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CHRONIC OTITIS MEDIA IMG_20200312_160343 (Clinical manifestation…
CHRONIC OTITIS MEDIA
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
To remove disease from the bone
Tympanoplasty to repair the eardrum
Tympanoplasty with mastoidectomy
Pharmacological management
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
