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๏ƒ˜ Otology:- The study of disease of the ear.
๏ƒ˜ Otalgia:- Pain in the ear due tom disease of
jaw joint, neck, throat or teeth.
๏ƒ˜ Tinnitus:- The sensation of sound in the ear.
๏ƒ˜ Vertigo:- Swimming of the head .
๏ƒ˜ Otorrhea:- Any discharge from the ear.
๏ƒ˜ Otorrhagia:- Bleeding from the ear.
๏ƒ˜ Otomycosis:- A fungus infection of the ear
causing irritation & inflammation.
๏ƒ˜ Deafness:- Loss of hearing.
๏ƒ˜ Otoplasty :-Surgical Repair & Reconstruction of
the ear.
๏ƒ˜ Otorhinolaryngology:- Study of ear, nose &
throat disease.
๏ƒ˜ Audiometry:- An apparatus for measuring
hearing.
๏ƒ˜ Tympanoplasty:- It is repairment of tympanic
membrane.
๏ƒ˜ Myringotomy:- Incision in tympanic
membrane.The fluid is section out of
middle ear,cavity.
๏ƒ˜ Osteitis:- Inflammation in bone.
๏ƒ˜ Mastoiditis:- Inflammation of the mastoid antrum
and cell.
๏ฝ Otitis media
๏ฝ Osteosclerosis
๏ฝ Menieres disease
๏ฝ Perichondritis
๏ฝ Permanent sensorineural hearing loss
Definition:-
โ€œIt is an inflammation of middle ear
that most often occur in infant &
young children but can occur at
any ageโ€
๏ฝ Most common in children
under 15 yr of age.
1. Acute otitis media
2. Chronic otitis media
Other-
a. Serous otitis media
b. Secretory otitis media
c. Suppurative otitis media
Definition-
โ€œIt is an acute infection
of the middle ear, usually lasting
less then 6 weeksโ€
๏ฝ Bacteria eg. Streptococcus pneumoniae, H.
Influenza
๏ฝ Upper respiratory tract infection
๏ฝ Infection nasopharynx
Due to etiological factor(URTI, Bacteria)
Exudates & edema in middle ear
Decrease retraction of tympanic membrane
Serous exudates in middle ear
Pus formation
Tympanic membrane rupture
ACUTE OTITIS MEDIA
๏ฝ Otorrhea
๏ฝ Otalgia
๏ฝ Fever
๏ฝ Rhinitis
๏ฝ Tympanic membrane erythema, may
be perforated
๏ฝ Hearing loss
๏ฝ Irritability
๏ฝ History
๏ฝ Physical examination
๏ฝ Otoscopic examination
๏ฝ Culture
๏ฝ Audiometry & Tympanometry
Medical Management-
๏ฝ Antibiotic
๏ฝ Analgesic
๏ฝ Antihistamine
Surgical management-
๏ฝ Myringotomy or tympanotomy (incision in the
tympanic membrane)
๏ฝ Chronic otitis media
๏ฝ Hearing loss
๏ฝ Perforation
๏ฝ Poor speech develop
Definition:-
โ€œIt is a long standing infection of a
part of whole of the middle year
characterised by ear discharge &
permanent perforationโ€
OR
โ€œInflammation of the middle ear that
lasts for more than 6 weeksโ€
๏ฝ Common in the age 3-6
๏ฝ Inappropriate treatment of acute otitis
media.
๏ฝ URTI, Allergic rhinitis.
๏ฝ Breastfeeding and long time group child
care
๏ฝ Eustachian tube deformity
๏ฝ Septal deviation, cleft palate, sinusitis
Chronic otitis
media
Suppurative
(+ perforation)
atico-antral
type
Tubo-tympanic
type
Non
suppurative
Mucoid or serous
a.Atico-antral chronic otitis media โ€“
Inflammation involves bones (e.g. mastoid,
tympanic ring, ossicles ).
b.Tubo-tympanic otitis media-
Acute otitis media ๏ƒ  permanent
perforation ๏ƒ  muco-purulent
discharge.
a.Serous Otitis media-
Stages:
URTI or acute otitis mediaโ€“> Fluid collection in
middle ear and obstruction of eutachian tube
๏ƒ  tympanic membrane retraction.
