E.N.T-A.S.O.M
ACUTE SUPPURATIVE OTITIS MEDIA
It is an acute inflammation of middle ear cleft by
pyogenic organisms .
(Middle ear cleft i.e. eustachian tube,middle
ear,attic,antrum and mastiod air cells)
Aetiology
More commen in infants and children of lower
socio-economic groups.
Ratio of male:femail is 1:1
Routes of infection
1)Via eustachian tube
2)Via external ear
3)Blood borne
Predisposing factors
1)Recrrent attacks of common cold
2)upper respiretory tract infections
3)Exanthomatous fevers
4)Infections of tonsils and adenoids
5)Chronic rhinitis and sinusitis
6)Nasal allergy
7)Cleft palate
8)Tumors of nasopharynx
Causative organisms
1)Strptococcus pneumoniae(30%)
2)Haemophilus influenzae(20%)
3)Moraxella catarrhalis(12%)
others
4)Streptococcus pyogenes
5)Staphylococcus aureus
6)Pseudomonos aeruginosa
Pathology
The disease runs through the following stages
1)Stage of tubal occlusion
2)Stage of pre-suppuration
3)Stage of suppuration
4)Stage of resolution or complication
Treatment
1)Antibacterial therapy
2)Decongestant nasal drops
3)Oral nasal decongestants
4)Analgesics and antipyretics
5)Ear tiolet
6)Dry local heat
7)Myringotomy
It is an acute inflammation of middle ear cleft by
pyogenic organisms .
(Middle ear cleft i.e. eustachian tube,middle
ear,attic,antrum and mastiod air cells)
Aetiology
More commen in infants and children of lower
socio-economic groups.
Ratio of male:femail is 1:1
Routes of infection
1)Via eustachian tube
2)Via external ear
3)Blood borne
Predisposing factors
1)Recrrent attacks of common cold
2)upper respiretory tract infections
3)Exanthomatous fevers
4)Infections of tonsils and adenoids
5)Chronic rhinitis and sinusitis
6)Nasal allergy
7)Cleft palate
8)Tumors of nasopharynx
Causative organisms
1)Strptococcus pneumoniae(30%)
2)Haemophilus influenzae(20%)
3)Moraxella catarrhalis(12%)
others
4)Streptococcus pyogenes
5)Staphylococcus aureus
6)Pseudomonos aeruginosa
Pathology
The disease runs through the following stages
1)Stage of tubal occlusion
2)Stage of pre-suppuration
3)Stage of suppuration
4)Stage of resolution or complication
Treatment
1)Antibacterial therapy
2)Decongestant nasal drops
3)Oral nasal decongestants
4)Analgesics and antipyretics
5)Ear tiolet
6)Dry local heat
7)Myringotomy
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