Chronic otitis media

Question 1

What is chronic otitis media?

Answer 1

group of chronic inflammatory diseases of the middle ear, which often affects children

Question 2

What is chronic suppurative otitis media?

Answer 2

persistent drainage from the middle ear through a perforated tympanic membrane lasting > 6–12 weeks. Most common in children and adolescents > 15 years old

Question 3

What are the causes of chronic suppurative otitis media?

Answer 3

bacterial infection following perforation of the tympanic membrane due to
(Recurrent) acute otitis media
Placement of ventilation tube
Trauma

Question 4

What are the clinical features of suppurative otitis media?

Answer 4

Painless, recurrent otorrhea (usually odorless; mucoid or serous )
Conductive hearing loss

Question 5

How is suppurative otitis media diagnosed?

Answer 5

Clinical diagnosis

Otoscopy

Question 6

What is the treatment of suppurative otitis media?

Answer 6

topical antibiotic (e.g., ciprofloxacin) + steroid drops (e.g., dexamethasone)

Question 7

What is otitis media with effusion?

Answer 7

Chronic mucoid or serous effusion in the tympanic cavity in the absence of infection lasting for > 3 months

Question 8

What are the clinical features of otitis media with effusion?

Answer 8

May be asymptomatic
Typically painless sensation of pressure
Conductive hearing loss
Speech and language impairment

Question 9

How is otitis media with effusion diagnosed?

Answer 9

otoscopy to assess the tympanic membrane

Question 10

What is the treatment for otitis media with effusion?

Answer 10

(Watchful waiting)

(Patients with learning impairment) Grommet