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Modified about 1 year ago
Otology Dave Pothier St Mary’s 2003
Anatomy Not a big place Lots of bits NB concepts only
Hearing Conductive Sensorineural
The ‘otitises’ Acute Suppurate Otitis Media Chronic Suppurative Otitis Media Otitis Media with Effusion / Secretory Otitis Media Adhesive Otitis Media +/- Cholesteatoma
ASOM Common ear infection Pus in middle ear Organisms from ET Pain, fever, deafness Often perforated TM
Organisms Strep pneumoniae Haemophilus Influenzae
Complications: Intracranial Meningitis Intracranial abscess Sigmoid/lateral sinus thrombosis Extracranial Mastoiditis and sequelae Facial nerve palsy Labyrithitis Sensorineural hearing loss
Sequelae Glue ear TM perforation Adhesions Tympanosclerosis Ossicular erosion
Rx Conservative / medical / surgical Observe Analgesia Antibiotics (Amoxil) +/- myringotomy
Mastoiditis Spread of infection to mastoid air cells form middle ear cleft – serious disease; easy spread to important structures From ASOM / cholesteatoma
Signs Unwell Deaf ASOM Ear protruding Not always reliable
Rx Resus Admit IV abx Early surgery if no response
Glue ear / SOM / OME NOT INFECTIVE
Glue ear / SOM / OME Caused by ETD (Eustacian tube dysfunction) Negative MEP Effusion of fluid in Middle ear No pain, no fever, not unwell Deafness, poor development of speech, behaviour
Rx Cons / Medical / Surgical Watch & wait Hearing Aid Ventilation tube
Conservative Hearing loss in context Speech / developmental issues Follow-up Seasonal Self limiting
Hearing aid Effective Compliance
Ventilation tubes (grommets)
NB NO ANTIBIOTICS
Cholesteatoma What is it? Keritinising squamous epithelium in middle ear cleft
How? Congenital (rare) Aquired - primary (retraction) - secondary (implantation) Cholesteatoma
‘Conveyor belt’ Skin migrates from umbo outwards across TM and out along canal
Pars flaccida ( 2 layers ) Pars tensa ( 3 layers)
Eustacian tube dysfunction Negative MEP Retraction of pars flaccida RP fills with debris Infection Erosion and spread
Complications Same as ASOM + mastoiditis But more insidious Slow erosion more common
Rx Conservative / medical / surgical Conservative - microsuction, review Medical – antibiotic drops Surgical – cortical mastoidectomy
CSOM Perforation of TM Follows a slow to heal ASOM May be active or inactive Safe / Unsafe perforation Mucosal or cholesteatoma Similar principles to cholesteatoma safe unsafe
Otitis Externa Inflammation of EAM +/- infection debris TM
Pathogens Pseudomonas Staph Aureus Mixed growth
Causes Trauma Cotton buds Fingers H20 in ear Eczema Narrow canals
Rx Microsuction / aural toilet Topical Topical antibiotic drops Water precautions Leave oral / IV until specialist review
Malignant OE Often in immunocompromised + Diabetics Not mitotic! Aggressive OE – cranial nerve palsies Base of skull disease Emergency referral for surgery and Abx
DO NOT DO DRUGS !!! Hearing disorders in children/ Hala AlOmari1.
Chronic otitis media Dr. Abdulrahman Alsanosi Associate professor Head of Otology neurotology unit King Abdulaziz University Hospital.
CHRONIC SUPPURATIVE OTITIS MEDIA (CSOM) by: Dr. Saad Al Asiri MD, DLO, KSF, Rhino General Secretary Assistant for Training & Program Accreditation ENT.
ENT UPDATE FOR PRIMARY CARE WEST CUMBERLAND HOSPITAL 05/06/2013 Mohamed Ouda ST1.
CHOLESTEATOMA AND CHRONIC SUPPURATIVE OTITIS MEDIA.
بسم الله الرحمن الرحيم. CHRONIC OTITIS MEDIA Classification of Chronic Otitis Media Chronic Non Suppurative Otitis Media –Otitis media with effusion.
Department of Otorhinolaryngology. CHOLESTEATOMA Chronic Suppurative Otitis Media Attico-Antral Type.
Ears! Mark Hambly. Ear pain – what could it be? Common presentation in GP Most likely otitis media or externa Below some tips on each with some quiz questions!
Dr. Abdussalam M jahan ENT depart, Misurata university, faculty of medicine Otitis media.
Glue Ear and Otitis Externa Martin Porter Consultant ENT Worcester.
Blocked or painful ears Wax and otitis media Mike Smith ENT Consultant Hereford County Hospital and Worcester Royal Hospital UK 2009.
OTITIS MEDIA Babak Saedi Imam Khomeini Hospital. OTITIS MEDIA Definition: Presence of a middle ear infection Acute Otitis Media: occurrence of bacterial.
( Ear II ) Diseases of External Ear & Otitis media Dr. Farid Alzhrani Assistant professor Consultant of Otolaryngology, head and neck surgery King Abdulaziz.
The complications of acute and chronic otitis media Dr. Abdulrahman Alsanosi Associate professor Head of Otology /Neurotology unit King Abdulaziz University.
