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Otitis media is a group of inflammatory diseases of the middle ear. [2] One of the two main types is acute otitis media (AOM), [3] an infection of rapid onset that usually presents with ear pain. [1] In young children this may result in pulling at the ear, increased crying, and poor sleep. [1] Decreased eating and a fever may also be present. [1]
Tympanocentesis is the drainage of fluid from the middle ear usually caused by otitis media, by using a small-gauge needle to puncture the tympanic membrane, also known as the eardrum. Main indication for tympanocentesis is failed treatment with antibiotics
Otitis externa, also known as swimmer's ear, is an inflammation (infectious or non-infectious) of the external auditory canal. [14] Risk factors include retained water in the outer ear, particularly due to swimming, humidity, trauma or external devices, dermatologic conditions, or scratching the ear canal that may lead to bacterial growth.
Antipyrine and benzocaine ear drops is a medication for the treatment of ear pain caused by otitis media.It combines antipyrine, an NSAID, and benzocaine, a local anaesthetic in order to treat ear pain, alongside hydroxyquinoline sulfate, an antiseptic and preservative.
Otorrhea (ear discharge) is the most common complication of tympanostomy tube placement, affecting between 25–75% of children receiving this procedure. [2] [6] [9] [10] Saline washouts and antibiotic drops at the time of surgery are effective measures to reduce rates of otorrhea, which is why antibiotic ear drops are not routinely prescribed.
Infection (otitis media). [3] This infection may then spread through the middle ear and may reoccur. [3] Trauma. This may be caused by trying to clean ear wax with sharp instruments. It may also occur due to surgical complications. [4] Overpressure (loud noise or shockwave from an explosion). Inappropriate ear clearing.
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May see signs of otitis media on exam Pain is located behind the ear with postauricular (i.e. near mastoid process) swelling* Diagnose with CT Chronic suppurative otitis media: Conductive hearing loss Relapsing/remitting or chronic discharge May see perforation of tympanic membrane or cholesteatoma on exam Serous otitis media