Chronic otitis media and cholesteatoma

Question 1

define chronic otitis media

Answer 1

an ear with a tympanic membrane perforation in the setting of recurrrent or chronic infections

Question 2

associated symptoms of chronic otits media (4)

Answer 2

hearing loss

otorrhoea

fullness

otalgia

Question 3

types of chronic otitis media 3

Answer 3

benign (or inactive)

chornic seroys otitis media

chronic suppurative otitis media

Question 4

how is benign (or inactive) chronic otitis media characterised 1

Answer 4

dry tympanic membrane perforation without active infection

Question 5

how is chronic serous otitis media characterised 1

Answer 5

continuous serous drainage

Question 6

how is chronic suppurative otitis media characterised 1

Answer 6

persistent purulent drainage through a perforated tympanic membrane

Question 7

treatment for chronic otitis media 5

Answer 7

topical/systemic antibiotics

aural cleaning

water precautions

careful followup

surgery

Question 8

types of antibotics for chronic otitis media 1

Answer 8

co-amox

Question 9

when is surgery considered for chronic suppurative otitis media 2

Answer 9

if aural cleaning and ABx fail

and

there is persisstent symptoms

Question 10

complications fo chronic otits media 4

Answer 10

persistent perforation /discharge

conductive hearing loss

chronic mastoiditis - an ongoing infection that affects both the middle ear and the mastoid process

cholesteatoma formation -abnormal collection of skin cells within the ear canal

Question 11

types of surgery for chornic otitis media 2

Answer 11

myringoplasty

mastoidectomy

Question 12

what is myringoplasty surgery for chronic otitis media

Answer 12

repair of tympanic membrae using a graft applied underneath the tympanic memrane

Question 13

when is mastoidectomy used for chronic otitis media

Answer 13

patients with mastoidits or advanced cholesteatoa

Question 14

what is mastoidectomy (surgery for crhonic otitis media)

Answer 14

mastoid surgery and tympanoplasty(surgical repair of tympanic membrane and ossicles)

-eradicates source of chronic infection
-excises cholesteatoma
-reconstructs hearing mechanism

Question 15

how does a cholestoma form in chronic otits media

Answer 15

prolonged low middle ear pressures-> development of retraction pocket of the PARS FLACCIDA as this englarges, squamous epithelium builds up and cant escpae from neck of sac

Question 16

treatment for cholesteoma 1

Answer 16

mastoidectomy