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Ménière’s disease
4 symtomps
   Vertigo- a sensation of spinning while
    stationary. It is commonly associated
    with vomiting or nausea, unsteadiness
    , and excessive perspiration.
    Recurrent episodes in those with
    vertigo are common and they
    frequently impair the quality of life.
   Tinnitus- a ringing, swishing, or other
    type of noise that seems to originate in
    the ear or head. It is caused by
    damage to the microscopic endings of
    the hearing nerve in the inner ear.
 hearing loss- may fluctuate, especially
  early on in the course of the disease.
  The patient may also be especially
  sensitive to loud sounds.
  Eventually, most people experience
  some degree of long-term hearing loss
 feeling of fullness or congestion in the
  ear.
   Attacks of dizziness may come on
    suddenly or after a short period of
    tinnitus or muffled hearing.



   Some people will have single attacks
    of dizziness separated by long periods
    of time.
   Anatomy and Physiology
The ear has external, middle, and inner portions. The outer
ear is called the pinna and is made of ridged cartilage
covered by skin. Sound funnels through the pinna into the
external auditory canal, a short tube that ends at the eardrum
(tympanic membrane).
Sound causes the eardrum and its tiny attached bones in the
middle portion of the ear to vibrate, and the vibrations are
conducted to the nearby cochlea. The spiral-shaped cochlea
is part of the inner ear; it transforms sound into nerve
impulses that travel to the brain.
The fluid-filled semicircular canals (labyrinth) attach to the
cochlea and nerves in the inner ear. They send information
on balance and head position to the brain. The eustachian
(auditory) tube drains fluid from the middle ear into the throat
(pharynx) behind the nose.
   The inner ear is composed of:


 three semicircular canals and otolith
  organs - these control balance
 the snail-shaped cochlea - this is the
  hearing organ
Cochlea
snail-shell like structure divided into
three fluid-filled parts. Two are
canals for the transmission of pressure
and in the third is the sensitive organ of
Corti, which detects pressure impulses
and responds with electrical impulses
which travel along the auditory nerve to
the brain.
The two fluids

  Perilymph- fluid in the canals
 Endolymph- fluid in the cochlear duct
  is rich in potassium ions, which
  produces an ionic, electrical potential.
Ménière’s disease
Ménière’s disease
Ménière’s disease

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Ménière’s disease

  • 2. 4 symtomps  Vertigo- a sensation of spinning while stationary. It is commonly associated with vomiting or nausea, unsteadiness , and excessive perspiration. Recurrent episodes in those with vertigo are common and they frequently impair the quality of life.
  • 3. Tinnitus- a ringing, swishing, or other type of noise that seems to originate in the ear or head. It is caused by damage to the microscopic endings of the hearing nerve in the inner ear.
  • 4.  hearing loss- may fluctuate, especially early on in the course of the disease. The patient may also be especially sensitive to loud sounds. Eventually, most people experience some degree of long-term hearing loss  feeling of fullness or congestion in the ear.
  • 5. Attacks of dizziness may come on suddenly or after a short period of tinnitus or muffled hearing.  Some people will have single attacks of dizziness separated by long periods of time.
  • 6. Anatomy and Physiology
  • 7. The ear has external, middle, and inner portions. The outer ear is called the pinna and is made of ridged cartilage covered by skin. Sound funnels through the pinna into the external auditory canal, a short tube that ends at the eardrum (tympanic membrane). Sound causes the eardrum and its tiny attached bones in the middle portion of the ear to vibrate, and the vibrations are conducted to the nearby cochlea. The spiral-shaped cochlea is part of the inner ear; it transforms sound into nerve impulses that travel to the brain. The fluid-filled semicircular canals (labyrinth) attach to the cochlea and nerves in the inner ear. They send information on balance and head position to the brain. The eustachian (auditory) tube drains fluid from the middle ear into the throat (pharynx) behind the nose.
  • 8. The inner ear is composed of:  three semicircular canals and otolith organs - these control balance  the snail-shaped cochlea - this is the hearing organ
  • 9.
  • 10. Cochlea snail-shell like structure divided into three fluid-filled parts. Two are canals for the transmission of pressure and in the third is the sensitive organ of Corti, which detects pressure impulses and responds with electrical impulses which travel along the auditory nerve to the brain.
  • 11. The two fluids  Perilymph- fluid in the canals  Endolymph- fluid in the cochlear duct is rich in potassium ions, which produces an ionic, electrical potential.