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Acute otitis media: Difference between revisions
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(Created page with "* Acute (suppurative) otitis media ** Epidemiology *** Infants *** Small children *** 80% by 3 years of age ** Etiology *** Bacterial superinfection (on viral <abbr>URTI</abbr>) which ascends through eustachian tube *** S. pneumoniae *** H. influenzae ** Risk factors *** Previous AOM *** Chronic otitis media *** Parental smoking ** Protective factors *** Prolonged breastfeeding *** Pneumococcal vaccine ** Clinical features *** Ear pain **** Infants repeatedly touch the e...") |
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**** Amoxicillin | **** Amoxicillin | ||
**** Clavulanic acid added if treatment failure | **** Clavulanic acid added if treatment failure | ||
**Complications | |||
*** Intratemporal complications | |||
**** Mastoiditis | |||
***** Children | |||
***** Infection spread to mastoid -> collection of pus -> destruction of air cells -> empyema | |||
***** Antibiotics | |||
****** Always! | |||
****** Vancomycin | |||
***** Mastoidectomy in severe cases | |||
**** Peripheral facial nerve palsy | |||
**** Labyrinthitis | |||
***** Inflammation of inner ear | |||
***** Vertigo | |||
***** Nystagmus | |||
***** Sensorineural hearing loss | |||
*** Intracranial complications | |||
**** Meningitis | |||
**** Otogenic abscess | |||
***** Epidural, subdural or cerebral | |||
***** Headache | |||
**** Sinus thrombosis | |||
*** Extracranial complications | |||
**** Bezold abscess | |||
***** Deep to sternocleidomastoid, pus from mastoiditis erodes through the mastoid part of the temporal bone | |||
<noinclude>[[Category:Ear, nose, throat (ENT)]]</noinclude> | <noinclude>[[Category:Ear, nose, throat (ENT)]] | ||
</noinclude> | |||