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Serous otitis media presentation

20. a.Serous Otitis media- Stages: URTI or acute otitis media-> Fluid collection in middle ear and obstruction of eutachian tube  tympanic membrane retraction. Fluid become pus like  necrosis  tympanic membrane perforation. Could end up with mastoiditis (if not stopped). 21.  hearing loss  Otorrhea  Tinnitu Otitis media (OM) with effusion (OME) often follows an episode of AOM. Consider OME in patients with recent AOM in whom the history includes any of the following symptoms: Hearing loss - Most young.. Watch video of serous otitis media @ YouTube Adhesive otitis media in a patient with untreated severe septal deviation and allergic rhinitis. This is a classical presentation of secondary acquired cholesteatoma in unsafe type of chronic otitis media.. Serous otitis media (SOM) causing deafness is a recognized indicator of nasopharyngeal obstruction and the possibility of a nasopharyngeal malignancy must be considered in all adults. Examination under anaesthesia (EUA) and biopsy of the nasopharynx is routinely undertaken in many centres to rule out nasopharyngeal malignancy in adults with SOM However, middle ear effusion (MEE) can be present without preceding acute otitis media, as in the case of serous otitis media after barotrauma. Neither the affected children nor their parents..

Serous otitis media (SOM), also known as otitis media with effusion (OME), fluid in the ear, middle ear effusion (MEE), or secretory otitis media, is a condition in which fluid resides in the middle ear. Serous refers to the type of fluid that is collecting inside the middle ear. Serous fluid is usually straw (yellowish) colored liquid or mucus 2) Serous Otitis Media (otitis media with effusion) : Fluid having a consistency of glue in the middle ear, producing conductive deafness. Features : Deafness Impairment of speech and language development in children Sensation of fluid in the ear Tinnitus Earache Tympanic membrane : normal or retracted with or without a fluid level behind it

The clinical presentation of serous otitis media can be asymptomatic, and about 40-50% of documented cases report no symptoms. However, the most common clinical presentation of patients is hearing loss, and sometimes parents of children are the first to notice these changes Acute otitis media is usually a complication of eustachian tube dysfunction that occurs during a viral upper respiratory tract infection. Streptococcus pneumoniae, Haemophilus influenzae, and..

Otitis media - SlideShar

Otitis media with effusion (OME), also called serous otitis media (picture 1), is defined as the presence of middle ear effusion without signs of acute infection [ 1 ] In older children and adults, hearing loss becomes a constant feature of AOM and otitis media with effusion (OME), with reports of ear stuffiness noted even before the detection of middle ear.. Serous otitis media (SOM) causing deafness is a recognized indicator of nasopharyngeal obstruction and the possibility of a nasopharyngeal malignancy must be considered in all adults. Examination under anaesthesia (EUA) and biopsy of the nasopharynx is routinely undertaken in many centres to rule out nasopharyngeal malignancy in adults with SOM.

2. Synonyms 2 Serous Otitis Media Secretory Otitis Media Glue Earwww.nayyarENT.com 2012. 3. Definition 3 Chronic accumulation of mucus within middle ear and sometimes mastoid air cell system Time that fluid has to be present for the condition to be chronic is usually taken as 12 weeks (Scott Brown) Affects children Insidious onset Sterile. Otitis Media Patient population: Pediatric patients (>2 months old) and adults . Objectives: Limit acute symptoms and suppurative complications caused by acute otitis media. (2) Maximize language development and minimize long term damage to middle ear structure associated with otitis media with effusion Otitis media with effusion is defined as middle ear effusion in the absence of acute symptoms. Antibiotics, decongestants, or nasal steroids do not hasten th

PPT - COMPLICATIONS OF SUPPURATIVE OTITIS MEDIA PowerPointPPT - Otitis Media and Eustachian Tube Dysfunction

CHAPTER 36. Otitis Media with Effusion; Serous (Secretory) Otitis Media (Glue Ear) Presentation. After an upper respiratory tract infection, an episode of acute otitis media (AOM), an airplane flight, or during a bout of allergies, an adult may complain of a feeling of fullness in the ears, an inability to equalize middle-ear pressure, decreased hearing, and a clicking, popping, or crackling. Otitis media with effusion (OME), also called serous or secretory otitis media (SOM) or glue ear, is simply a collection of fluid that occurs within the middle ear space due to the negative pressure produced by altere

