Clinical OCMM Flashcards
Why get otitis media
Impaired drainage of Eustachian tube caused by bacterial or viral
Infection may be the result of otitis media
When Eustachian tube isn;t allowing fresh air it is clogged and becomes damp breeding grounf
Why babies get otitis media more
Eustachian tube is shorter and more AP
Why Ottis media more common if teething
More fluids
The Eustachian tube lies int he temporal bone and opens onto the external base of the skull between the foramen spinosum and the carotid canal
Ok
Where does the tube lie
In the groove between the petroud temporal bone and greater wing of sphenoid
Where is the narrowest part of Eustachian tube
As leaves the cranium before entering te nasopharyngeal tissue
Where is the area of the Eustachian tube most likely to clause blockage
At the cranial base where the sphenoid and temporal bones meet
How treat ear Sd
Treat temporal bones to promote drainage
Studies not ermporal bone and ear
Significant improvement in middle ear tympanic membrane motion and reduction in middle ear effusion
Benefit may also prevent the development of middle ear damage leading to hear problems
Describe the study done in 2003 with 57 patients looking at tratment of otitis media with OCMM of babes 6 months to 6 years with 3 episodes of AOM in last 6 months or 4 in last year
Routine group
Routine group plus OCMM
Double blind
OMM fewer episodes AOM, fewer surgeries, more surgery free months, no adverse reactions
Treatment included full MSK evaluation including cranium
Headaches
Enigma
Clinical experiences indicates cranial treatments often very successful
What is pathophysiology
Pain in cranium
Parts of the dura at the base of the brain
Arteries within the dura-proximal anterior and middle cerebral arteries and intracranial portion of internal carotid
Ok
Internal portion of internal carotid
Pain sensitive
0vein
Veins if impaired willll caused headaches
Traction or displacemmetnr of large intracranial veins or their dural envelope