sensation of Blocked Ears & Thick Facial Skin: Causes & Reasons

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Patient File

Sex unknown, Age unknown

Reported Symptoms

Hearing Impairment, Sensation of Blocked Ears, Thick Facial Skin,

Negated

None

Unsure

None

Possible Causes

Acute Otitis Externa

[…] may become red, thickened, crusty and hyperpgimented from scratching intense itch Psoriasis Commonly associated with scalp involvement but rarely facial involvement Raised [dermnetnz.org]

The clinical diagnosis was based on ear discharge, ear itching sensation, ear blocking sensation and the fungal debris in the ear canal. Inclusion Criteria:- 1. [es.scribd.com]

impairment Antibiotics and ENT referral are not routinely required for OME, as the majority of cases occur after an episode of AOM and resolve spontaneously with no long [rch.org.au]

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Otitis Externa

[…] may become red, thickened, crusty and hyperpgimented from scratching intense itch Psoriasis Commonly associated with scalp involvement but rarely facial involvement Raised [dermnetnz.org]

The following are the more common signs and symptoms of otitis externa: Otalgia Erythema Pruritus Fluid discharge from the ear (pus) Hearing impairment Swelling of the affected [symptoma.com]

The invasive process may lead to skull base osteomyelitis with progressive cranial nerve palsies and can result in irreversible hearing and neurological impairment. [ncbi.nlm.nih.gov]

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Chronic Otitis Externa

[…] disease Commonly associated with scalp involvement but rarely with facial involvement Raised, red lesions with thick, silvery-white adherent scale Often pruritic Seborrheic [aafp.org]

Signs and symptoms range from ear discomfort, pruritus, otorrhoea and conductive hearing impairment to severe pain, occlusive oedema of the canal and systemic effects. [gponline.com]

Symptoms include pain in the ear, itchiness in the ear canal, partial hearing loss and a discharge of pus or liquid. [ada.com]

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Impacted Cerumen

EAR WAX SYMPTOMS If left to build up and become impacted ear wax it can cause many symptoms such as earache and the sensation of a ‘blocked ear’. [clearwax.co.uk]

Abstract The aim of this study was to determine whether children in whom impacted cerumen had been removed were at greater risk of hearing impairment than those without a [ncbi.nlm.nih.gov]

….but you can have too much of a good thing While people with too little earwax are likely to experience itchy ears that are more prone to infection, an ear canal blocked [health.qld.gov.au]

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Serous Otitis Media

Fullness and a blocked feeling are not uncommon sensations experienced by the patient. [potomacaudiology.com]

Abnormal patency of the eustachian tube is annoying but does not produce hearing impairment. [pedja5.tripod.com]

Because the tube is constantly open the patient may hear himself breathe and hears his voice reverberate in the affected ear. [potomacaudiology.com]

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Foreign Body in the Ear

Her mother reported that her daughter had been complaining for several weeks of fullness of the left ear, “like something is blocking it,” but the sensation did not interfere [consultant360.com]

However, they may cause impaired hearing, pain, purulent or bloody drainage from the ear or chronic cough/hiccups (which is rare). [pemcincinnati.com]

hearing, 3 cases of chronic suppurative otitis media, and 2 cases of middle ear involvement. [ncbi.nlm.nih.gov]

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Patulous Eustachian Tube

Fullness and a blocked feeling are also common sensations experienced by the patient. [iowaearcenter.com]

Abnormal patency of the eustachian tube can be extremely annoying but does not produce a hearing impairment. [eioftx.com]

This can result in a sensation of blockage/pressure in the ear. [earandbalance.co.uk]

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Otitic Barotrauma

Nasal and hearing impairment: are they linked?. Medical Hypotheses, Vol. 58, Issue. 2, p. 141. [cambridge.org]

The main symptoms are severe otic pain and partial hearing loss, mainly during the descent. [scopemed.org]

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Chronic Suppurative Otitis Media

The prevalence estimates of CSOM, unilateral hearing impairment and bilateral hearing impairment were 5.4% (95%CI 2.2-8.6), 24.5% (95%CI 16.3-30.0), and 12.5% (95%CI 6.2-16.9 [ncbi.nlm.nih.gov]

BACKGROUND: Nepal has a high prevalence of chronic suppurative otitis media and hearing impairment. [ncbi.nlm.nih.gov]

Persistent otorrhoea was usually caused by Proteus spp. or Pseudomonas, and often suggestive of either HIV or hearing impairment. [ncbi.nlm.nih.gov]

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Ménière Disease

A prodrome of fullness or a blocked sensation in one ear is very common. Tinnitus is usually the next symptom, but vertigo follows shortly thereafter. [docneuro.com]

The hearing threshold was usually decreased to a level of mild or moderate hearing impairment. [ncbi.nlm.nih.gov]

The other common symptoms of Meniere’s include tinnitus (commonly called “ringing in the ears”), muffled hearing or the sensation that one’s hearing has been blocked, and [american-hearing.org]

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Chronic Serous Otitis Media

Fullness and a blocked feeling are not uncommon sensations experienced by the patient. [potomacaudiology.com]

