Chronic Otitis Media

Aka: Chronic Otitis Media, Chronic Suppurative Otitis Media, Chronic Purulent Otitis Media, Intractable Otitis Media

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II. 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)

III. Etiologies

  1. Pseudomonas aeruginosa
  2. Bacteroides fragilis
  3. Staphylococcus aureus
  4. Proteus species

IV. Management

  1. Topical or Systemic Antibiotics to clear infection
  2. Surgical correction of Tympanic Membrane defect

V. Complications: Infectious

  1. Labyrinthitis
  2. Meningitis
  3. Extradural abscess
  4. Subdural Empyema
  5. Otogenic abscess
  6. Lateral sinus Thrombophlebitis

VI. Complications: General

  1. Hearing Loss
  2. Tympanic Membrane and ossicle damage
  3. Chronic Otorrhea and Ear Pain
  4. Tympanic Membrane Perforation (common)
  5. Cholesteatoma

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