Ear

Chronic Otitis Media

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Chronic Otitis Media, Chronic Suppurative Otitis Media, Chronic Purulent Otitis Media, Intractable Otitis Media

  • Signs
  1. Pronounced, intractable middle ear pathology
    1. Thickened Tympanic Membrane
    2. Tympanic Membrane calcific white patches
    3. Perforated Tympanic Membrane
  2. Ear discharge (Otorrhea)
  • Etiologies
  1. Pseudomonas aeruginosa
  2. Bacteroides fragilis
  3. Staphylococcus aureus
  4. Proteus species
  • Management
  1. Topical or Systemic Antibiotics to clear infection
  2. Surgical correction of Tympanic Membrane defect
  • Complications
  • Infectious
  1. Labyrinthitis
  2. Meningitis
  3. Extradural abscess
  4. Subdural Empyema
  5. Otogenic abscess
  6. Lateral sinus Thrombophlebitis
  • Complications
  • General
  1. Hearing Loss
  2. Tympanic Membrane and ossicle damage
  3. Chronic Otorrhea and Ear Pain
  4. Tympanic Membrane Perforation (common)
  5. Cholesteatoma