CHRONIC SUPPURATIVE OTITIS MEDIA (CSOM)
Definition
CSOM (CHRONIC SUPPURATIVE OTITIS MEDIA) is a condition in Which repeated episodes of middle Ear infection and characterized by irreversible tissue pathology.It is associated with persistent perforation of tympanic membrane.
Etiology/Predisposing Factors
- Eustachian tube dysfunction
- Antibiotic resistant strain
- Arthritis
- Granulated tissue.
Pathophysiology
- Repeated episodes of acute otitis media
- Perforation
- Acute otorrhea
- Chronic suppurative otitis media
- Recurrent Episode of Ear pain
Clinical Manifestations / Symptoms
- Hearing less
- Cholesteatoma
- Pain in ear
- Persistent or intermittent foul smelling
- Perforated tympanic membrane
- Episodes of dizziness
- Vertigo
- Purulent, mucoid and serous drainage from ear.
Diagnostic Evaluation
- History collection
- Physical examination
- Mastoid X-ray
- Otoscopic examination
- Culture and sensitivity test. For Ear Secretions
Management
Medical Management
- Apply antibiotic powder
- Careful suctioning and cleansing of ear
- Optic drops
- Administer analgesics.
- Antiemetics
- Systemic antibiotics.
Surgical Management
- Tympanoplasty to prevent recurrent infection.
- Mastoidectomy to remove cholesteatoma.
- Ossiculoplasty: It is a procedure to reconstruct the middle ear bones to Improve and Normal State of hearing.