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Otitis Media Yeni Slayt (Çok Az Değişmiş) - 220526 - 142034
Otitis Media Yeni Slayt (Çok Az Değişmiş) - 220526 - 142034
OTITIS MEDIA
Marmara University School Of Medicine
Department of Otorhinolaryngology,
Head and Neck Surgery
Istanbul, Turkiye
OTITIS MEDIA
u need to drain
the abscess!
simple
mastoidectomy to
drain (open way
from middle ear to
mastoid)
ACUTE SUPPURATIVE OTITIS
MEDIA
§ 5. Stage, complications:
§ 6. Stage, resolution: if u tx well
tx: antibiotics, decongestants through eustachian tube by steroid ear drops which resolve
the edema to allow for drainage through it, analgesics, antipyretics
ACUTE VIRAL OTITIS MEDIA
§ Associated with viral URI:
– eustachian tube blockage
– effusion in the middle ear
§ Bullous myringitis: too painful!
– epidemics
– younger children
– severe pain without fever and hearing
loss
– multiple blebs on the membrane like HS
– resolves in 2-3 days
– Tx: puncture of blebs, antibiotics if
secondary bacterial infection
OTITIS MEDIA WITH EFFUSION
google: Otitis media with effusion (OME) and acute otitis media (AOM) are two main types of otitis
media (OM). OME describes the symptoms of middle ear effusion (MEE) without infection, and AOM
is an acute infection of the middle ear and caused by bacteria in about 70% of cases
§ Epidemiology
– age: disease of infants and young children
65% by 2 years disease of young children (2 yrs) bc in these, the
eustachian tube is completely blocked
mucoid
air fluid levels, bubbles
OTITIS MEDIA WITH EFFUSION
üTumors
well.
also nasopharyngeal tumors
– Iatrogenic causes
üInadequate antibiotic therapy
üRadiation therapy pts with nasopharyngeal tumors- edema - ome
§ Tympanic membrane
perforation 3
months, conductive
HL, intermittent
discharge of pus
pt had suppurative
otitis media, and ear
drum got perforated..
once
it has been more than
3months then its
chronic 5als
CHRONIC OTITIS MEDIA
but if it is:
FACIAL NERVE PARALYSIS
LABYRINTHITIS
1. serous- toxic byproducts temporary loss of vestibular function- not very severe
2. suppurative- bacteria / some material invasion - total loss of hearing
§ Suppurative labyrinthitis:
§ Total loss of hearing and vestibular
function
§ Tx: hospitalization, hydration, antimicrobial
therapy, antivertiginous medications,
mastoidectomy
PETROSITIS happens in pts who have air sacs in
petrous bone.