Otitis part 3

Otitis Media Clinical Presentation: History, Physical

  1. Serous otitis media - chronic is the long term accumulation of non-purulent middle ear fluid behind the eardrum. Serous otitis lasting longer then three months, affects up to 5-10% of children. SOM is common in those with syndromic conditions, such asTreacher-Collins and Trisomy 21 and abnormalities such as cleft palate and immotile cilia syndrome
  2. H65.01 Acute serous otitis media, right ear H65.113 Acute and subacute allergic otitis media (mucoid) sanguinous) (serous), bilateral H65.194 Other acute non suppurative otitis media, recurrent, right ear H65.32 Chronic mucoid otitis media, left ear H66.012 Acute suppurative otitis media with spontaneous rupture of ear drum, left ea
  3. Otitis media is an inflammation of the middle ear. It may present in several forms: . Acute serous otitis media: The cavity of the middle ear is filled with a transudate that accumulates because of the difference between the high ambient air pressure and the pressure in the middle ear (aerootitis or barotitis media). Under such conditions, as.
  4. PRESENTATION AND DIAGNOSIS It is essential to make an accurate diagnosis of acute otitis media (AOM) to avoid overtreatment with inappropriate antibiotic therapy. Evaluation of the patient's clinical presentation and a careful otoscopic exam are important in making the correct diagnosis
  5. DEFINITION • Otitis media with effusion (OME) is characterized by a nonpurulent effusion of the middle ear that may be either mucoid or serous • Serous otitis media is a specific type of otitis media with effusion caused by transudate formation due to rapid decrease in middle ear pressure relative to the atmospheric pressure
  6. Otitis media is diagnosed clinically via objective findings on physical exam (otoscopy) combined with the patient's history and presenting signs and symptoms. Several diagnostic tools are available such as a pneumatic otoscope, tympanometry, and acoustic reflectometry to aid in the diagnosis of otitis media
  7. Background Tuberculous otitis media (TOM) is a rare cause of chronic suppurative infection of the middle ear and mastoid. The incidence of tuberculosis in the middle ear is very low and accounts for only 0.04% of all cases of chronic suppurative otitis media

People with a severe systemic infection. People with suspected acute complications of acute otitis media (AOM), such as meningitis, mastoiditis, intracranial abscess, sinus thrombosis, or facial nerve paralysis. Children younger than 3 months of age with a temperature of 38°C or more INTRODUCTION. Chronic suppurative otitis media (CSOM) is one of the most common childhood infectious diseases worldwide and is a common cause of hearing impairment in resource-limited settings, although it is less frequently seen in resource-rich settings [].It is characterized by chronic drainage from the middle ear associated with tympanic membrane (TM) perforation [] In children, hearing loss is generally mild and is often detected only with an audiogram. Serous otitis media is a specific type of otitis media with effusion caused by transudate formation as a.. With an allergic otitis media, a typical clinical picture of acute inflammation of the middle ear is not observed. The tympanic membrane is pale, thickened, somewhat bulging, the identification contours are smoothed, the body temperature is normal or slightly subfebrile

Serous Otitis Media - OtoRhinoLaryngology Porta

  1. Otitis media with effusion (OME) is a collection of non-infected fluid in the middle ear space. It is also called serous or secretory otitis media (SOM). This fluid may accumulate in the middle ear as a result of a cold, sore throat or upper respiratory infection. OME is usually self-limited, which means, the fluid usually resolves on its own.
  2. Serous otitis media is a recognised presentation of Eustachian tube dysfunction secondary to post-nasal space pathology. Post-nasal space biopsies are commonly taken in patients with isolated serous otitis media, despite normal nasendoscopy findings, without robust evidence for doing so
  3. SEROUS OTITIS MEDIA Otitis media with effusion (OME), also called serous or secretory otitis media (SOM), is simply a collection of fluid that occurs within the middle ear space as a result of the negative pressure produced by altered Eustachian tube function. This can occur purely from a viral URI, with no pain or bacterial infection, or it.

