Top Tweets for #OTOtwitter
What’s the reason for this patient’s left congenital deafness? Would you offer a cochlear implant? 🤔
@ototrainees #ototwitter #ENTX @umiamient
⚡🌿 Not a tattoo—Lichtenberg figures: fern-like skin marks after lightning. They’re not true burns and usually fade within 24–48 hours.
💰🛑ENT Pearl: after any lightning or phone-line shock, check eardrums and hearing—ear drum tears are common. #OtoTwitter #MedTwitter
Drugs commonly used in #ENT. #Megathread.
(tables/summaries)
Otology #OtoTwitter #MedTwitter
The power of AI - ChatGPT 5 (thinking)
Wonder what the $200 subscription is capable of doing. @aditya_gan3500 @DrDatta_AIIMS @DrAkhilX @askdheeraj
Have to double check for errors.
All tables have been made from standard ENT textbooks and articles.
🎶 Serial Tuning Fork Tests in Rural Settings (with Frequency Clues)
#ototwitter
Mini digest
🏥 In villages without audiograms, repeat tuning fork tests act as a bedside audiogram substitute.
🛠️ Using different frequencies helps estimate how much ABG (air–bone gap) is present.
---
🔢 Frequency-specific details
128 Hz
🎯 Best for neurology (vibration sense); not reliable for hearing (too vibrotactile).
⚠️ Don’t use for Rinne/Weber—misleading.
256 Hz
🎯 Detects small ABG early.
📉 Rinne flips negative with only ~15–20 dB CHL.
⚠️ Problem: vibrotactile cues may confuse results.
512 Hz (gold standard)
🎯 Most balanced—long enough decay, minimal vibration artefact, in speech range.
📉 Rinne flips negative at ~20–30 dB ABG.
✅ Best fork for serial rural use to track CHL recovery or SSNHL prognosis.
1024 Hz
🎯 Used as adjunct when you suspect larger ABG.
📉 Rinne flips negative only at ~30–45 dB ABG.
⚠️ Shorter decay, weaker BC—may miss milder losses.
---
🔁 How to use them serially in rural clinics
👂 Weber
If it moves toward midline over days → recovery (esp. SSNHL or resolving CHL).
If it persists away → progression → urgent referral.
👂 Rinne
If negative → positive (esp. at 512 Hz) → CHL is improving.
If still negative at 1024 Hz → likely >30–40 dB ABG (significant conductive loss).
🩹 TM perforation
Small perforation → may still be Rinne positive at 512 Hz.
Large/subtotal → Rinne negative at 512 & 1024 Hz → ABG likely >30–40 dB.
🚑 SNHL follow-up
Weber daily with 512 Hz: if still lateralizing to the good ear → poor recovery.
Improvement = Weber drifts back midline.
---
💡 Practical Pearl
👉 The higher the fork frequency, the larger the ABG required to flip Rinne negative.
If Rinne is negative at 256 but positive at 512 → small ABG (~15–20 dB).
If negative at both 512 & 1024 → moderate–large ABG (>30–40 dB).
Ent residents / surgeons.
Dive into my timeline right now.
There's pure 🪙gold I shared from a fantastic ent surgeon/ neurotologist. You will learn a lot.
#ototwitter
By @otolaryngolivia
Much to learn from her.
Thank you maam/ boss lady.
😴🌙 Good night, #OtoTwitter!
ENT Pearl for max sleep:
👉 Blocked nose = blocked sleep.
Tip: Sleep on your side — gravity shifts things so one nostril opens up.
Clearer nose → easier breathing → deeper sleep → fresher brain tomorrow.
Sleep well, breathe better. 👃💤✨
Identified my first Schwartze sign!
Left ear normal, R ear with otosclerosis.
Check out the blush around the stapes!
🤩 #ototwitter #nerdotology #ENTX @ototrainees @headmirror_com @EndoEar
New interview with @Jefferson_OTO and @Penn_ENT Dr David Kennedy! Click below to read our discussion about residency training, the surgeon-scientist pathway, rhinology/skull base surgery, and many more. Link: https://t.co/672Icq78TR #Ototwitter #ENTtwitter @AmRhinoSociety
New interview with @nyugrossman‘s @duvvuri_md! Click below to read our discussion about residency training, the surgeon-scientist pathway, leadership, and many more. Link: https://t.co/AaXqmwycV3 #Ototwitter #ENTtwitter #Otolaryngology @AHNSinfo
Thank you to everyone who attended our inaugural HOLA event tonight featuring Dr. Cristina Cabrera-Muffly and Dr. Amanda Del Risco! ✨🩺
#ototwitter #diversityinoto #medtwitter #latinosinmedicine
🌟 Join us TONIGHT for our inaugural event featuring two ENT rockstars!
#ototwitter #diversityinoto #medtwitter
🚨Mark your calendars! Learn more about #Otolaryngology from @CUOTO Program Director Dr. Cristina Cabrera-Muffly and @Duke_Oto incoming PGY-1 Dr. Amanda Del Risco!
Panelists will share their personal journey to the field on Monday, June 12th from 8-9pm EST over ZOOM
#OtoTwitter
🚨Mark your calendars! Learn more about #Otolaryngology from @CUOTO Program Director Dr. Cristina Cabrera-Muffly and @Duke_Oto incoming PGY-1 Dr. Amanda Del Risco!
Panelists will share their personal journey to the field on Monday, June 12th from 8-9pm EST over ZOOM
#OtoTwitter
🌟🌟🌟Leadership Spotlight🌟🌟🌟
Meet Murilo De Santana Hager, one of our HOLA leadership members! #HOLAOto #OtoTwitter #diversifyoto #latinosinmedicine
🌟🌟🌟Leadership Spotlight🌟🌟🌟
Meet Alejandro Marrero, one of our HOLA leadership members! #HOLAOto #OtoTwitter #diversifyoto #latinosinmedicine
We are excited to kick off our social media presence by highlighting our HOLA leadership team!
🌟🌟🌟Leadership Spotlight🌟🌟🌟
Meet Antonio Bon Nieves, one of our HOLA co-founders! @BonNieves_AA
#HOLAOto #OtoTwitter #DiversifyOto #LatinosinMedicine
Hola #MedX #OtoTwitter! I’m Ana, a rising 4th year MS from Puerto Rico applying to Otolaryngology for #Match2025.
I’m passionate about DEI, mentorship & research.
Excited to connect and explore opportunities! #LatinosInMedicine
#DiversifyOTO #OtoMatch #SheENT #Otolaryngology
Ameloblastic Carcinoma of the Maxilla With Uncommon Sinus Manifestations https://t.co/dCeaXXGtQu
Join us for our upcoming Comprehensive ENT course, to be held April 26. Link for more info & to register: https://t.co/GIE4gdi0Q6
@SchusterENT #shENT #CME #OtoTwitter #MedEd #MedTwitter #PrimaryCare
Join us for our upcoming Comprehensive ENT course, to be held April 26. Link for more info & to register: https://t.co/GIE4gdi0Q6
@SchusterENT #shENT #CME #OtoTwitter #MedEd #MedTwitter #PrimaryCare
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