Otitis medias Flashcards
what is acute otitis media
bacterail infection of middle ear <6 week duration
AOM divided into
non suppurative (no/sterile effusion) suppurative (pus)
what is otitis media with effusion and what is it aso caulled
perisistent middle ear effusion for 3 months due to mucous overproduction. NOT INFECFTION
AKA glue ear
what is chronic suppurative otitis media
perisisting infection associated with discharge htrough PERFORATED typanic membrnae
AOM really bad pain then suddenly goes. what’s happend?
perforation
causes of AOM
sterp penumonia
h influenza
moraxella catarrhalis
complications of AOM
MENINGITIS BRAIN ABSCESS MASTOIDITIS vii PALSY LABYRINTHITIS HEARING LOSS tm PERF
signs of mastoiditis
mastoid tenderness
pyrexia
oedema of post auricular soft tissue
anterior inferior pinna diplacemennt
how long does perforation take to heal
6-8 week
treatment of non-healing perf
myringoplasty
treatment of OME
conservatie
hearing aid
grommet airates the ear (not drainage). grommets just drop out evneutally
treatment of chronic otitis media
aural toilet and topical/oral abx
compication of chronic otiits media
cholesteotoma
what is a cholestotoma
destructive and expanding keratinised squamous cell debris which collects on the ear drum and keeps growing causing slow destruction
what age group does cholesteotoma occur in
10-20yo
symptoms of cholesteotoma
hearing loss
chronic ear discharge - think if non resolving ear discharge
vertigo
foul smelling
treatment of cholesteotoma
refer to ENT
aural toilet
keep ear dry
mastoid surgery
what does otoscopy show in cholesteotoma
attic crust