Routine nasopharyngeal biopsy in adults presenting with

• Middle ear effusion; Serous Otitis • Resolved Otitis Media • Ear Tubes • Screening. Normal Ear. Otitis Media. Tympanostomy Tube - Functional. Compliance of the TM & Ossicles. Flat TM: Serous Otitis. GR, maybe air pockets in mid ear. Abnormal: Hyperflaccid TM. Title: Microsoft PowerPoint - Introduction to Tympanometry.ppt. The perforation is central. Treatment is conservative (if there is active infection) followed by tympanoplasty to prevent re-infection and improve hearing. - A free PowerPoint PPT presentation (displayed as a Flash slide show) on PowerShow.com - id: 5f23c7-MmY5 definitions Otitis Media is defined as an inflammation of the middle ear i.e., the area between the tympanic membrane and the inner ear. Acute otitis media (AOM) is the presence of middle-ear effusion (MEE) with the rapid, usually abrupt, onset of one or more signs or symptoms of inflammation of the middle ear An examination revealed the tube in place, with serous drainage from the middle ear. Diagnosis: Granulomatosis with Polyangiitis. The presentation of acute otitis media in an adult who does not have previous ear disease or Eustachian tube dysfunction should alert the clinician that the patient has something more than just acute otitis media

Otitis Media With Effusion Clinical Presentation: History

Overview of Serous Otitis Media (Fluid in the Ears

In this video, the viewer will learn the common risk factors and basic epidemiology, pathophysiology, recognize the clinical presentation and management as w.. Otitis media with effusion. differentiating factors. tympanic membrane is retracted or in the neutral position. tympanic membrane is amber or blue. airfluid level or bubbles appreciated behind the tympanic membrane. Treatment. Medical. observation for a 2-day period. can be tried given high incidence of viral etiology The classification of middle ear conditions connected with effusion varies a great deal. Terms such as'serous otitis media', 'catarrhal otiti s',.'secretory otiti media' and 'gule ear' are often used as synonyms. Noises are heard in the ear on yawning,swallowing,and sneering. The patients do not have pain

Ages ranged from 34 to 79 years. Eight patients presented with serous otitis media, and two women presented with meningitis. High-resolution computed tomography demonstrated a tegmen defect with a sensitivity of 80%. Nine tegmen defects were repaired using a transmastoid approach without recurrence INTRODUCTION — Acute otitis media (AOM) is primarily an infection of childhood and is the most common pediatric infection for which antibiotics are prescribed in the United States [].The vast majority of the medical literature focuses on the diagnosis, management, and complications of pediatric AOM, and much of our information of AOM in adults is extrapolated from studies in children Should adults with isolated serous otitis media be undergoing routine biopsies of the post-nasal space?Serous otitis media is a recognised presentation of Eustachian tube dysfunction secondary to post-nasal space pathology. Post-nasal space biopsies are commonly taken in patients with isolated serous otitis media, despite normal nasendoscopy findings, without robust evidence for doing so More commonly, the pus and mucus remain in the middle ear due to the swollen and inflamed Eustachian tube - this is called middle ear effusion or serous otitis media. Often after the acute infection has passed, the effusion remains and becomes chronic, lasting for weeks, months, or even years - this condition leads to frequent recurrences. presentation for unexplained serous otitis media, two of which could have potentially resulted in an earlier diagnosis of parapharyngeal space mass lesion. One would assume based on the size and extent of the lesions discovered in our series that a screening CT scan would have easily discovered all three before the onset of more ominous symptoms

Otitis Media ASSESSMENT Persistent blockage of fullness of the ear Hearing loss Chronic ear drainage Development of balance problems Facial weakness Persistent deep ear pain or headache Fever Confusion or sleepiness Drainage or swelling behind the ear 4/15/12 4/15/12 Normal. Acute OM. Chronic Suppurative Otitis Media. Serous Otitis Media 4/15. Background: Information on the causative agents of acute otitis media (AOM) in infants <2 months of age is limited. Objectives of the study: To analyze the etiology, pathogen susceptibility patterns, clinical presentation and frequency of serious bacterial infections in infants <2 months of age with AOM and to determine the relationship between the organisms isolated systemically and those. In children, the diagnosis of acute otitis media requires onset within 48 hours of presentation, as well as the presence of middle ear fluid and middle ear inflammation. Signs and symptoms of middle ear fluid ideally are recognized with pneumatic otoscopy or a tympanogram, and identification of inflammation requires visualization of erythema Clinical presentation. In acute otitis media, otalgia is the most common complaint. Other common signs and symptoms include otorrhea, hearing loss, headache, fever, and irritability. The otoscopic signs with the highest positive predictive value for acute otitis media are a bulging tympanic membrane followed by impaired mobility on pneumatic.