OTITIS MEDIA Dr.Isazadehfar. OTITIS MEDIA Definition: Presence of a middle ear infection Acute Otitis Media: occurrence of bacterial infection within.
College of Medicine King Saud University ORL Course 431 ORL Department King Abdulaziz University Hospital Ear III Lecture by.
Done By: Yacoub Zayadin. Anatomy of the outer ear.
THIS TEACHING PRESENTATION FOR THE ISOM WEBSITE HAS BEEN PREPARED BY TAL MAROM, MD AND SHARON OVNAT TAMIR, MD DEPARTMENT OF OTOLARYNGOLOGY-HEAD AND NECK.
Chronic otitis media Chunfu Dai M.D & Ph. D Otolaryngology Department Eye Ear Nose and Throat Hospital Fudan University.
Discussion Otitis media is an infection of the middle section of the ear, as compared to external otitis (also known as swimmer's ear), which is an infection.
Otitis media. Terminology Otitis Media: inflammation of the middle ear cleft or mucosa. Acute Less than 6 weeks Chronic More than 6 weeks Recurrent.
Ear Tubes. The Ear AOM vs. OME Acute Otitis Media –Pus behind TM –Acute infection –Multiple severe complicaitons Mastoiditis Meningitis Brain abscess.
DR. SUDEEP K.C.. Acute inflammation of middle ear by pyogenic organisms. Etiology: Infants and child of lower socioeconomic group. Routes of infection:
Inflammation of the middle ear. May also involve inflammation of mastoid, petrous apex, and peri- labyrinthine air cells.
Conductive hearing loss in children and adults.
ENT Surgical procedures Dr. Manal Bukhari King Saud University Otolaryngology Assistant professor consultant Phonosurgeon King Abdulaziz University.
Acute Otitis Media Chronic Otitis Media Non-suppurative otitis media: OME Chronic Suppurative otitis media CSOM.
Daekeun Joo Resident Lecture Series 11/18/09 Chronic Ear Disease.
Prof. Mohammed Attallah College of Medicine King Saud University ORL Course 431 ORL Department King Abdulaziz University Hospital Done by: 428-C2.
Chronic Otitis Media Bastaninejad Shahin, MD, ORL & HNS.
OTITIS MEDIA (OM) Dr. Lamia AlMaghrabi Consultant ENT King Saud Medical City.
Hearing disorders of the middle ear Tympanic membrane: Tympanic membrane: 1. Perforations 2. Tympanosclerosis: Thickening/Scarring
OTITIS MEDIA Islamic University Nursing College. OTITIS MEDIA Definition: Presence of a middle ear infection or inflammation. Acute Otitis Media: occurrence.
上海市第六人民医院 Shanghai Sixth People’s Hospital Cholesteatoma Shankai Yin Prof Dept of Otolaryngology, the sixth hospital affiliated to Shanghai jiaotong university.
AOM. Otitis Media Otitis Media with effusion (OME) Acute Otitis Media (AOM) Recurrent AOM Chronic Otitis Media/Chronic Otitis Media with effusion.
OTITIS MEDIA By: Anitha Jacob PA-S November 8, 2000.
Treatment Wax/Foreign body: Removal Wax/Foreign body: Removal If infections: Medical If infections: Medical If malformations/tumours: Surgical (E.g. Pinnaplasty)
Treatment Antibiotics Antibiotics Surgery Surgery Myringotomy and suction Myringotomy and suction Mastoidectomy (if infection has spread to mastoid region)
By : wala’ mosa Presented to: Dr. Ayham Abu Lila.
MIDDLE EAR INFECTIONS. Otitis Media inflammation of the middle ear In the US, second most common disease of childhood, after URTI, accounting for approximately.
Updates on Chronic Otitis Media Block U Interns 2010.
Infections of the middle ear M.Rogha M.D. Isfahan university of medical sciences 1.
Drugs for the Ear. Anatomy of the Ear The external ear Auricle or pinna External auditory canal (EAC) The middle ear Malleus, incus, and stapes.
AOM & OME Bastaninejad Shahin, MD, ORL & HNS. Normal TM!
What is Otolaryngology A medical and surgical subspecialty Expert care of disorders of the Ear, Nose, Throat, Head and Neck Attention to form and.
OTITIS MEDIA الدكتور سعد يونس سليمان Lecture Objectives Acute Otitis Media (AOM) Chronic Middle Ear Disease * Otitis Media with Effusion * Otitis Media.
Otitis Media and Eustachian Tube Dysfunction R. Kent Dyer, Jr., M.D. Hough Ear Institute Oklahoma City, Oklahoma USA.
Undersanding the Ear Lawrence M. Simon, M.D. Department of Pediatrics Noon Lecture Series Louisiana State University Health Sciences Center Children’s.
Ear we go! John Davis RN, MSN, FNP-BC. Dark night, that does from the eye his function take, the ear the better sense does make. -William Shakespeare.
Deafness Dr. Abdulrahman Alsanosi Assistant professor King Saud University Otolaryngology consultant Otologist, Neurotologist &Skull Base Surgeon King.
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