Sarah and Her Otitis Media
John K. Crellin, Fernando Ania in Professionalism and Ethics in Complementary and Alternative Medicine, 2012
In confirming otitis media (signs of severe illness and middle ear effusion)—a very common condition—Dr. Kohl (Case A) took a comprehensive history. As characteristic of classical homeopathic practice, she covered a broad range of lifestyle and environmental matters that are rarely covered in a conventional medical history. However, one must still ask whether Dr. Kohl considers the possibility that sociocultural factors such as day care, school, and home conditions (including cigarette smoke in the home) may be, as is well documented in conventional medical literature, relevant factors behind Sarah's frequent episodes of otitis media. Omitting such questions would not be in a patient's best interests, for guidance is needed on prevention.
Information on level of drugs into breastmilk
Wendy Jones in Breastfeeding and Medication, 2013
Drug choice in a mother during breastfeeding based on evidence of benefit and safety for the baby: According to maternal need Absorption of eardrops is unlikely to reach clinical significance in breastmilk, as there is virtually no means of absorption into the systemic system from the external ear canal. Eardrops generally include corticosteroids to reduce inflammation, antibiotics to reduce otitis external, antifungals, local anaesthetics for pain and ingredients to soften and remove earwax. Treatment of otitis media with eardrops is generally ineffective and is better treated by simple analgesia and, if necessary, antibiotics. Almond oil, olive oil and sodium bicarbonate solution are all used to soften ear wax. Examples of drugs: dexamethasone (Sofradex, Otomize), gentamicin (Genticin and Gentisone HC), (Otosprorin) urea hydrgen peroxide (Otex), chlorbutanol (Cerumol), betamethasone (Betnesol), hydrocortisone and neomycin (Neo-cortef), prednisolone (Predsol), prednisolone and neomycin (Predsol N). Compatible with use during breastfeeding due to poor bio-availability
Otitis Media
Charles Theisler in Adjuvant Medical Care, 2023
Acute otitis media is a type of ear infection in the middle ear space behind the eardrum, or tympanic membrane. Pain is the major symptom of acute otitis media. It primarily occurs in children 6-36 months old, but adults can also be affected. About three out of four children have at least one episode of otitis media by the time they are three years old. Otitis media, whether acute, with effusion, chronic suppurative, or adhesive, is the most common cause of earaches.” Earaches can be debilitating, but do not always warrant antibiotics. Otitis media with fluid (effusion) does not respond to antibiotics.1 When antibiotics are prescribed, high-dose amoxicillin is most often recommended, but antibiotics do not decrease ear pain.2
The advantages of vestibular-evoked myogenic potentials induced by bone-conducted vibration in patients with otitis media
Published in Acta Oto-Laryngologica, 2022
Ying Cheng, Qing Zhang, Yuzhong Zhang, Zichen Chen, Weijun Ma, Min Xu
Clinical characteristics and parameters of a typical case with otitis media. (A) Endoscopic images showing evidence of otitis media (perforation of the tympanic membrane) in the left ear but not the right. Audiography revealed conductive deafness in the left ear, compared with the right ear. Left temporal bone computed tomography indicated granulation of the mastoid process, tympanic chamber, and tympanic sinus. (B) ACV-VEMPs could not be induced, while BCV-VEMPs were induced in both ears. The waveform was typical, and the repeatability was good. TM: tympanic membrane; PTA Left: average hearing threshold in the left ear; PTA Right: average hearing threshold in the right ear; ACS Left: air-conducted sound stimulation of the left ear; BCV Left: bone-conducted vibration stimulation of the left ear; BCV Right: bone-conducted vibration stimulation of the right ear.
Features of Turner syndrome in patients managed at the adult endocrinology clinic, Steve Biko Academic Hospital
Published in Journal of Endocrinology, Metabolism and Diabetes of South Africa, 2023
Otological disease is part of the widely variable phenotype in Turner syndrome patients. It varies from external morphologic abnormalities to recurrent middle ear infections as well as sensorineural or conductive hearing loss. Hearing loss is a common feature of Turner syndrome with a prevalence ranging from 36% to 84%. The auditory phenotype in Turner syndrome is complex and seems to be dynamic, with conductive hearing loss due to middle ear disease at an early age and sensorineural hearing loss later in life. Importantly, the presence of the mid-frequency dip is prognostic for the development of further progression of sensorineural hearing loss. In our population, hearing loss was detected in only three patients (17.6%), much lower than the prevalence described in the literature. Two patients had chronic otitis media, complicated by hearing loss.
A clinical profile of revision cochlear implant surgery: MERF experience
Published in Cochlear Implants International, 2021
Pabina Rayamajhi, Rahul Kurkure, Ashish Castellino, Santhosh Kumar, Manjunath HA, Raghu Nandhan, Mohan Kameswaran
The other common cause of revision surgery in our study was an infection. Though a total of 38 patients had infections postoperatively, only 0.8% of the implantees in total sample required revision surgery after failure of systemic antibiotics. There were two cases of methicillin-resistant Staphylococcus infection with the formation of biofilm which had to undergo staged revision surgery in our center. These flap related complications usually occur early postoperative periods. Meticulous tissue handling, proper maintenance of sterility in the theater, smaller skin incisions, minimal access approach of soft tissues and the deep placement of the receiver–stimulator beneath the periosteum prevents infection postoperatively. There should be enough space between the internal device and the external speech processor to prevent the pressure necrosis of the skin. This would prevent flap related issues especially in small children who have thin scalp tissues.22,23 Our study had patients with otitis media, but they were managed with conservative treatment and did not need surgical intervention. The three patients who developed cholesteatoma after primary implantation had revision surgery of explantation. Subtotal petrosectomy with blind sac closure was done. Then the reimplantation was staged after three to six months.
Related Knowledge Centers
- Anatomy
- Fever
- Hearing Loss
- Inflammation
- Middle Ear
- Immune System
- Infection
- Sign Language
- Pacifier
- Cleft Lip & Cleft Palate