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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]
Otitis media often occurs with or following cold symptoms. [14] The diagnosis is made by the combination of symptoms and examination of the tympanic membrane for redness, bulging, and/or a middle ear effusion (collection of fluid within the middle ear).
The cone of light, or light reflex, is a visible phenomenon which occurs upon examination of the tympanic membrane with an otoscope. [1] Shining light on the tympanic membrane causes a cone-shaped reflection of light to appear in the anterior inferior quadrant.
The most common aetiology of acute otitis externa is bacterial infection, [5] while chronic cases are often associated with underlying skin diseases such as eczema or psoriasis. [6] A third form, malignant otitis externa, or necrotising otitis externa, is a potentially life-threatening, invasive infection of the external auditory canal and ...
After an otoscopy (examination of the ear with an otoscope) to ensure that the path to the eardrum is clear and there is no perforation, the test is performed by inserting the tympanometer probe in the ear canal. The instrument changes the pressure in the ear, generates a pure tone, and measures the eardrum responses to the sound at different ...
A clinical examination and nasoendoscopy are the gold standard for diagnosing adenoid hypertrophy. Visual examinations should be conducted to identify adenoid facies, eczema , and similar signs in diseases like partial choanal atresia , significant palatine tonsil hyperplasia, nasal airway blockage, endonasal foreign bodies, nasal concha ...
CT scan: Otitis media (simple arrow) and mastoiditis (double arrow) of the right side (left side in image). The external auditory canal is partially occupied by suppuration (triple arrow). 44-year-old woman. The diagnosis of mastoiditis is clinical—based on the medical history and physical examination.
Long term otitis media (or 'glue ear') [2] Insertion of a tympanostomy tube. [4] [5] [6] If aspiration is performed as part of the insertion, the risk of tympanosclerosis occurring increases. [7] Risk also increases if a larger tube is used, [8] or if the procedure is repeated. [9] Atherosclerosis [10]