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Chronic suppurative otitis media
Chronic suppurative otitis media
Chronic suppurative otitis media
Chronic suppurative otitis media
Chronic suppurative otitis media
Chronic suppurative otitis media
Chronic suppurative otitis media
Chronic suppurative otitis media
Chronic suppurative otitis media
Chronic suppurative otitis media
Chronic suppurative otitis media
Chronic suppurative otitis media
Chronic suppurative otitis media
Chronic suppurative otitis media
Chronic suppurative otitis media
Chronic suppurative otitis media
Chronic suppurative otitis media
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Chronic suppurative otitis media

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ENT

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  • 1. CHRONIC SUPPURATIVE OTITIS MEDIA
  • 2. ►Persistant disease, Severedestruction►It is characterized by: Deafness Ear discharge T.m. perforation
  • 3. TYPES OF C.S.O.M.► Tubo tympanic s.o.m. Safe► Attico antral Unsafe
  • 4. ATTICO ANTRAL C.S.O.M.► CholesteatomaKeratinizing Squamous Epithelium.A small sacMay involve whole middle ear cleft
  • 5. TUBO TYMPANIC C.S.O.M► Deafness► Discharge► Central perforation
  • 6. TUBO TYMPANIC C.S.O.M► Patency of Eustachian tube► Nidus of infection in U.R.T.I.► Immune status of patient► Aerobic and Anaerobic
  • 7. TYPES OF TUBO TYMPANIC C.S.O.M.► Active Tubo Tympanic C.S.O.M.► Inactive Tubo Tympanic C.S.O.M.
  • 8. DIAGNOSIS TUBO TYMPANIC C.S.O.M.► History Long standing, unilateral, bilateral, painless otorrhoea, deafness► Discharge intermittent, mucoid, mucopurulent,► Non odorous► Follow U.R.T.I. and entry of water.
  • 9. Examination► Main basis to assess activity , type , extent► Inspection , otoscopy, e.u.m.► Mucoid► Perforation , central► Pale mucosa► Rarely polyp► Pus for cs
  • 10. Audiological assessment► Voice test► Tuning fork test Rinne, Webers , A.B.C.► Pure tone audiogram
  • 11. RADIOLOGICAL ASSESSMENT► X-rays mastoid
  • 12. RADIOLOGICAL ASSESSMENT► CT-scan temporal bone
  • 13. treatment► Aural toilet a. Cotton buds b. Suction and cleaning► Antibiotics a. Topical antibiotics b. Systemic antibiotics
  • 14. Surgical treatment► Precipitating diseasea. Adenoidb. DNSc. Nasal polyps► Aural polypectomy► Functional reconstruction tympanoplasty

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