One of potential complications is hearing impairment. Serous Otitis Media: Causes Problems with Eustachian tube opening may be congenital or acquired. [ic.steadyhealth.com]

Abnormal patency of the eustachian tube is annoying but does not produce hearing impairment. [pedja5.tripod.com]

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Fungal Otitis Externa

[…] may become red, thickened, crusty and hyperpgimented from scratching intense itch Psoriasis Commonly associated with scalp involvement but rarely facial involvement Raised [dermnetnz.org]

hearing – respectively, the reduction of sustained hearing impairment. [hear.com]

[…] disease Commonly associated with scalp involvement but rarely with facial involvement Raised, red lesions with thick, silvery-white adherent scale Often pruritic Seborrheic [aafp.org]

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Chronic Otitis Media

The sore throat subsided after one week, but nasal congestion and the sensation that her ears were blocked persisted for a month. [nejm.org]

impairment (adjusted OR, 1.95; 95% CI, 1.34-2.85), moderate hearing impairment (adjusted OR, 4.00; 95% CI, 2.21-7.22), tinnitus (adjusted OR, 1.82; 95% CI, 1.34-2.49), increased [ncbi.nlm.nih.gov]

IMPORTANCE: Several sources have suggested an association between chronic sensory hearing impairment and chronic otitis media (COM). [ncbi.nlm.nih.gov]

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Hypothyroidism

[…] expression, dementia or frank psychosis (myxedema madness) Dermatologic manifestations: Facial puffiness; myxedema; sparse, coarse and dry hair; coarse, dry, scaly and thick [merckmanuals.com]

Hearing impairment in CH is of considerable interest. [ncbi.nlm.nih.gov]

Impaired hearing due to fluid in middle ear. Reduced libido. A relationship between hypothyroidism and depression has been assumed for many years. [patient.info]

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Microtia

The Surgery: Skin Graft A very thin skin graft is generally harvested from the thigh or lower abdomen. This graft is ten 1,000’s of an inch in thickness. [earsurgery.org]

Similar findings were obtained on a subset of 25 unilaterally hearing-impaired children who satisfied rather stringent criteria for age, hearing level, intelligence, length [doi.org]

Microtia is often associated with impaired hearing and or total loss of hearing. [ncbi.nlm.nih.gov]

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Tinnitus

While there’s no proven cure for tinnitus, understanding the symptoms, causes and related illnesses, can help ease, manage or block out the ringing-in-the-ears sensation. [healthyhearing.com]

The prevalence of hearing impairment and reported hearing disability in adults in Great Britain. International Journal of Epidemiology 1989, 18 : 911–917. [doi.org]

Tinnitus spectra and residual inhibition functions for depth and duration increased with the amount of threshold shift over the region of hearing impairment. [ncbi.nlm.nih.gov]

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Acoustic Trauma

Headaches and sensations of numbness, burning, tingling, blocking, pressure or fullness, echo or hollow feelings in the ear were also frequently reported. [audiologyonline.com]

Three main severity categories of hearing impairment were established. These are described and illustrated. [ncbi.nlm.nih.gov]

If the hearing impairment does not worsen, it may be possible to continue with checks every three years. [evidence.unboundmedicine.com]

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Eustachian Tube Obstruction

As a result fluid accumulated in the middle ear on both sides Symptoms of eustachian tube dysfunction or blockage are, sensation of a “blocked” ear, echoing sensation, ringing [drsethi.com.sg]

Abnormal patency of the eustachian tube may be annoying but does not produce hearing impairment. [otologiccenter.com]

This can result in a sensation of blockage/pressure in the ear. [earandbalance.co.uk]

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Benign Paroxysmal Positional Vertigo

In very simplistic terms, your doctor thinks you have crystals or tiny rocks (debris) that may be blocking some drainage areas of your inner ear, thus giving you vertigo or [menieres-disease.ca]

Impairment Clinic, Nagasaki 852-8132, Japan. 5 Department of Otorhinolaryngology - Head and Neck Surgery, University of Toyama, Toyama 930-0194, Japan. 6 Ohsawano Rehabilitation [ncbi.nlm.nih.gov]

One study included patients with "vertebrobasilar ischaemia", defined in this study as vertigo with at least two of impaired hearing, impaired vision, tinnitus or headache [doi.org]

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Insect in the External Auditory Meatus

Ossiculoplasty performed  Tympanic membrane grafted  Meatoplasty  Split thickness skin graft (.006-.008 inches) lines the canal 25. [slideshare.net]

The cockroach died after burrowing deeper into Helmer’s ear. 6. Bed Bug An unidentified 23-year-old man reported an odd sensation within his right ear. [medicaldaily.com]

Hearing impairment, deafness, or hearing loss refers to the total or partial inability to hear sounds. Symptoms may be mild, moderate, severe, or profound. [medicalnewstoday.com]

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Acute Otitis Media

impairment Antibiotics and ENT referral are not routinely required for OME, as the majority of cases occur after an episode of AOM and resolve spontaneously with no long [rch.org.au]

Children have impaired hearing following AOM. [patient.info]

