ENT Disorders of Middle Ear Difference between ASOM CSOM adhesive glue acute chronic otitis media

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ACUTE SUPPURATIVE OTITIS MEDIA
Streptococcus pneumoniae, Haemophilus influenzae (20%) and Moraxella catarrhalis (12%).
Treat with Ampicillin, Amoxicillin
ACUTE NECROTIZING OTITIS MEDIA
β-haemolytic streptococcus
rapid destruction of tympanic membrane
Secondary acquired cholesteatoma
RECURRENT ACUTE OTITIS MEDIA
recurrent sinusitis, velopharyngeal insufficiency, hypertrophy of adenoids, infected tonsils, allergy and immune deficiency
Feeding the babies in supine position without propping up the head
AERO-OTITIS MEDIA (OTITIC BARO-TRAUMA)
Non-suppurative condition
rapid descent during air flight, underwater diving or compression in pressure chamber.
OTITIS MEDIA WITH EFFUSION (SEROUS OTITIS MEDIA, SECRETORY OTITIS MEDIA, MUCOID OTITIS MEDIA, “GLUE EAR”)
nonpurulent effusion
Malfunctioning of Eustachian Tube.
Increased Secretory Activity of Middle Ear Mucosa.
Treat with medical, myringotomy, Grommet Insertion etc
CHRONIC OTITIS MEDIA
CHRONIC SUPPURATIVE OTITIS MEDIA
Pseudomonas aeruginosa, Proteus, Escherichia coli and Staphylococcus aureus,
while anaerobes include Bacteroides fragilis and anaerobic Streptococci.
Types
Tubotympanic or safe type
Atticoantral or unsafe type …. Cholesteatoma..
Other classification
Mucosal
ADHESIVE OTITIS MEDIA
Squamosal ,epithelium(Atticoantral disease)
TUBERCULAR OTITIS MEDIA
SYPHILITIC OTITIS MEDIA

CHOLESTEATOMA (KERATOMA, Epidermosis)
Can exist without OM
Can be associated with Acute and Chronic OM

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