Otitis Media With Effusion Flashcards
What is another term for otitis media with effusion (OME)?
Glue Ear
What is otitis media with effusion?
It is defined as a condition in which there is inflammation of the middle ear resulting in a fluid collection – without features of acute infection
What are the two pathophysiological causes of otitis media with effusion?
There is recurrent inflammation of the middle ear, resulting in the epithelium to increase the production of mucous
There is Eustachian tube dysfunction preventing adequate clearance of mucus
What are the seven risk factors associated with otitis media with effusion?
Young Age, 2 Years Old
Male Gender
Bottle Feeding
Nursery Attendance
Smoke Exposure
Craniofacial Abnormalities
Immunosuppression
What are the seven clincial features of otitis media with effusion?
Ear Pain/Tugging
Dull Yellow/Grey Tympanic Membrane
Tympanic Membrane Light Reflex Loss
Visible Fluid Level Behind Tympanic Membrane
Retracted Indrawn Ear Drum
Conductive Hearing Loss
Developmental Delay
What investigation is used to diagnsoe otitis media with effusion?
Hearing Tests
What two hearing test results indicate otitis media with effusion?
Negative Rinne’s Test, BC > AC
Weber’s Test Lateralises To Affected Ear
When is conservative management of otitis media with effusion recommended?
It is the first line management option
What is the conservative management option of otitis media with effusion?
It involves advising individuals that otitis media with effusion is a self-limiting disease, which tends to resolve within a period of 3 months
What is the non-surgical management option of otitis media with effusion?
Grommets
What is a grommet?
It is a device which can be inserted into the ear, in order to allow air to pass through into the middle ear
What four criteria are required for grommet insertion management of otitis media with effusion?
Hearing Loss > 3 Months
Language Development Delay
Craniofacial Abnormalities
Recurrent Acute Otitis Media
What is the surgical management option of otitis media with effusion?
Adenoidectomy
What is adenoidectomy?
It involves removal of adenoids, which are lumps of tissue at the back of the throat behind the nose
What four criteria are required for adenoidectomy management of otitis media with effusion?
Hearing Loss > 3 Months
Language Development Delay
Craniofacial Abnormalities
Recurrent Acute Otitis Media
