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Chronic Otitis MediaAka: Chronic Suppurative Otitis Media, Chronic Purulent Otitis Media, Intractable Otitis Media

Signs
1. Pronounced, intractable middle ear pathology
  1. Thickened Tympanic Membrane
  2. Tympanic membrane calcific white patches
  3. Perforated tympanic membrane
2. Ear discharge (Otorrhea)
Etiologies
1. Pseudomonas aeruginosa
2. Bacteroides fragilis
3. Staphylococcus aureus
4. Proteus species
Management
1. Topical or Systemic antibiotics to clear infection
2. Surgical correction of Tympanic Membrane defect
Complications: Infectious
1. Labyrinthitis
2. Meningitis
3. Extradural abscess
4. Subdural empyema
5. Otogenic abscess
6. Lateral sinus thrombophlebitis
Complications: General
1. Hearing Loss
2. Tympanic Membrane and ossicle damage
3. Chronic Otorrhea and Ear Pain
4. Tympanic Membrane Perforation (common)
5. Cholesteatoma

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This page was written by Scott Moses, MD. This page was last revised before 5/10/08, prior to consistent tracking of revision date. This page was last published on 5/10/2008. Please send comments and questions to the editor. Contact information may be found on the page About the Family Practice Notebook. These pages are best viewed with Microsoft Internet Explorer 6.0.