Chronic suppurative otitis media (CSOM) ± Cholesteatoma o Persistent inflammation and perforation of the tympanic membrane with draining discharge for ≥2 weeks. o Cholesteatoma occurs when keratinising squamous epithelium (skin) is present in the middle ear as a result of TM retraction Chronic suppurative otitis media (CSOM) is defined as a perforated tympanic membrane with persistent drainage from the middle ear for more than 2-6 weeks. [ 1, 2, 3] Chronic suppuration can occur with or without cholesteatoma, and the clinical history of both conditions can be very similar. CSOM differs from chronic serous otitis media in that. Otitis media (OM) is inflammation, swelling, or infection of the middle ear. Two types of OM are diagnosed. • Acute OM: usually preceded by upper respiratory tract infection or allergy. Common microorganisms are Streptococcus pneumoniae (40% to 50%), Haemophilus influenzae (30% to 40%), and Moraxella catarrhalis (10% to 15%).. Chronic OM (also known as serous, secretory, or nonsuppurative OM. describe the etiology and pathophysiology of serous otitis media. eustachian tube dysfunction leads to negative pressure in the middle ear space. The clear fluid that is naturally secreted by the middle ear mucosa builds up in the space causing conductive hearing loss and aural fullness Otitis MediaInstructional Tutorial VideoCanadaQBank.comVideo: http://youtu.be/68-hn6-XHmI@9:12Clinicians should not prescribe prophylactic antibiotics to dec..

The type of effusion (serous or mucoid) found at first surgery for otitis media with effusion (OME) in adult patients was recorded in 183 ears by RP Mills (unpublished data). Of these, 123 (67 per cent) were serous and 63 (33 per cent) were mucoid Acute otitis media (AOM) is a common problem in children and accounts for a large proportion of pediatric antibiotic prescriptions. The clinical manifestations and diagnosis of AOM in children will be reviewed here. The epidemiology, pathogenesis, treatment, and prevention of AOM in children and AOM in adults are discussed separately

Serous Otitis Media (SOM): Symptoms, Diagnosis and

Otitis Media with Effusion (OME) is an inflammatory condition of the middle ear cleft, acute or chronic, with collection of fluid in the middle ear with an intact tympanic membrane. It is a very common disease in childhood, the most frequent cause of hearing loss in childhood and often requiring surgery. OME is called chronic when the fluid in the middle ear persists for more than three months. Labyrinthitis is an inflammatory condition affecting the labyrinth in the cochlea and vestibular system of the inner ear. Viral infections are the most common cause of labyrinthitis. Bacterial labyrinthitis is a complication of otitis media or meningitis. Typical presentation includes vertigo, im.. Introduction. Acute otitis media (AOM) is the most common diagnosis for acute office visits for children. 1 AOM is characterized by middle-ear effusion in a patient with signs and symptoms of acute illness (e.g., fever, irritability, otalgia). Otitis media with effusion (OME) is a disorder characterized by fluid in the middle ear in a patient. Chronic serous otitis media, also termed chronic otitis media with effusion, is a persistent inflammatory condition of the middle ear and the leading cause of deafness and hearing loss in children. The disorder is typically seen between 3 and 7 years of age and a spontaneous resolution is observed in the majority of cases within a period of weeks to months Otitis media presentation-acute onset of otalgia-fever-sleeplessness-irritability-pulling of the ear by the child-some degree of hearing loss-ear discharge-tinnitus check up in 2-4 weeks to see if R/O serous otitis media. if worsens, go to 2nd line of antibiotics antibiotics 2nd line:-if worsens or persistance, ENT referral. otitis media.

Otitis Media: Diagnosis and Treatment - American Family

  1. Otitis media with effusion in children with documented hearing loss and attributable symptoms for at least 3 months has a high rate of spontaneous resolution. A short course of oral prednisolone is not an effective treatment for most children aged 2-8 years with persistent otitis media with effusion, but is well tolerated. One in 14 children might achieve improved hearing but not quality of.
  2. Serous Otitis Media with Effusion (Glue ear) is the commonest cause of deafness in children as well as the commonest indication for surgery in children. Recurrent Tinnitus , DC 6260, granyed at 10 %. More severe cases, including serous otitis media , can last longer, perhaps weeks or months. Treatment of Intractable Vertig
  3. Otitis Media, Otitis Externa, And Eye Diseases: Otitis Media: Is The PPT. Presentation Summary : Otitis media, Otitis externa, and Eye diseases: Otitis media: is the inflammation of the area between Eardrum (Tympanic membrane) and the inner ear; includin
  4. Otitis • Otitis is one of the most frequent diseases in early childhood and one of the reasons for first prescription of antibiotics. • Streptococcus pneumoniae (SP) is the most frequent pathogen identified and increasing resistance may influence antibiotic treatment.. High-dose amoxicillin is recommended as the first-line anti­biotic in most patients

