CSOM

Question 1

What is chronic otitis media?

Answer 1

A persistent inflammation of the middle ear characterized by infection and fluid accumulation.

This condition can lead to hearing loss and other complications if not treated properly.

Question 2

What are the two classifications of chronic otitis media?

Answer 2

• Tubotympanic disease
• Atticoantral disease

Question 3

What is the main characteristic of tubotympanic disease?

Answer 3

It is classified as safe or benign and located in the anterior inferior part of the middle ear.

Question 4

What is a key symptom of chronic otitis media?

Answer 4

Intermittent mucoid discharge that is non-blood stained and odorless.

Question 5

What is the aim of treatment for chronic otitis media?

Answer 5

• Decrease hearing loss
• Control infection
• Correct hearing loss

Question 6

What are common bacteria associated with chronic otitis media?

Answer 6

• Pseudomonas aeruginosa
• Staphylococcus aureus
• E. coli
• Proteus sp
• Klebsiella pneumonia
• Bacteroides fragilis
• Peptococcus
• Peptostreptococcus

Question 7

What does the term ‘atticoantral disease’ refer to?

Answer 7

It is an unsafe type of chronic otitis media associated with serious complications, located in the posterior superior part of the middle ear.

Question 8

Fill in the blank: The examination of the ear under a microscope is called _______.

Answer 8

Otoscopy

Question 9

What is the typical discharge characteristic of atticoantral disease?

Answer 9

Scanty, continuous, blood-stained, and foul-smelling.

Question 10

What is the significance of a cholesteatoma in chronic otitis media?

Answer 10

It is a destructive and expanding growth that can lead to hearing loss and serious complications.

Question 11

What type of hearing loss is associated with chronic otitis media?

Answer 11

Conductive or mixed hearing loss.

Question 12

What imaging techniques are used to assess chronic otitis media?

Answer 12

• Mastoid x-ray
• CT scan of temporal bone

Question 13

What is tympanoplasty?

Answer 13

A surgical procedure to repair the tympanic membrane (eardrum) and improve hearing.

Question 14

True or False: The presence of a red and fleshy polyp is a sign of tubotympanic disease.

Answer 14

False

Question 15

What are the complications associated with chronic otitis media?

Answer 15

• Intracranial abscess
• Granulation tissue
• Ossicular necrosis
• Cholesterol granuloma

Question 16

What is the role of systemic antibiotics in the treatment of chronic otitis media?

Answer 16

To control infection.

Question 17

Fill in the blank: The typical scenario for patients with chronic otitis media is normal hearing that _______ when discharge is cleared.

Answer 17

reduces

Question 18

What is the importance of keeping water out of the ear in chronic otitis media management?

Answer 18

To prevent further infection and complications.

Question 19

What are the differences in discharge between tubotympanic and atticoantral diseases?

Answer 19

• Tubotympanic: Non-blood stained, odorless, intermittent
• Atticoantral: Blood-stained, foul-smelling, continuous

Question 20

What is the purpose of audiogram testing in chronic otitis media?

Answer 20

To assess the type of hearing loss, whether conductive or sensorineural.

Question 21

What is the typical management strategy during the healing stage of chronic otitis media?

Answer 21

• Control infection
• Ear cleaning
• Ear drops with steroids

Question 22

What is the Wullstein classification related to?

Answer 22

The classification of tympanoplasty techniques based on the type of graft placement.

Question 23

How can cholesteatoma affect hearing?

Answer 23

It can cause conductive hearing loss by damaging the ossicular chain.