otitis media with effusion

Question 1

define otitis media with efussion

Answer 1

characterised by non-purulent effusion of middle ear

Question 2

how can otitis media with effusion be spplit

Answer 2

effusion is either mucoid or serous

Question 3

how is hearing affected in otitis media with effusion

Answer 3

usually mild in children

often only detected with an audiogram

Question 4

aetiology of otitis media with effusion 2

Answer 4

Eustachian tube dysfunction

primary inflammatory event \

Question 5

what causes mucous release in otitis media with effusion 1

Answer 5

inflammatory mediators released as a reuslt of bacterial antigenic challenge-> upregulation of mucin genes

Question 6

findings in history for otitis media with effusion 3

Answer 6

kids might not complain

teacher/parents may notice hearing loss

speech/ learning delay

Question 7

examination of the tympanic membrane in otitis media with effusion 2

Answer 7

dull/retracted tympanic membrane and fluid level or bubbles

NOT erythmeatous as not acutely infected

Question 8

predisposing factors for otitis media with effusion 4

Answer 8

age

anatomy- infants eustachian tybe is near horizontal moves to 45 degrees later in life

craniofacial abnormalites

mucocillary clearance disease

Question 9

management of otitis media with effusion 3

Answer 9

modifiy risk factors

support thouse struggling with hearing loss

watchful waiting for 3 months

Question 10

managemnet of otitis media with effusion if persisstent after 3 months 2

Answer 10

grommets +/- adenoidis

Question 11

how can managment of otitis media with effusion differ 1

Answer 11

in those with cleft or trisomy 21