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PowerPoint is the world's most popular presentation software which can let you create professional An Acute Otitis Media powerpoint presentation easily and in no time. This helps you give your presentation on An Acute Otitis Media in a conference, a school lecture, a business proposal, in a webinar and business and professional representations.. The uploader spent his/her valuable time to. Serous otitis media, as seen in children, may be an insidious disease which provides few signs and symptoms. Its effects may cause significant problems in the preschool and school-age child with respect to acquisition of necessary developmental skills. The nurse practitioner can effectively diagnose, treat, and manage children with serous.

The presenting serous otitis media was refractory to conventional medical and surgical management and progressed to a temporal bone osteomyelitis prior to diagnosis. B. dermatitidis is a rare fungal pathogen that causes a systemic pyogranulomatous disease that primarily manifests itself in the skin, bones, pulmonary, and genitourinary systems Some patients with Wegener's granulomatosis exhibit serous otitis on presentation. Other abnormalities these patients tend to have include chronic sinusitis, progressive sensorineural hearing loss, sudden hearing loss that could involve both sides, lung and/or kidney disease, and vision loss, among others From a group of 60 patients with histologically-proven Wegener's granulomatosis managed at the National Institute of Allergy and Infectious Disease, approximately 45% were found to have disease that involved the ears. The majority of these patients had either recurrent or persistent serous otitis, r Otalgia (ear pain) is a common presentation in the primary care setting with many diverse causes. Pain that originates from the ear is called primary otalgia, and the most common causes are otitis. Without treatment, the 2-year mortality rate exceeds 90%. We describe a presentation of intractable serous otitis media, rhinosinusitis, fever and unilateral facial palsy in an 18-year-old man with learning difficulties, which highlights the need for a high index of suspicion in diagnosing and treating this enigmatic disease

Acute Otitis Media Clinical Presentation: History

Coinfections of the middle ear with a virus and a bacterium demonstrate the role that both play in the development of acute, suppurative otitis media or pus drum. The most common bacteria responsible for AOM are Streptococcus pneumoniae (approximately 40%), nontypable Haemophilus influenzae (25% to 30%), and Moraxella catarrhalis (10% to 15%) Otitis Media - Free download as Powerpoint Presentation (.ppt), PDF File (.pdf), Text File (.txt) or view presentation slides online Download presentation. Childhood Otitis Media By Rahul Gladwin, MS 3 University of Health Sciences Antigua School of Medicine Email: rahul[AT]rahulgladwin. com Types of Acute Otitis Media o Serous Otitis Media or Otitis Media with effusion n n Inflammation of the TM with fluid in the middle ear Caused by vacuum created by malfunction of the.

Secretory otitis media with effusion (OME) is the accumulation of mucus within the middle ear and sometimes the mastoid air cell system. Most of the time it is bilateral, hearing impairment being the most common presentation leading to delayed speech and language development, poor academic performance and behavioral problems A diagnosis of suppurative otitis media is generally based on symptom presentation and a visual examination of the inner ear. Infection will usually cause the inner ear, especially the eardrum, to appear inflamed and swollen. If necessary, additional diagnostic tests may be performed to confirm a diagnosis of suppurative otitis media

Otitis media not only causes severe pain but may result in serious complications if it is not treated. An untreated infection can travel from the middle ear to the nearby parts of the head, including the brain. Although the hearing loss caused by otitis media is usually temporary, untreated otitis media may lead to permanent hearing impairment Introduction. Chronic otitis media (COM) is an inflammatory disorder of the middle ear.It is characterised by persistent or recurrent ear discharge.. Most classifications now separate chronic otitis media into two distinct types:. Mucosal - occurs due to tympanic membrane perforation and subsequent inflammation of the middle ear mucosa; it is also known as chronic suppurative otitis media Chronic suppurative otitis media (CSOM) is the result of an initial episode of acute otitis media and is characterized by a persistent discharge from the middle ear through a tympanic perforation. It is an important cause of preventable hearing loss, particularly in the developing world

