Acute Suppurative Otitis Media

Question 1

What is acute suppurative otitis media ? (ASOM)

Answer 1

Acute inflammation of the middle ear cavity by pyogenic organism

Question 2

What is middle ear cleft ?

Answer 2

Eustachian tube
Tympanic cavity/middle ear cavity
Attic
Aditus
Antrum
Mastoid air cells

Question 3

What is the most common route of spread of ASOM?

Answer 3

Via Eustachian tube - ASOM usually follows upper respiratory tract infection caused by viral infection followed by super infection by pyogenic organisms

Question 4

Routes of spread of ASOM

Answer 4

1.via Eustachian tube - most common
2.via external ear - through perforation of tympanic membrane
3.via blood

Question 5

Most common organism causing ASOM

Answer 5

Streptococcus pneumoniae
H.influenza
M.catarrhalis

Question 6

Stages of ASOM

Answer 6

1.stage of tubal occlusion
2.stage of pre-suppuration / exduation
3.stage of suppuration
4.stage of resolution
5.stage of complications

Question 7

Treatment of ASOM

Answer 7

1.antibiotics
2.decongestant nasal drops
3.oral nasal decongestants
4.analgesics and antipyretics
5.ear toilet
6.dry local heat
7.myringotomy

Question 8

Myringotomy indications

Answer 8

1.Stage of suppuration
2.Effusion beyond 12 weeks
3.Not resolving even though antibiotics are used