Otitis media22pediatrics chn nursing.pdf

Pediatrics

1. OTITIS MEDIA
Presented by :
V.Eswari
B sc(N) 3rd year
Shrinidhi college Health sciences &
Research
Sivagangai

2. Definition
▪ It is an infection & Inflammation of middle ear that
most often occur in infant and young children but can
occur at any age
▪Most common in children under 15 years of age
▪ It may be acute, chronic & serious Otitis media

4. Acute suppurtive otitis media (ASOM)
Definition
▪ It is an acute infection of middle ear which causes inflammatio
& purulentfluid accumulation ; usually lasting less than 6 weeks
Etiology
▪ Bacteria (eg) streptococcus pneumoniae
▪ Upper respiratory tract infection
▪ infection of nasopharynx(tonsilitis,common cold)

5. Pathophysiology
1.Due to etiology factor (URTI, Bacteria)
2. serous exaudates & edema in middle ear
3. pus formation
4. Tympanic membrane rupture
5. Otitis media

6. Clinical features
▪Otorrhea
▪ otalgia
▪Fever
▪Rhinitis
▪ Tympanic membrane erythema may be perforated
▪ Hearing loss and irritability

8. Diagnostic Evaluation
▪ History collection
▪ Physical examination
▪ Otoscopic examination
▪ Audiometry test
▪ Tympanometry

9. Otoscopic examination

10. Audiometry Test

11. Tympanometry

12. Management
Medical Management
• Antibiotics - Amoxicillin 75-90mg/kg/day
• Analgesic - Ibuprofen 1.25ml drops, 100mg tablet
• Antihistamine - Levocetirizine Dihydrochoride syrup
60ml

13. Management
Surgical management
▪ Myringotomy or Tympanotomy (Incision in the
tympanic membrane to relieve pressure caused by
excessive buildup of fluid, orto drain pus from the
middle ear)

14. Chronic suppurtive Otitis Media (CSOM)
Definition
▪ It results from repeated infection in middle ear
causing permanant peforation of tympanic membrane .
▪ The infection involves middle ear with mastoid cells

15. Etiology
• Inappropriate treatment of acute otitis media
• URTI, Allegric rhinitis
• Eustachian tube deformity
• Sinusitis

17. Suppurtive +Perforation
a) Atico-antralchronic otitis media
Inflammation involves bones (e.g., mastoid, tympanic ring,
ossicles)
b). Tubo-tympanic otitis media
Acute otitis media permanent
Perforation Muco-purulent discharge

20. Clinical features
• Hearing loss
• otorrhea
• Low pitched tinnitus

21. Management
Medical Management
• careful suctioning of the ear under microscopic guidance
• Instillation of antibiotic drops
Surgical management
• Tympanoplasty(reconstruction of the eardrum )
• Mastoidectomy (removes diseased mastoid cells)

23. Thankyou

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