Chronic Otitis Media

As chronic otitis media persistent otitis media with purulent eardrum and chronic secretion (> 6 weeks) is called. Accompanying symptoms include a painless otorrhoea and conductive hearing loss. In addition to complications such as ear polyps or a cholesteatoma further infections can develop. The treatment consists in the local application of corticosteroids and antibiotics and requires that the ear canal repeatedly cleaned thoroughly every day and granulation tissue is carefully removed. Systemic antibiotic therapy is reserved for severe cases. Most surgical procedures (d n.. Übers .: closure of the tympanic membrane, restoration of the sound transmission, or redevelopment of a cholesteatoma) are additionally required.

Chronic otitis media can episode of acute otitis media, a tube closure, a mechanical, thermal or chemical injury (burns) and an acoustic trauma or iatrogenic (e.g., as by engagement of a ventilation tube). An increased risk of carrying patients with craniofacial deformities (eg. As Down syndrome, cri du chat, cleft lip and / or cleft palate, velocardiafaziales syndrome [Shprintzen syndrome]).

As chronic otitis media persistent otitis media with purulent eardrum and chronic secretion (> 6 weeks) is called. Accompanying symptoms include a painless otorrhoea and conductive hearing loss. In addition to complications such as ear polyps or a cholesteatoma further infections can develop. The treatment consists in the local application of corticosteroids and antibiotics and requires that the ear canal repeatedly cleaned thoroughly every day and granulation tissue is carefully removed. Systemic antibiotic therapy is reserved for severe cases. Most surgical procedures (d n.. Übers .: closure of the tympanic membrane, restoration of the sound transmission, or redevelopment of a cholesteatoma) are additionally required. Chronic otitis media can episode of acute otitis media, a tube closure, a mechanical, thermal or chemical injury (burns) and an acoustic trauma or iatrogenic (e.g., as by engagement of a ventilation tube). An increased risk of carrying patients with craniofacial deformities (eg. As Down syndrome, cri du chat, cleft lip and / or cleft palate, velocardiafaziales syndrome [Shprintzen syndrome]). For exacerbation of chronic otitis media may be caused by upper respiratory infections, or if water penetrates into the middle ear during bathing or swimming through the tympanic membrane. Gram-negative bacteria and Staphylococcus aureus, are often the cause of a painless, purulent, sometimes malodorous (fetid) otorrhoea. Persistent chronic otitis media can lead to destruction of the middle ear (z. B. longum necrosis of the Crus incudis) or to the development of ear polyp cause (by an eardrum in the ear canal incident granulation tissue). Ear polyps are a serious sign and almost always suggestive of cholesteatoma. By epithelial cell growth in the middle ear, mastoid or epitympanum can develop a cholesteatoma after a chronic otitis media. The lytic enzymes (eg. As collagenases) formed by cholesteatoma can destroy adjacent bone and soft tissues. Cholesteatoma can also become a focus of infection (nidus) from which a purulent labyrinthitis, facial palsy or brain abscess can be seen (n. D. Übers .: rare today). Symptoms and complaints Chronic otitis media usually manifests itself with conductive hearing loss and otorrhoea. As long as no temporal bone osteitis is added, it rarely causes pain. If the eardrum is perforated and wetting, the swollen mucosa may be covered in the ear canal with granulation tissue. In a cholesteatoma there are whitish chunks (detritus) in the middle ear and a weeping polyp vorstülpt by an eardrum; the ear canal is replete with mucopurulent granulation tissue. Cholesteatoma figure provided by Piet van Hasselt, M.D. var model = {thumbnailUrl: ‘/-/media/manual/professional/images/cholesteatoma_arows_de.jpg?la=de&thn=0&mw=350’ imageUrl: ‘/-/media/manual/professional/images/cholesteatoma_arows_de.jpg?la = en & thn = 0 ‘, title:’ cholesteatoma ‘, description:’ u003Ca id = “v37893967 ” class = “”anchor “” u003e u003c / a u003e u003cdiv class = “”para “” u003e u003cp u003eIn this picture shows the typical features of a cholesteatoma

Health Life Media Team

Leave a Reply