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Infectious Myringitis, Otosclerosis, Serous Otitis Media, Acute Mastoiditis, Chronic Otitis Media
Terms in this set (24)
What is Infectious Myringitis
Inflammation of TM --> looks like otitis media
Causes of Infectious Myringitis
Viral, Mycoplasma, Strep Pneumo
Tx for Infectious Myringitis
Same as OM, Pain Meds, Can do Myringotomy to releive pain
Bony spicules around foot of stapes cause it to be fixed in place, --> progressive hearing loss due to more spicules.
Progressive Conductie Hearing Loss.... Familial Tendency
Surgical Stapendectomy and prosthetic replacement
Serous Otitis Media
effusion of middle ear due to eustachian tube dysfunction or incomplete resolution of AOM
Possible Causes of Serous Otitis Media
Hypertrophic adenoics, allergies, neoplasm, inflammation of nasopharynx, Can be Sterile or contain bacteria
Sx of Serous Otitis Media
None, Hearing Loss, Fullness, Pressure, Popping when swallowing..... Pain is RARE...
PE of Serous Otitis Media
Grey TM, light reflex displaced, immobile TM, Air/Fluid Level seen or bubbles of air vissible through TM
Tx for Serous Otitis Media
Treat allergies is present, tubes, adenectomy, Could do Z-Pack (anti-inflammatory effect)... Decongestant...
Adults with Serous Otitis Media MUST
undergo nasopharyngeal exam to exclude MALIGANANCY off differential
bacterial infection of mastoid process
Cause of Mastoiditis?
copmlication of AOM progressing to mastoid air cells. ....If you treat AOM with topical Abx you reduce risk of Mastoiditis
Bugs that cause mastoiditis
Same as AOM-- Strep Pneumo, H. flu, Moraxella
Redness behind ears. Onset Days to weeks if AOM untreated.... Swelling, tenderness, pinna displaced, earache, fever, otorrhea
clinically, CT- to determine bone erosion.
Abx Tx Mastoiditis
2nd Line Abx Drugs at least 2 weeks. (Augmentin, 3rd Gen Cephalosporins. Levofloxacin in Adults)
Other Tx Mastoiditis
Subperiosteal abcess needs mastoidectomy. ---> leaves mastoidectomy bowl in ear whicih must be cleaned by ENT every 6 months.
Chronic Otitis Media
Permanent Perforation of the TM
Sx Chronic Otitis Media
Large Perforation, Conductive Hearing Loss,
Risks with Chronic Otitis Media
Cholesteatoma, Ear Polyps,
Tx Goals of Chronic Otitis Media
Stop Otorrhea, Heal TM, Kill infection, Prevent Fungal infections and recurrence.
Tx Chronic Otitis Media
Abx (Ciprodex).... Surgery--- Cholesteatoma, Tympanoplasty
This set is often in folders with...
Head and Neck Cancers
ENT - Oral Health
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