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Anatomy & Physiology:-
OTITIS MEDIA
TERMINOLOGY:โ€”
Otology: โ€” The study of disease of the ear.
Otalgia:- Pain in the ear due to disease of jaw
joint, neck, throat or teeth.
Tinnitus:โ€” Thesensation of soundin the ear.
Vertigo:โ€” swimming of the head
Otorrhea:โ€” Any discharge from the ear.
Otorrhagia:- Bleeding from the ear.
OtoITIyCOSรS: โ€”A fungus infection of the ear
causing irritation & inflammation.
Deafness: โ€”
Loss of hearing.
Otoplasty :โ€”SurgicaI Repair &Reconstruction of
the ear.
Otorhinolaryngology:โ€” study ofear, nose&
throat disease.
Audiometry:- en apparatus for measuring
hearing.
E
Tympanoplasty:โ€” It is repairment of tympanic
membrane.
Myringotomy:โ€” Incision in tympanic
membrane.The fluid is section out of
middle ear,cavity.
Osteitis:- Inflammation in bone.
Mastoiditis:โ€” Inflammation of the mastoid
and cell.
EAP DlSOPDEP:โ€”
โ€บ Otitis media
โ€บ Osteosclerosis
โ€บ Menieres disease
โ€บ Perichondritis
โ€ข Permanent sensorineural hearing loss
MEDIA.โ€ข-
Definition:โ€”
"It is an inflammation of middle ear
that most often occur in infant &
young children but can occur at
any ageโ€
Incidence:โ€”
โ€บMost common in children
under 15 yr of age.
Classification:โ€”
1. Acute otitis media
2. Chronic otitis media
Otherโ€”
Serous otitis media
Secretory otitis media
Suppurative otitis media
1.ACUTE OTITIS MEDIA:โ€”
Definition-
โ€œIt is an acute infection
of the middle ear, usually lasting
less then 6 weeks"
Etiology:โ€”
โ€บ Bacteria eg. Streptococcus pneumoniae,
H.
Influenza
โ€บ Upper respiratory tract infection
โ€บ Infection nasopharynx
Pathophys iology: โ€”
Due to etiolog ical factorโ€นuRTi, 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:โ€”
โ€บ Otorrhea
โ€บ Otalgia
โ€บ Fever
โ€บ Rhinitis
โ€บ Tympanic membrane erythema, may
be perforated
โ€บ Hearing loss
โ€บ Irritability
Diagnostic evaluation: โ€”
โ€บ History
โ€บ Physical examination
โ€บ Otoscopic examination
โ€บ Culture
โ€บ Audiometry & Tympanometry
Management
Medical Managementโ€”
s Antibiotic
โ€ข Analgesic
โ€ข Antihistam ine
Surgical management-
s Myringotomy or tympanotomy (incision in the
tympanic mem brane)
Complication:โ€”
โ€บ Chronic otitis media
โ€บ Hearing loss
โ€บ Perforation
โ€บ Poor speech develop
2.CHRONIC OTITIS MEDIA:โ€”
Definition:โ€”
"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:โ€”
โ€บCommon in the age 3โ€”6
Etilogy: โ€”
โ€บ Inappropriate treatment of acute otitis
media.
โ€ข URTI, Allergic rhinitis.
โ€บ Breastfeeding and long time group child
care
โ€ข Eustachian tube deformity
โ€บ Septal deviation, cleft palate, sinusitis
Classification:โ€”
Suppuratlve
Chronic otltls
&tรŽCO-รฃ รŽ Tube-tympanic
Mucoid or cerous
1.Suppurative(+ perforation)
Inflammation involves bones (e.g. mastoid,
tympanic ring, ossicles ).
Acute otitis media permanent
perforation mucoโ€”purulent
discharge.
2. Non suppurativeโ€”
a.Serous Ofitis mediaโ€”
Stages:
URTI or acute otitis mediaโ€”> 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:-
โ€ข hearing loss
โ€ข Otorrhea
โ€ข Tinnitus
Management: โ€”
Medical managementโ€”
careful suctioning of the ear under
microscopic guidance.
instillation of antibiotic drops
Surgical managementโ€”
Tympanoplasty
0s sicu lop Iasty โ€นsurgical reconstruction of the middle
ear
bone s to restore hearing)
Mastoidectomy
Nursing management:โ€”
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.
โ€บ 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:โ€”
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.
โ€ข Disturbed sensory perception R/T potential
damage to facial nerve (cranial nerve VII).
โ€ข knowledge deficient R/T disease, surgical
procedure,and postoperative care.
afdd773b971eeb939b80bc2647168d55.pptx

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