Chronic Otitis Media

Question 1

What causes chronic otitis media

Answer 1

Is a consequence of recurrent AOM or unsealed TM perf
1. Long term damage due to infection, inflammation

Question 2

What bacteria causes chronic otitis media

Answer 2

1. P. Aeruginosa
2. Proteus species
3. Staphylococcus aureus
4. Mixed anaerobic species

Question 3

What is the clinical hallmark of chronic otitis media

Answer 3

Purulent aural discharge
1. Severe retraction or perforation of TM
2. Presence of a Cholesteatoma (abnl collection of skin cells deep inside your ear)

Question 4

What are the signs of chronic OM

Answer 4

1. Chronic drainage
2. Persistent sense of fullness
3. Conductive hearing loss
4. Balance issues
5. Facial weakness

Question 5

What is the treatment of chronic OM

Answer 5

1. Regular removal of infected discharge
2. Regular use of earplugs
3. ENT referral
   *tympanic membrane repair
   *mastoidectomy
   *myringotomy tubes

Question 6

What is the ATB treatment of chronic otitis media

Answer 6

Topical
1. Ofloxacin
2. Cipro with dexamethasone
PO
1. Cipro 500mg BID for 1-6 weeks