Fluid become pus like ๏ƒ  necrosis ๏ƒ  tympanic
membrane perforation.
Could end up with mastoiditis ( if not stopped ).
๏ฝ hearing loss
๏ฝ Otorrhea
๏ฝ Tinnitus
Medical management-
๏ƒ˜ careful suctioning of the ear under
microscopic guidance.
๏ƒ˜ Instillation of antibiotic drops
Surgical management-
๏ƒ˜ Tympanoplasty
๏ƒ˜ Ossiculoplasty (surgical reconstruction of the middle ear
bones to restore hearing)
๏ƒ˜ Mastoidectomy
Assessment:-
๏ฝ Collect health history includes a complete
description of the ear problem.
๏ฝ Collect data about the duration and intensity of
the problem, its causes, and previous
treatments.
๏ฝ Obtain Information about other health
problems and medications.
๏ฝ Physical assessment includes observation for
erythema, edema, otorrhea, lesions, and
characteristics such as odor and color of
discharge.
๏ƒ˜ Pain R/T Infection
๏ƒ˜ Risk for infection R/T eustachian
tube dysfunction.
๏ƒ˜ Altered auditory sensory perception
R/T Fluid in the middle year.
๏ƒ˜ Anxiety R/T surgical procedure,
potential loss of hearing,
๏ƒ˜ Risk for trauma R/T balance
difficulties or vertigo during the
immediate postoperative period.
๏ฝ Disturbed sensory perception R/T potential
damage to facial nerve (cranial nerve VII).
๏ฝ knowledge deficient R/T disease, surgical
procedure,and postoperative care.
Otitismedia

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Otitismedia

  • 1.
  • 2.
  • 3. ๏ƒ˜ Otology:- The study of disease of the ear. ๏ƒ˜ Otalgia:- Pain in the ear due tom disease of jaw joint, neck, throat or teeth. ๏ƒ˜ Tinnitus:- The sensation of sound in the ear. ๏ƒ˜ Vertigo:- Swimming of the head . ๏ƒ˜ Otorrhea:- Any discharge from the ear. ๏ƒ˜ Otorrhagia:- Bleeding from the ear.
  • 4. ๏ƒ˜ Otomycosis:- A fungus infection of the ear causing irritation & inflammation. ๏ƒ˜ Deafness:- Loss of hearing. ๏ƒ˜ Otoplasty :-Surgical Repair & Reconstruction of the ear. ๏ƒ˜ Otorhinolaryngology:- Study of ear, nose & throat disease. ๏ƒ˜ Audiometry:- An apparatus for measuring hearing.
  • 5. ๏ƒ˜ Tympanoplasty:- It is repairment of tympanic membrane. ๏ƒ˜ Myringotomy:- Incision in tympanic membrane.The fluid is section out of middle ear,cavity. ๏ƒ˜ Osteitis:- Inflammation in bone. ๏ƒ˜ Mastoiditis:- Inflammation of the mastoid antrum and cell.
  • 6.
  • 7. ๏ฝ Otitis media ๏ฝ Osteosclerosis ๏ฝ Menieres disease ๏ฝ Perichondritis ๏ฝ Permanent sensorineural hearing loss
  • 8. Definition:- โ€œIt is an inflammation of middle ear that most often occur in infant & young children but can occur at any ageโ€
  • 9. ๏ฝ Most common in children under 15 yr of age.
