Actue otitis media

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Actue otitis media

  1. 1. ACUTE OTITIS MEDIA Dr. Muhammad Aslam Ch. Professor of ENT
  2. 2. DISEASE Definition Etiology Precipitating factors Pathology Symptoms Signs Investigations D/D Medical treatment Surgical treatment Pre-op orders Steps of surgery Complications of surgery Post-op care Home advice
  3. 3. DEFINITION Mucus membrane Middle ear cleft Pus producing bacterial
  4. 4. ROUTES OF INFECTION Eustachian Tube Blood Circulation Direct Spread
  5. 5. PRE-DISPOSING FACTORS Age Socio-economic factors Climate URBAN Anatomical problems – Eustachian tube – Adenoids – Nasal polyps
  6. 6. PRE-DISPOSING FACTORS Upper Respiratory Infections Allergies Craniofacial abnormalities (cleft palate) Down’s Syndrome Passive smoking
  7. 7. MICROBIOLOGY Streptococcus pneumoniae Haemophilus influenzae Moraxella catarrhalis Branhamella catarrhalis Staph aureus Pseudomonas aeruginosa Rhinovirus
  8. 8. SIGNS & SYMPTOMS Fever (children) Pain in ear Deafness Vertigo Ear discharge
  9. 9. PATHALOGY Congestion Pus accumulation (Pressure) TM Perforation + Complications
  10. 10. INVESTIGATIONS Routine investigations – Blood CP – X-ray P.N.S Mastoid Specific investigations – C/S – EUM
  11. 11. TREATMENT
  12. 12. TREATMENT Medical treatment – Antibiotics – Analgesic/Anti-inflammatory – Anti-allergic – Aural-toilet – Nasal Spray
  13. 13.  Surgical treatment – Myringotomy – Abcess drainage
  14. 14. Surgical Treatment of PrecipetatingConditions Adenoidectomy Polypectomy Septoplasty Sinus Washout
  15. 15. THANK YOU

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