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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]
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 ...
[1] [2] Otologic surgery generally refers to surgery of the middle ear and mastoid related to chronic otitis media, such as tympanoplasty (ear drum surgery), ossiculoplasty (surgery of the hearing bones) and mastoidectomy. Otology also includes surgical treatment of conductive hearing loss, such as stapedectomy surgery for otosclerosis.
[2] [3] Mastoiditis is usually caused by untreated acute otitis media (middle ear infection) and used to be a leading cause of child mortality. With the development of antibiotics , however, mastoiditis has become quite rare in developed countries where surgical treatment is now much less frequent and more conservative, unlike former times.
[3] [4] This commonly includes nasal obstruction, sore throat, tonsillitis, pharyngitis, laryngitis, sinusitis, otitis media, and the common cold. [5]: 28 Most infections are viral in nature, and in other instances, the cause is bacterial. [6] URTIs can also be fungal or helminthic in origin, but these are less common. [7]: 443–445
[2] [3] Complications can include sinusitis and acute otitis media. [2] Pharyngitis is a type of upper respiratory tract infection. [7] Most cases are caused by a viral infection. [2] Strep throat, a bacterial infection, is the cause in about 25% of children and 10% of adults. [2]
Diagnosing bullous myringitis involves using an otoscope to spot distinctive white sack-like structures on the eardrum.Ear pain is the primary complaint. However, differentiating it from acute otitis media can be difficult, leading to early misdiagnosis.The rarity of bullous myringitis, especially compared to acute otitis media, can result in common misdiagnoses.
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]