Otitis media

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Otitis media

  1. 1.  Otology:- The study of disease of the ear.  Otalgia:- Pain in the ear due tom disease of jaw joint, neck, throat or teeth.  Tinnitus:- The sensation of sound in the ear.  Vertigo:- Swimming of the head .  Otorrhea:- Any discharge from the ear.  Otorrhagia:- Bleeding from the ear.
  2. 2.  Otomycosis:- A fungus infection of the ear causing irritation & inflammation.  Deafness:- Loss of hearing.  Otoplasty :-Surgical Repair & Reconstruction of the ear.  Otorhinolaryngology:- Study of ear, nose & throat disease.  Audiometry:- An apparatus for measuring hearing.
  3. 3.  Tympanoplasty:- It is repairment of tympanic membrane.  Myringotomy:- Incision in tympanic membrane.The fluid is section out of middle ear,cavity.  Osteitis:- Inflammation in bone.  Mastoiditis:- Inflammation of the mastoid antrum and cell.
  4. 4.  Otitis media  Osteosclerosis  Menieres disease  Perichondritis  Permanent sensorineural hearing loss
  5. 5. Definition:- “It is an inflammation of middle ear that most often occur in infant & young children but can occur at any age”
  6. 6.  Most common in children under 15 yr of age.
  7. 7. 1. Acute otitis media 2. Chronic otitis media Other- a. Serous otitis media b. Secretory otitis media c. Suppurative otitis media
  8. 8. Definition- “It is an acute infection of the middle ear, usually lasting less then 6 weeks”
  9. 9.  Bacteria eg. Streptococcus pneumoniae, H. Influenza  Upper respiratory tract infection  Infection nasopharynx
  10. 10. Due to etiological factor(URTI, Bacteria) Exudates & edema in middle ear Decrease retraction of tympanic membrane Serous exudates in middle ear Pus formation Tympanic membrane rupture ACUTE OTITIS MEDIA
  11. 11.  Otorrhea  Otalgia  Fever  Rhinitis  Tympanic membrane erythema, may be perforated  Hearing loss  Irritability
  12. 12.  History  Physical examination  Otoscopic examination  Culture  Audiometry & Tympanometry
  13. 13. Medical Management-  Antibiotic  Analgesic  Antihistamine Surgical management-  Myringotomy or tympanotomy (incision in the tympanic membrane)
  14. 14.  Chronic otitis media  Hearing loss  Perforation  Poor speech develop
  15. 15. Definition:- “It is a long standing infection of a part of whole of the middle year characterised by ear discharge & permanent perforation” OR “Inflammation of the middle ear that lasts for more than 6 weeks”
  16. 16.  Common in the age 3-6
  17. 17.  Inappropriate treatment of acute otitis media.  URTI, Allergic rhinitis.  Breastfeeding and long time group child care  Eustachian tube deformity  Septal deviation, cleft palate, sinusitis
  18. 18. Chronic otitis media Suppurative (+ perforation) atico-antral type Tubo-tympanic type Non suppurative Mucoid or serous
  19. 19. a.Atico-antral chronic otitis media – Inflammation involves bones (e.g. mastoid, tympanic ring, ossicles ). b.Tubo-tympanic otitis media- Acute otitis media  permanent perforation  muco-purulent discharge.
  20. 20. a.Serous Otitis media- Stages: URTI or acute otitis media–> Fluid collection in middle ear and obstruction of eutachian tube  tympanic membrane retraction. Fluid become pus like  necrosis  tympanic membrane perforation. Could end up with mastoiditis ( if not stopped ).
  21. 21.  hearing loss  Otorrhea  Tinnitus
  22. 22. Medical management-  careful suctioning of the ear under microscopic guidance.  Instillation of antibiotic drops Surgical management-  Tympanoplasty  Ossiculoplasty (surgical reconstruction of the middle ear bones to restore hearing)  Mastoidectomy
  23. 23. Assessment:-  Collect health history includes a complete description of the ear problem.  Collect data about the duration and intensity of the problem, its causes, and previous treatments.  Obtain Information about other health problems and medications.  Physical assessment includes observation for erythema, edema, otorrhea, lesions, and characteristics such as odor and color of discharge.
  24. 24.  Pain R/T Infection  Risk for infection R/T eustachian tube dysfunction.  Altered auditory sensory perception R/T Fluid in the middle year.  Anxiety R/T surgical procedure, potential loss of hearing,  Risk for trauma R/T balance difficulties or vertigo during the immediate postoperative period.
  25. 25.  Disturbed sensory perception R/T potential damage to facial nerve (cranial nerve VII).  knowledge deficient R/T disease, surgical procedure,and postoperative care.

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