Module 9 Part 2 Chronic Suppurative Adult and Children Flashcards
Question
Answer
What is chronic suppurative otitis media (CSOM), and how is it divided clinically?
CSOM is a recurring or persistent bacterial infection of the middle ear with hallmark features, divided into SAFE CSOM due to chronic mucosal disease and DANGEROUS CSOM with stratified squamous epithelium ingrowth.
What is the primary difference in the treatment approach for “SAFE” and “DANGEROUS” CSOM?
In SAFE CSOM with a typically dry ear, treatment can involve oral antibiotics or specific ear drops like fluoroquinolones plus steroids. DANGEROUS CSOM, regardless of being SAFE or DANGEROUS, often requires a combination of topical and oral fluoroquinolone antibiotics.
When is referral to an ENT specialist recommended in cases of CSOM?
Referral is recommended for cholesteatoma, recalcitrant CSOM, or when patients with a history of CSOM experience acute pain, facial paralysis, vertigo, or other complications.
What is essential to increase the likelihood of successful antibiotic treatment for CSOM?
Careful cleaning of the external ear canal and frequent debridements to maintain a clean and dry environment are essential to increase the likelihood of successful antibiotic treatment for CSOM.
Why should aminoglycoside-containing ear drops be used cautiously in CSOM?
Aminoglycosides can be ototoxic in the presence of a tympanic membrane defect, increasing the risk of hearing loss and other balance-related symptoms.
What are the components of CIPRODEX and SOFRACORT ear drops?
CIPRODEX contains 3 mg ciprofloxacin and 1 mg dexamethasone per mL. SOFRACORT contains 5 mg framycetin, 0.05 mg gramicidin, and 0.5 mg dexamethasone per mL.