[…] effusion, previously termed serous otitis or glue ear, is fluid in the middle ear without signs and symptoms of infection and is often asymptomatic, other than transient hearing [rch.org.au]

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Cerebral Palsy

Side effects from medications include: xerostomia, thick mucoid secretions, dehydration, urinary retention, urinary tract infections, constipation, facial flushing, skin rash [doi.org]

impairment, gastro-oesophageal reflux and constipation, learning and behavioural difficulties) which require close multi-disciplinary teamwork. [discovery.ucl.ac.uk]

Because children with CP may have associated deficits of mental retardation, ophthalmologic and hearing impairments, speech and language disorders, and oral-motor dysfunction [ncbi.nlm.nih.gov]

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Neurilemmoma

James O’Shaughnessy’s journey to Mount Sinai began with ear problems. He had a persistent sensation that his right ear was blocked with wax, but it did not get better. [mountsinai.org]

RESULTS AND CONCLUSION: Hearing loss was the first symptom reported in almost all cases, and tumor size was not proportional to the impairment of the auditory threshold. [scielo.br]

In particular, the retrolabyrinthine route proved useful in small tumors, with 50% preservation of hearing. [scielo.br]

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Mucopolysaccharidosis 2

Patients with MPS II typically exhibit systemic manifestations including a short stature, a specific facial appearance, dysostosis multiplex, a thick skin, inguinal hernia [journals.plos.org]

impairment Conductive deafness Conductive hearing loss [ more ] 0000405 Contractures of the large joints 0005781 Decreased nerve conduction velocity 0000762 Developmental [rarediseases.info.nih.gov]

They also had characteristic features of Hunter syndrome such as stunted growth, coarse facial features (large forehead, thick neck, tongue and lips, bushy eyebrows, and flattened [mjdrdypu.org]

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Acoustic Neuroma

[…] in some cases, facial numbness a sensation of fullness or blocking in the affected ear. [betterhealth.vic.gov.au]

In patients with acoustic neuroma, the site and severity of hearing impairment are important in discussing surgical approaches. [ncbi.nlm.nih.gov]

It would be pointed out that the delayed facial plasy has favourable prognosis, while the hearing impairment may recover with a greater difficulty even after an antiviral [ncbi.nlm.nih.gov]

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Coffin-Lowry Syndrome

Facial features include prominent forehead, widespread eyes, downslanting eyeslits, prominent ears, thick lips and irregular/missing teeth. [medicinenet.com]

Audiological tests revealed profound hearing impairment. Anomalous labyrinths were shown by CT scan of the temporal bones. [ncbi.nlm.nih.gov]

Other features may include hearing impairment, awkward gait, and heart and kidney involvement. Onset in postnatal period. [whonamedit.com]

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Lytic Bone Lesion

[…] cardiac anomaly / malformation / cardiopathy - Dry / squaly skin / exfoliation - Facial pain / cephalalgia / migraine - Failure to thrive / difficulties for feeding in infancy [csbg.cnb.csic.es]

impairment Deafness Hearing defect [ more ] 0000365 Hypoplastic 5th lumbar vertebrae Underdeveloped 5th lumbar vertebrae 0008424 Joint hyperflexibility Joints move beyond [rarediseases.info.nih.gov]

Clinically, all neonates are hearing impaired from birth and develop diffuse PPK in childhood. Leukonychia and hyperkeratoses over the joints of the hand also appear. [emedicine.medscape.com]

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Ear Disease

One ear may be affected before the other. Sensations of fullness and blocked ear are not uncommon. Dizziness and vertigo may also be observed. [medindia.net]

STUDY DESIGN: Cross-sectional survey of ear disease and hearing impairment. [ncbi.nlm.nih.gov]

OBJECTIVES: 1) To measure prevalence of hearing impairment (HI) in schoolchildren living in poverty in Peru. 2) To identify risk factors for HI and assess its impact on academic [ncbi.nlm.nih.gov]

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Wyburn Mason's Syndrome

[…] with different texture, thickness, and color, usually on the face.[5] The facial features caused by the syndrome vary from slight discoloration to extensive nevi and angiomas [en.wikipedia.org]

impairment Irritability Iris hypopigmentation Loss of consciousness Nausea and vomiting Proptosis Subarachnoid hemorrhage Tinnitus (Source: Wyburn-Mason Syndrome; Genetic [dovemed.com]

[…] of the skin.[3] In some cases, the frontal and maxillary sinus may also be affected.[5] There have only been 52 reported cases of patients with Bonnet–Dechaume–Blanc syndrome [en.wikipedia.org]

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Mucopolysaccharidosis 1H

[…] hairy skin all over the body, a tuft of hair in the parietal region, coarse facial features and a prominent forehead with a large tongue, hepatosplenomegaly and skeletal [dx.doi.org]

Hearing impairment. Mental retardation. Inguinal hernias. Joint stiffness and skeletal deformities Coronary heart disease. Hepatosplenomegaly. [medigoo.com]

Surgical incision in the eardrum can correct hearing impairment. In order to avoid complications, surgery has also been recommended for all inguinal hernias. [patienthelp.org]

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