What is otitis media?
An infection/inflammation of the air filled space behind the eardrum (middle ear)
When is otitis media more common?
In the winter, males less than 5y/o
Child care, allergies, smoking, diagnoses, ethnicity, physiology and the pressure from sucking on a pacifier are all what?
Risk factors
What protects the middle ear?
Tympanum (Eardrum)
What kind of dysfunction is in the pathophysiology of otitis media?
Eustachian tube dysfunction
What type of otitis media is it when there’s a blockage of the Eustachian tube, w/ no inflammation but fluid instead and usually occurs after AOM and lacks the s/s of an infection?
Serous otitis media w/ effusion (OME)
What type of otitis media is it when it is a reoccurring short and painful ear infection w/in the middle of the ear that becomes inflamed and infected?
Acute otitis media (AOM)
What type of otitis media is it when it is a long-standing infection (at least 6wks) of the middle of the ear from an eardrum perforation that has not healed, is not infected but results from the infection/inflammation it previously had?
Chronic otitis media
What is the cyst or mass filled area in the middle of your ear that produces collagenous enzymes that destroys ossicles and erodes the inner ear?
Cholesteatoma
What bacteria’s trigger otitis media?
Strep. pneumoniae, haemophilus influenza, and Moraxella catarrhalis
Pulling on ear, irritability, malaise, poor feeding, redness/bulging of TM are all what?
S/S of acute otitis media
Difficulty hearing, membrane retracted or neutral, fluid in mid ear w/o inflam, middle ear effusion are all what?
S/S of serous otitis media
What are some other professionals you should collaborate w/ if a child has otitis media?
Audiologist, speech therapist, teacher, primary nurse
Impedence audiometry- tympanometry, CBC, tympanocentesis or myringotomy, special gradient acoustic reflectometry, and audiologic testing are all what?
Diagnostic tests
When should you take a C/S on a pt w/ otitis media?
If it is reoccuring
Which type of otitis media doesn’t really need treatment?
Serous
If otitis media is not allergen related what type of meds are not really helpful to give?
Antihistamines, decongestants, or steriods
What type of ear drops are given to treat otitis media?
Benzocaine (Americaine-Otic)
What other meds besides antibiotics are given to treat otitis media?
Acetaminophen (Tylenol) or Ibuprofen (Advil)
What type of surgical procedures can be performed in a pt. w/ otitis media?
Myringotomy or tympanocentesis
What surgical procedure for otitis media decreases the pressure or severe pain?
Tympanosotmy tubes
