ENT Treatments Flashcards
tx of cerumen impaction
detergent ear drops
irrigation
suction
tx of foreign body
removal
tx of pruritus
mineral oil
topical corticosteroid (atypical)
tx of acute otitis externa
abx ear drops: neomycin or ciprodex
fungal- clotrimazole or acetic acid
tx of malignant otitis externa
IV abx- fluoroquinolones (ciprofloxacin)
children- cephalosporins
tx of adult acute otitis media
oral amoxicillin (amox-clav; cefuroxime)
long term abx prophylaxis (sulfa or amox)
tympanostomy
tx of child acute otitis media
oral amoxicillin (amox-clav; cephalosporins)
abx length for AOM in children
10 days- <2yrs or severe symptoms
7 days- 2-5 yrs
5-7 days- 6+ yrs
tx for chronic otitis media
topical otic abx- ofloxacin or ciprofloxacin (w/ dexa)
systemic abx- ciprofloxacin
tympanostomy, mastoidectomy
tx for otitis media with effusion
watchful waiting
autoinflation
surgery (tympanostomy)
tx for cholesteatoma
mastoidectomy
abx steroid drops to reduce inflammation
tx for mastoiditis
IV abx- cefazolin
myringotomy
mastoidectomy
tx for eustachian tube dysfunction
viral- decongestants- pseudoephedrine or oxymetazoline
allergic- intranasal corticosteroids: beclomethason diproprionate)
tx of barotrauma
pop ears frequently
OTC decongestants- pseudoephedrine
topical decongestants- phenylephrine or oxymetazoline spray
tx for inner ear fistula
BR w/ HOB elevation and stool softeners
oral corticosteroids
tx for otosclerosis
hearing aid
stapedectomy
tx for sudden SNHL
corticosteroids
tx for vestibular schwannoma
surgery
monitoring
radiation
tx for BPPV
Epley maneuver
tx for meniere’s disease
low salt diet, diuretics (acetazolamide)
intratympanic corticosteroids
vestibular ablation
tx for labyrinthitis
acute attacks- valium or meclizine
abx if signs of infection
oral corticosteroids