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Ossiculoplasty and Myringoplasty
Published in R James A England, Eamon Shamil, Rajeev Mathew, Manohar Bance, Pavol Surda, Jemy Jose, Omar Hilmi, Adam J Donne, Scott-Brown's Essential Otorhinolaryngology, 2022
Acquired: Secondary to chronic suppurative otitis media Erosion incudostapedial joint (ISJ) More commonLong process of incusStapes superstructureMalleus Less common
Urinary tract infection
Published in Samar Razaq, Difficult Cases in Primary Care, 2021
Which of the following statements regarding antibiotic use in children is/are correct? High-dose short-course amoxicillin treatment has been shown to reduce the spread of drug-resistant pneumococcus.Up to 90% of patients presenting with a sore throat are likely to be symptom-free at 1 week, whether treated with antibiotics or not.An uncomplicated lower UTI in a child should be treated for 10–14 days.Chronic suppurative otitis media should always be treated with oral antibiotics, because of the higher antibiotic concentrations required in the middle ear to treat it.Current guidance recommends antibiotic courses of greater than 3 weeks for osteomyelitis.
Prevention of Hearing Loss
Published in John C Watkinson, Raymond W Clarke, Christopher P Aldren, Doris-Eva Bamiou, Raymond W Clarke, Richard M Irving, Haytham Kubba, Shakeel R Saeed, Paediatrics, The Ear, Skull Base, 2018
Shankar Rangan, Veronica Kennedy
The effects of primary prevention have markedly altered the profile of the aetiology of hearing loss in the developed countries. The incidence of hearing loss due to chronic suppurative otitis media has fallen dramatically. However, this still remains a leading cause in the developing countries.
Adaptation and validation of the chronic otitis media questionnaire 12 (COMQ-12) in the Mexican Spanish language (COMQ-12-Mx)
Published in Acta Oto-Laryngologica, 2020
Erika Celis-Aguilar, Cindy Anahí Medina-Cabrera, Luis Alejandro Torrontegui-Zazueta, Blanca Xóchitl Núñez-Millán, César Guillermo García-Valle, Carlos Andrey Ochoa-Miranda
COM has a high global prevalence, countries with the highest rates of COM (>4% of population) are African and Asian, where COM represents a massive public health problem. In Latin America, there is no accurate data on the prevalence and incidence of this disease. Furthermore, the World Health Organization reports a 2.94% prevalence in America [1]. Chronic suppurative otitis media is a major cause of disabling hearing loss, particularly in developing countries. Additionally, there are other factors that could affect the quality of life (QoL) of COM patients, such as chronic ear discharge, discomfort and disturbance of balance. Additionally, in some cases, complications such as facial paralysis and intracranial sepsis can have devastating consequences [4].
Otitis media with antineutrophil cytoplasmic antibody-associated vasculitis caused by Eustachian tube inflammation
Published in Modern Rheumatology Case Reports, 2018
Kaito Nakamura, Koto Hattori, Aya Nishiwaki, Daisuke Kashiwakuma, Yuji Ando, Jun Isogai, Shin-Ichiro Kagami
Second, CT scan and MRI are useful for the detection of otitis media and Eustachian tube inflammation, even when a patient cannot complain of hearing problem. In general, delayed treatment of otitis media with effusion can lead to permanent hearing loss. A population-based cohort study showed that 91% of children with chronic suppurative otitis media developed permanent hearing loss >15 dBHL [11]. It should be noted that a considerable number of patients with OMAAV develop permanent hearing loss. Harabuchi et al. have shown that no response is observed after corticosteroid treatment in 29% of patients with OMAAV, and the usage of corticosteroids with an immunosuppressant independently predicts hearing improvement [5]. Because ANCA-associated vasculitides often develop in elderly patients, who may not be able to notice or complain of hearing problems, it is crucial to proactively examine whether patients with ANCA-associated vasculitis have involvement of the otological regions, such as the Eustachian tube. For the detection of otitis media and Eustachian tube inflammation, CT scan and MRI are useful [12,13]. In our case, although the patient did not complain of hearing problem and OMAAV associated symptoms such as otalgia, tinnitus, vertigo or headache, we could identify Eustachian tube inflammation using those imaging studies, which allowed early initiation of treatment. The patient responded well to the treatment with corticosteroid and rituximab, and her hearing recovered. When a patient is suspected to have ANCA-associated vasculitis and is not able to notice or complain one’s otological symptoms, such as the elderly and children, we recommend a CT scan or MRI to detect otitis media or Eustachian tube inflammation.
The outcomes of endoscopic myringoplasty: packing with gelatin sponge versus packing with nothing
Published in Acta Oto-Laryngologica, 2020
Dan Wang, Tongli Ren, Wuqing Wang
Chronic suppurative otitis media is a common disease in otorhinolaryngology. It is mainly constituted by chronic suppurative inflammation of the middle ear mucosa and periosteum, which leads to the emergence of symptoms such as purulence, tympanic membrane perforation, hearing loss, tinnitus, and vertigo [1]. Common causes of chronic suppurative otitis media include chronic inflammation, dysfunction of the eustachian tube, acute necrotizing otitis media lesions deep in the periosteum and bone, nasal or pharyngeal adjacent organ lesions and decreased immunity [2].