Chronic Otitis Media Flashcards

1
Q

What is chronic otitis media?

A

Chronic infection of middle ear associated with tympanic membrane perforation

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2
Q

What are risk factors for chronic otitis media?

A

Recurrent acute otitis media
Traumatic perforation of tympanic membrane
Grommet insertion
Craniofacial abnormalities

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3
Q

What are symptoms of chronic otitis media?

A

Ear discharge for >6weeks
No fever
No ear pain

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4
Q

What is the examination finding in chronic otitis media?

A

Otoscopy - perforated tympanic membrane

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5
Q

What are the types of chronic otitis media?

A

Mucosal
- secondary to a tympanic membrane perforation

Squamous
- discharge due to a cholesteatoma

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6
Q

Where is a ‘safe’ perforation?

A

Tubotympanic (anteroinferior) area

Low risk of cholesteatoma

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7
Q

Where is an ‘unsafe’ perforation?

A

Atticoantral (posterosuperior) area

High risk of cholesteatoma

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8
Q

How is chronic otitis media managed?

A

Refer to ENT

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