3. TERMINOLOGY:—
Otology: — The study of disease of the ear.
Otalgia:- Pain in the ear due to disease of jaw
joint, neck, throat or teeth.
Tinnitus:— Thesensation of soundin the ear.
Vertigo:— swimming of the head
Otorrhea:— Any discharge from the ear.
Otorrhagia:- Bleeding from the ear.
4. OtoITIyCOSÏS: —A fungus infection of the ear
causing irritation & inflammation.
Deafness: —
Loss of hearing.
Otoplasty :—SurgicaI Repair &Reconstruction of
the ear.
Otorhinolaryngology:— study ofear, nose&
throat disease.
Audiometry:- en apparatus for measuring
hearing.
5. E
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
and cell.
6.
7. EAP DlSOPDEP:—
› Otitis media
› Osteosclerosis
› Menieres disease
› Perichondritis
• Permanent sensorineural hearing loss
8. MEDIA.•-
Definition:—
"It is an inflammation of middle ear
that most often occur in infant &
young children but can occur at
any age”
13. Pathophys iology: —
Due to etiolog ical factor‹uRTi, Bacteria)
Exudates & edema in middle ear
Decrease retraction of tympanic membrane
Serous exudates in middle ear
Pus formation
Tympanic membrane rupture
CUTEOTITIS MEDIA
19. 2.CHRONIC OTITIS MEDIA:—
Definition:—
"It is a long standing infection of a
part of whole of the midd ie year
characterised by ear discharge &
permanent perforation"
OR
"Inflammation of the middle ear that
lasts for more than 6 weeks"
24. 2. Non suppurative—
a.Serous Ofitis media—
Stages:
URTI or acute otitis media—> Fluid collection in
middle ear and obstruction of eutachian tube
4 tympanic membrane retraction.
Fluid become pus4like necr
4osis tympanic
membrane perforation.
Could end up with mastoiditis ( if not stopped ).
26. Management: —
Medical management—
careful suctioning of the ear under
microscopic guidance.
instillation of antibiotic drops
Surgical management—
Tympanoplasty
0s sicu lop Iasty ‹surgical reconstruction of the middle
ear
bone s to restore hearing)
Mastoidectomy
27.
28. Nursing management:—
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.
29. Nursing diagnosis:—
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.