Otitis Media with Effusion Flashcards
1
Q
Otitis Media with Effusion also known as
A
Glue ear
2
Q
Otitis Media with Effusion
A
thick/sticky behind ear drum in the middle ear. Occurs without ear infection
3
Q
Otitis Media with Effusion More common in:
A
Males, before 10yrs, peak at 2 years old. Day care Older siblings Parental smoking Cleft palate Down's syndrome
4
Q
Otitis Media with Effusion Aetiology
A
Eustachian tube dysfunction
Adenoidal hypertrophy
Resolving AOM
5
Q
Otitis Media with Effusion Symptoms
A
Hearing loss (80%) Imbalance Behaviour problems Academic decline Speech delay
6
Q
Otitis Media with Effusion signs
A
Dull ympanic membrane
Fluid level
Bubbles
7
Q
Otitis Media with Effusion Investigations
A
Otoscopy Tympanometry Hearing Assessment Audiogram - look for conductive defects Impendance Audiometry - look for flat tympanogram
8
Q
Otitis Media with Effusion Management
A
Usually resolves
Explain, reassure, 3 monthly review:
- general advice - parental smoking, seasonal variation, breast feeding (reduces risk)
- hearing aids
- surgery - Grommet Insertion, Adenoidectomy