  • 10. 1. Acute otitis media 2. Chronic otitis media Other- a. Serous otitis media b. Secretory otitis media c. Suppurative otitis media
  • 11. Definition- โ€œIt is an acute infection of the middle ear, usually lasting less then 6 weeksโ€
  • 12. ๏ฝ Bacteria eg. Streptococcus pneumoniae, H. Influenza ๏ฝ Upper respiratory tract infection ๏ฝ Infection nasopharynx
  • 13. Due to etiological factor(URTI, Bacteria) Exudates & edema in middle ear Decrease retraction of tympanic membrane Serous exudates in middle ear Pus formation Tympanic membrane rupture ACUTE OTITIS MEDIA
  • 14. ๏ฝ Otorrhea ๏ฝ Otalgia ๏ฝ Fever ๏ฝ Rhinitis ๏ฝ Tympanic membrane erythema, may be perforated ๏ฝ Hearing loss ๏ฝ Irritability
  • 15. ๏ฝ History ๏ฝ Physical examination ๏ฝ Otoscopic examination ๏ฝ Culture ๏ฝ Audiometry & Tympanometry
  • 16. Medical Management- ๏ฝ Antibiotic ๏ฝ Analgesic ๏ฝ Antihistamine Surgical management- ๏ฝ Myringotomy or tympanotomy (incision in the tympanic membrane)
  • 17. ๏ฝ Chronic otitis media ๏ฝ Hearing loss ๏ฝ Perforation ๏ฝ Poor speech develop
  • 18.
  • 19. Definition:- โ€œIt is a long standing infection of a part of whole of the middle year characterised by ear discharge & permanent perforationโ€ OR โ€œInflammation of the middle ear that lasts for more than 6 weeksโ€
  • 20. ๏ฝ Common in the age 3-6
  • 21. ๏ฝ Inappropriate treatment of acute otitis media. ๏ฝ URTI, Allergic rhinitis. ๏ฝ Breastfeeding and long time group child care ๏ฝ Eustachian tube deformity ๏ฝ Septal deviation, cleft palate, sinusitis
  • 23. a.Atico-antral chronic otitis media โ€“ Inflammation involves bones (e.g. mastoid, tympanic ring, ossicles ). b.Tubo-tympanic otitis media- Acute otitis media ๏ƒ  permanent perforation ๏ƒ  muco-purulent discharge.
  • 24. a.Serous Otitis media- Stages: URTI or acute otitis mediaโ€“> Fluid collection in middle ear and obstruction of eutachian tube ๏ƒ  tympanic membrane retraction. Fluid become pus like ๏ƒ  necrosis ๏ƒ  tympanic membrane perforation. Could end up with mastoiditis ( if not stopped ).
  • 25. ๏ฝ hearing loss ๏ฝ Otorrhea ๏ฝ Tinnitus
  • 26. Medical management- ๏ƒ˜ careful suctioning of the ear under microscopic guidance. ๏ƒ˜ Instillation of antibiotic drops Surgical management- ๏ƒ˜ Tympanoplasty ๏ƒ˜ Ossiculoplasty (surgical reconstruction of the middle ear bones to restore hearing) ๏ƒ˜ Mastoidectomy
  • 27.
  • 28. Assessment:- ๏ฝ Collect health history includes a complete description of the ear problem. ๏ฝ Collect data about the duration and intensity of the problem, its causes, and previous treatments. ๏ฝ Obtain Information about other health problems and medications. ๏ฝ Physical assessment includes observation for erythema, edema, otorrhea, lesions, and characteristics such as odor and color of discharge.
  • 29. ๏ƒ˜ Pain R/T Infection ๏ƒ˜ Risk for infection R/T eustachian tube dysfunction. ๏ƒ˜ Altered auditory sensory perception R/T Fluid in the middle year. ๏ƒ˜ Anxiety R/T surgical procedure, potential loss of hearing, ๏ƒ˜ Risk for trauma R/T balance difficulties or vertigo during the immediate postoperative period.
  • 30. ๏ฝ Disturbed sensory perception R/T potential damage to facial nerve (cranial nerve VII). ๏ฝ knowledge deficient R/T disease, surgical procedure,and postoperative care.