all four stages of acute supperative otitis media

1. Arooba Asmat

5.  Acute inflammation of middle ear.
 Caused by PYOGENIC ORGANISMS.

6.  More common in infants and children f lower
socioeconomic group.
 Follows viral infection of upper respiratory
tract.

7.  Via eustachian tube
 Via external ear
 Blood borne

8.  Recurrent attacks of common cold.
 Upper respiratory tract infections.
 Extanthematous fever like measels ,
diaphtheria or wooping cough.
 Infections of tonsils and adenoids.
 Nasal allergy.
 Chronic rhinitis and sinusitis.
 Cleft palate
 Tumors of nasopharynx

9.  Streptococcus pneumoniae 30%
 Haemophilus influenza 20%
 Moraxella catarrhalis 12%
 Streptococcus pyrogenes
 Staphylococcus aureus
 Pseudomonas aeruginosa

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

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

30. Thanks