Otitis Externa & Media Flashcards
Bacterial causes of otitis externa
Staph. A
Pseudomonas
Discharge of Otitis externa
Purulent and scanty
Ab used in treatment of otitis externa
Ciprofloxacin
Treatment of otitis externa
Aural toilet (suction)
Topical Ab & steroids: ciprofloxacin
Topical antifungal
What is Ramsey hunt syndrome
Severely painful vesicular exanthem in otitis externa (herpes zoster oticus)
Cranial nerves affected in ramsey hjny syndrome
7 and 8
Most important risk factor in malignant otitis externa
DM or Immunodeficiency
Cause of malignant otitis externa
Osteomyelitis of lateral skull base
Floor of EAC in otitis externa contains
Granulations
Complications of malignant otitis externa
Facial palsy
Bulbar palsy
Bacterial causes of otitis media
Strept. Pneumonia
H influenza
Moraxella catarrhalis
Discharge in otitis media
Profuse and purulent
Complications of otitis media
TM perforation
Mastoiditis
Facial palsy
Treatment of otitis media
Medical : Ab, analgesia, antipyretics
Surgical ; incision and drainage (myringotomy)
Cause of otitis media with effusion
Eustacian tube dysfunction
Otoscopy in otitis media with effusion shows….
Dull Tympanic membrane
Fluid level
Bubbles
Pure tone audiogram in otitis media with effusion shows…
Conducrive hearing loss(air bone gap)
Tympanometry in otitis media with effusion shows….
Flat curve type B
Treatment of otitis media with effusion
• Watch and wait – 50%
will resolve
spontaneously within 3
months
• Surgical
• Adenoidectomy
• Myringotomy and
ventilation tube
insertion
