10. Stage of tubal occlusion
Stage of presuppuration
Stage of suppuration
Stage of resolution
Stage of complication
11. Oedema and hyperaemia of nasopharyngeal
end of eustacian tube blocks the tube leading
to absorption of air and negative
intratumpanicpressure.
RetractedT.M
12.
13. Symptoms
Deafness
Earache
No fever
Signs
RetractedT.M
Loss of light reflex
Conductive deafness
14. Prolonged
Hyperaemia of lining
Inflammatory exudate appears in middle ear
T.M become ingested
15. Symptoms
Earache
Disturbed sleep
Deafness and tinnitus
Fever in children and restlessness
Signs
Congestion of pars tensa
Leash of blood vessels appear along the handle
of malleus
Cart-wheel appearance
T.M become red
16. Formation of pus in middle ear.
Tympanic membrane starts bulging to the
point of repture
17. Symptoms
Earache
Deafness increases
Fever 102-103 F
Vomiting
Signs
T.M appears red and bulging
Loss of landmarks
Yellow spot onT.M
Tenderness
Clotting of air cells because of exudate
18. Tympanic membrane reptures with release of
pus
Inflamation process begins to resolve
19. Symptoms Signs
Evacuation of pus Blood tinged discharge in
external auditory meatus
Earache relieved Small perfoation in
anteroinferior quadrant of
pars tensa
Fever comes down Hyperaemia of T.M
Child feels better
20. Most complicated stage
Can lead to
Acute mastioditis
Subperiosteal abscess
Facial paralysis
Labyrinthitis
Petrositis
Extradural absces
Meningitis
Brain abscess
Laterazl sinus thrombophlebitis