Brief ear anatomy,Otitis externa ,Acute otitis media：短耳的解剖，外耳道炎，急性中耳炎.pptVIP

Herpetic lesions: Herpes simplex (acyclovir in severe cases ) herpes zoster oticus Sever pain Vesication Cranial nerve lesion deafness SNHL Vertigo Facial nerve palsies Ramsay hunt syndrom RX: oral and topical acyclovir early Otomycosis : Aspergillus ,candida SSX: moist tissue –paper dotted gray membran, prurtic RX : suction cleaning Fungicides : nystatin ,econazol Otitis externa malignans (osteomyelitis of skull base): Pseudomonas infection occurring in elderly diabetic patients . SSX: Granulation tissue in EAC at the bony cartilagenous junction Persist otalgia, otorrhea Crainal nerve involvement VII, IX ,X XI ,XII,V,VI DX ; CT scan, bone scan ,culture RX: diabetic control Prolonged parentral anti- pseudomonus abx Ear drop Debridement Hyperbaric oxygen Acute otitis media Inflammation of the middle ear cavity (3 weeks) Pathophysiology : ET dysfunction ,spread of the infection via submucosal lymphatic or direct spread Pathogens; S,pneumonia, H, influnza.Moraxella Risks: Craniofacial abn Rec URTI Day care Bottle feeding smoking immunological disorders IgA ,IgG deficiencies Ciliary dysfunction Adenoid hypertrophy GERD NGT SSX: Otalgia,aural fullness, hearing loss, tinnitus ,fever Hyperemic TM ,non mobile bulgingTM ,air fluid level RX; oral ABX for 10 days Antipyretics , analgsia oral and nasal decongestants Myringotomy ?sever otalgia Acute mastoditis Management of recurrent acute otitis media : Myringotomy with pressure equalization tube; Secretory otitis media (otitis media with effusion) Persistence of fluid in the middle ear space without evidence of infection. SSX: nonmobile TM, airfluid levels, aural fullness, hearing loss, DX: tympanometry RX: ABx, Myringotomy with pressure equalization tube. Ear anatomy Physiology and Embryology of the ear +congenital anomalies Dr. Manal Bukhari King Saud University Otolaryngology Assistant professor consultant Phonosurgeon King Abdulaziz University Embryology