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Anatomy & Physiology:-
OTITIS MEDIA
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.
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.
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.
EAP DlSOPDEP:—
› Otitis media
› Osteosclerosis
› Menieres disease
› Perichondritis
• Permanent sensorineural hearing loss
MEDIA.•-
Definition:—
"It is an inflammation of middle ear
that most often occur in infant &
young children but can occur at
any age”
Incidence:—
›Most common in children
under 15 yr of age.
Classification:—
1. Acute otitis media
2. Chronic otitis media
Other—
Serous otitis media
Secretory otitis media
Suppurative otitis media
1.ACUTE OTITIS MEDIA:—
Definition-
“It is an acute infection
of the middle ear, usually lasting
less then 6 weeks"
Etiology:—
› Bacteria eg. Streptococcus pneumoniae,
H.
Influenza
› Upper respiratory tract infection
› Infection nasopharynx
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
Clinical Manifestations:—
› Otorrhea
› Otalgia
› Fever
› Rhinitis
› Tympanic membrane erythema, may
be perforated
› Hearing loss
› Irritability
Diagnostic evaluation: —
› History
› Physical examination
› Otoscopic examination
› Culture
› Audiometry & Tympanometry
Management
Medical Management—
s Antibiotic
• Analgesic
• Antihistam ine
Surgical management-
s Myringotomy or tympanotomy (incision in the
tympanic mem brane)
Complication:—
› Chronic otitis media
› Hearing loss
› Perforation
› Poor speech develop
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"
Incidence:—
›Common in the age 3—6
Etilogy: —
› Inappropriate treatment of acute otitis
media.
• URTI, Allergic rhinitis.
› Breastfeeding and long time group child
care
• Eustachian tube deformity
› Septal deviation, cleft palate, sinusitis
Classification:—
Suppuratlve
Chronic otltls
&tÎCO-ã Î Tube-tympanic
Mucoid or cerous
1.Suppurative(+ perforation)
Inflammation involves bones (e.g. mastoid,
tympanic ring, ossicles ).
Acute otitis media permanent
perforation muco—purulent
discharge.
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 ).
Clinical Manifestations:-
• hearing loss
• Otorrhea
• Tinnitus
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
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.
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.
• Disturbed sensory perception R/T potential
damage to facial nerve (cranial nerve VII).
• knowledge deficient R/T disease, surgical
procedure,and postoperative care.
afdd773b971eeb939b80bc2647168d55.pptx

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afdd773b971eeb939b80bc2647168d55.pptx

  • 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”
  • 9. Incidence:— ›Most common in children under 15 yr of age.
  • 10. Classification:— 1. Acute otitis media 2. Chronic otitis media Other— Serous otitis media Secretory otitis media Suppurative otitis media
  • 11. 1.ACUTE OTITIS MEDIA:— Definition- “It is an acute infection of the middle ear, usually lasting less then 6 weeks"
  • 12. Etiology:— › Bacteria eg. Streptococcus pneumoniae, H. Influenza › Upper respiratory tract infection › Infection nasopharynx
  • 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
  • 14. Clinical Manifestations:— › Otorrhea › Otalgia › Fever › Rhinitis › Tympanic membrane erythema, may be perforated › Hearing loss › Irritability
  • 15. Diagnostic evaluation: — › History › Physical examination › Otoscopic examination › Culture › Audiometry & Tympanometry
  • 16. Management Medical Management— s Antibiotic • Analgesic • Antihistam ine Surgical management- s Myringotomy or tympanotomy (incision in the tympanic mem brane)
  • 17. Complication:— › Chronic otitis media › Hearing loss › Perforation › Poor speech develop
  • 18.
  • 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"
  • 21. Etilogy: — › Inappropriate treatment of acute otitis media. • URTI, Allergic rhinitis. › Breastfeeding and long time group child care • Eustachian tube deformity › Septal deviation, cleft palate, sinusitis
  • 23. 1.Suppurative(+ perforation) Inflammation involves bones (e.g. mastoid, tympanic ring, ossicles ). Acute otitis media permanent perforation muco—purulent discharge.
  • 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 ).
  • 25. Clinical Manifestations:- • hearing loss • Otorrhea • Tinnitus
  • 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.
  • 30. • Disturbed sensory perception R/T potential damage to facial nerve (cranial nerve VII). • knowledge deficient R/T disease, surgical procedure,and postoperative care.