Otitis media with effusion ome - SlideShar

Dizziness can be a Otitis Media Powerpoint Presentation Infection Ear Vomit symptom of a serious medical problem such as a heart attack or a stroke. Symptoms of otitis media include:. 5 Foods to Eat for Vitamin D Here are 13 things that can cause an acute sinus infection (the most common type) and in some cases lead to a chronic sinus infection. OTITIS MEDIA Dr.Isazadehfar OTITIS MEDIA Definition: Presence of a middle ear infection Acute Otitis Media: occurrence of bacterial infection within the middle ear cavity Otitis Media with Effusion: presence of nonpurulent fluid within the middle ear cavity OM is the second most common clinical problem in childhood after upper respiratory infection EPIDEMIOLOGY Peak incidence in the first two. Group of infective and inflammatory conditions affecting the middle ear. Subtypes of otitis media. Acute otitis media (AOM). Otitis media with effusion (OME) aka serous/secretory OM. Chronic suppurative otitis media (CSOM). Mastoiditis. Cholesteatoma. In reality, there is a great degree of overlap between them

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Chronic suppurative otitis media (CSOM) is a chronic inflammation of the middle ear and mastoid cavity. It is predominantly a disease of the developing world. Clinical features are recurrent otorrhoea through a tympanic perforation, with conductive hearing loss of varying severity. Experts dispute the duration of otorrhoea required to determine. Otitis media with effusion (OME) is defined as a collection of fluid in the middle ear without signs or symptoms of ear infection. 1 It typically arises when the Eustachian tubes are not functioning normally. When this happens, pressure changes occur in the middle ear and fluid can accumulate. OME is one of the most commonly occurring childhood. Most pediatricians recognize and treat acute otitis media several times each day. Yet there is wide disagreement about certain aspects of its diagnosis and treatment, despite a large and growing literature on the subject. This review attempts to summarize what is known about acute otitis media in children. DEFINITION Acute suppurative otitis media is distinguished from secretory (serous. Serous otitis media Serous otitis media is known as glue ear. Children aged between six months and two years of age are most vulnerable to this type of ear infection. Glue ear commonly develops after a middle ear infection, and is characterised by the build-up of fluid and pus within the middle ear. Treatment options include antibiotics Construct a differential diagnosis for children with suspected acute otitis media, otitis media with effusion, and acute otitis media with tympanostomy tube Given the patient's age and clinical presentation, observation without use of antibiotics is an option (see Table 2), if there is assurance of follow-up. However, the treating clinician.

Otitis describes inflammation of the ear caused by infectious or noninfectious processes. Acute otitis externa (AOE) is cellulitis of the ear canal skin, which is almost entirely caused by bacteria [].Otitis media (OM) concerns the middle ear and is further delineated as otitis media with effusion (OME) or acute otitis media (AOM) All children by 3 years of age: 83%. Average of 1.5 Acute Otitis Media episodes per year. Peak Incidence at age 6-15 months (decreases after 24 months) III. Risk Factors: Recurrent Otitis Media or persistent Effusion. Age < 5 years old (5 fold Relative Risk) Otitis prone (4x) (see below) Day care (4x) Respiratory Illness (4x Acute otitis media is the second most common pediatric diagnosis in the emergency department following upper respiratory infections. Although otitis media can occur at any age, it is most commonly seen between the ages of 6 to 24 months. Infection of the middle ear can be viral, bacterial, or coinfection Otitis media with effusion soap note essay example. Other alternative treatments like homeopathy have been shown to be ineffective (Robb, & Williamson, 2012). Health Promotion: The child should not be exposed to cigarette smoke as this triggers the allergic reaction blocking the Eustachian tube Otitis Media (Chronic Suppurative) Chronic suppurative otitis media is a long-standing, persistently draining perforation of the eardrum (tympanic membrane). Acute otitis media and blockage of a eustachian tube are among the causes of chronic suppurative otitis media. A flare-up may occur after a cold, an ear infection, or after water enters.

Otitis Media with Effusion; Serous (Secretory) Otitis

(PPT) SECRETORY OTITIS MEDIA Henrietta Efunnuga

Unit Four: Middle Ear Disease Diagnosi

PPT - OTITIS MEDIA PowerPoint Presentation, free downloadPPT - Chronic Otitis Media (COM) with and without12