CHRONIC OTITIS MEDIA IMG_20200312_160343

Pathophysiology

It is a group of chronic inflammatory disease of middle ear

It often affect children

It is associated with unresolved and resistant bacterial infection

It is caused by an ongoing inflammation response within middle ear

Charecterized by persistent drainage from middle ear through perforated tympanic membrane

Definition

Chronic infection of the middle ear cavity

Clinical manifestation

Persistent deep ear pain

Headache

Development of facial weakness

Fever

Chronic ear drainage

Hearing loss

Persistent blockage of fullness of the ear

Confusion

Diagnostic test

X-ray

Ct scan

Tympanometry which is done when hearing is tested

MRI scan

Surgical management

Pharmacological management

To remove disease from the bone

Tympanoplasty to repair the eardrum

Tympanoplasty with mastoidectomy

Trimetroprim-sulfamethoxazole

Erythromycin-sulfisoxazole and cefixome

Second-line drugs for resistance are beta-lactamase, producing bacterial strains

They all fall under bacterial strains

Amoxicillin is the first - line drug for otitis media

Risk factors

Snoring

Previous history of acute otitis medie

Upper respiratory tract infection

Second-hand smoke

Atopy

Loe social status

Allergy