Otitis Media Acute and Chronic

Question 1

Presentation

Answer 1

Ear pain (caused by increase pressure), discharge if membrane ruptures, fever.

Question 2

Causative organisms?

Answer 2

Strep Pneumon, Haemophilus Influ, Moraxella Catarrhalis

Question 3

Management

Answer 3

Can be managed conservatively, analgesia and anti-inflammatories. Follow up not needed unless severe.

If systemic symptoms, oral amox for 7 days.
If allergic, clarithromycin.

Question 4

Complications

Answer 4

Mastoiditis, meningitis, pericranial abscess, facial nerve involvement, perforation, chronic infection

Question 5

When defined as chronic?

Answer 5

When three or more in past 6 months.

Question 6

Which version has cholesteatoma

What surgery and what risks?

Answer 6

Chronic squamous active.
Chronic sq. inactive has a outpouch of external epithelium present but not grown.

Surgical intervention when cholesteatoma grows into mastoid bone, requiring mastoidectomy.

Risks, facial nerve palsy, hearing loss, CSK leak, vertigo.