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    Chronic Suppurative Otitis Media

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    abhandlung
    this power point presentation is about common chronic middle ear infection. Even though the content is so brief, hopefully it will give a good overview about the disease

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    Chronic Suppurative Otitis Media

    Uploaded by

    abhandlung
    2K views11 pages
    this power point presentation is about common chronic middle ear infection. Even though the content is so brief, hopefully it will give a good overview about the disease

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    this power point presentation is about common chronic middle ear infection. Even though the content is so brief, hopefully it will give a good overview about the disease

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    2K views11 pages

    Chronic Suppurative Otitis Media

    Uploaded by

    abhandlung
    this power point presentation is about common chronic middle ear infection. Even though the content is so brief, hopefully it will give a good overview about the disease

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    of 11

    Chronic

    Suppurative
    Otitis Media

    Presented; MOHD YUSOF BIN YAMIN


    14 MAY 2008
    CSOM
    • CSOM is a long standing infection of
    a part or a whole of middle ear cleft
    characterized by ear discharge and
    permanent perforation.

    middle ear
    Types of CSOM
    • Clinically, it is divided into 2 types;
    – Tubotympanic
    – Atticoantral
    Features
    • Ear discharge
    – Non-offensive, mucoid or
    mucopurulent.
    – Constant or intermittent
    – Discharge appears mostly
    when URTI or water
    accidently enters the ear
    • Hearing loss
    – Conductive type
    – In long standing, it can
    become mixed type due to
    cochlea damage
    Cont.
    • Perforation
    – Always central
    – May lie ant., post. or inf. to
    handle of malleus
    • Middle ear mucosa
    – Seen when perforation is
    large
    – Normally it is pale pink
    and edematous red if
    inflammed
    – Sometimes polyp can be
    seen
    Investigations
    • Microscopic exam. of edge of
    perforation – granulation, in-growth
    squamous epithelium.
    • Audiogram – to assess the degree of
    hearing loss and the type
    • Culture and sensitivity of the ear
    discharge
    • Mastoid x-ray – mastiod usually
    sclerotic but may be pneumatised
    with clouding of air cell, without bone
    Radiogram showing sclerotic
    (poorly pneumatized) mastoid
    air cells.

    Radiogram showing
    well-pneumatized mastoid
    air cells.
    Treatment
    • Aims – to control infection, eliminate
    ear discharge, correct hearing loss
    2.Aural toilet
    – Remove all discharge and debris by
    mopping with cotton wool, suction
    clearance under microscope, and
    irrigation
    Cont.
    1. Ear drops
    – Antibiotic ear drops containing
    neomycin, polymyxin, chloromycetin or
    gentamicin.
    – They are combined with steroids which
    has anti-inflammatory effect
    2. systemic antibiotic
    – Useful in acute exacerbation of
    chronically infected ear.
    Cont.
    1. Precautions to patient
    – Keep water out of ear during bathing,
    swimming
    – Avoid hard nose blowing – may push
    the infection in nasopharynx to middle
    ear
    2. Treat the contributory cause –
    infected tonsil, adenoids, maxillary
    antra, nasal allergy
    Cont.
    1. Surgical treatment – if there is aural
    polyps or granulation is present
    2. Reconstructive surgery –
    Myringoplasty with or without
    ossiculoplasty

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