Otitis media surgery: Difference between revisions

Jump to navigation Jump to search
No edit summary
m (Bot: Removing from Primary care)
 
(7 intermediate revisions by 2 users not shown)
Line 4: Line 4:


==Overview==
==Overview==
 
Surgery to treat otitis media is primarily [[myringotomy]] with or without insertion of a [[tympanostomy tube]]. It consists of creating an incision inside the [[tympanic membrane]] to relieve pressure by draining effusive fluid or [[suppuration]]. It is indicated for recurrent cases of acute otitis media and chronic [[suppurative]] otitis media when non-surgical treatment therapies do not relieve symptoms. Insertion of a tympanostomy tube is indicated for otitis media cases of which there is [[eustachian tube]] dysfunction causing necessary [[tympanic membrane]] reparation, as well as for [[suppurative]] complications requiring additional draining. [[Otorrhea]] is a possible complication of [[myringotomy]] performed with a tympanostomy tube inserted.
==Surgery==
==Surgery==
===[[Myringotomy]]===
===[[Myringotomy]]===
*[[Myringotomy]] involves creating an incision inside the [[tympanic membrane]] to relieve pressure by draining effusive fluiod or [[suppuration]].<ref name="urlEar tube insertion: MedlinePlus Medical Encyclopedia">{{cite web |url=https://www.nlm.nih.gov/medlineplus/ency/article/003015.htm |title=Ear tube insertion: MedlinePlus Medical Encyclopedia |format= |work= |accessdate=}}</ref>
*[[Myringotomy]] involves creating an incision inside the [[tympanic membrane]] to relieve pressure by draining effusive fluid or [[suppuration]].<ref name="urlEar tube insertion: MedlinePlus Medical Encyclopedia">{{cite web |url=https://www.nlm.nih.gov/medlineplus/ency/article/003015.htm |title=Ear tube insertion: MedlinePlus Medical Encyclopedia |format= |work= |accessdate=}}</ref>
*It is indicated for recurrent cases of acute otitis media and chronic [[suppurative]] otitis media for the following presentations:<ref name="pmid6540871">{{cite journal |vauthors=Bluestone CD |title=Surgical management of otitis media |journal=Pediatr Infect Dis |volume=3 |issue=4 |pages=392–6 |year=1984 |pmid=6540871 |doi= |url=}}</ref>
*It is indicated for recurrent cases of acute otitis media and chronic [[suppurative]] otitis media for the following presentations:<ref name="pmid6540871">{{cite journal |vauthors=Bluestone CD |title=Surgical management of otitis media |journal=Pediatr Infect Dis |volume=3 |issue=4 |pages=392–6 |year=1984 |pmid=6540871 |doi= |url=}}</ref>
**Persistent symptoms while undergoing [[microbial]] therapy.
**Persistent symptoms while undergoing [[microbial]] therapy.
**[[Suppurative]] complications.
**[[Suppurative]] complications.
**Severe [[ear pain]] requiring immediate relief.
**Severe [[ear pain]] requiring immediate relief.
**Indication for diagnostic [[tympanocentesis]]
**Indication for diagnostic [[tympanocentesis]].
*[[Myringotomy]] accompanied by the additional insertion of a [[tympanostomy]] tube is indicated by the following :
*[[Myringotomy]] accompanied by the additional insertion of a [[tympanostomy tube]] is indicated by the following :
**[[Eustachian tube]] dysfunction.
**[[Eustachian tube]] dysfunction.
**[[Suppurative]] complication requiring additional drainage via the [[tympanostomy]] tube.
**[[Suppurative]] complication requiring additional drainage via the tympanostomy tube.
**Necessity to repair the [[tympanic membrane]] from [[eustachian tube]] dysfunction.
**Necessity to repair the [[tympanic membrane]] from [[eustachian tube]] dysfunction.
 
*[[Otorrhea]] is a possible complication of performing a [[myringotomy]] with a tympanostomy tube, affecting up to 17% of intubated ears.<ref name="pmid18697973">{{cite journal |vauthors=Schmelzle J, Birtwhistle RV, Tan AK |title=Acute otitis media in children with tympanostomy tubes |journal=Can Fam Physician |volume=54 |issue=8 |pages=1123–7 |year=2008 |pmid=18697973 |pmc=2515237 |doi= |url=}}</ref>
==References==
==References==
{{reflist|2}}
{{reflist|2}}
[[Category:Primary care]]
{{WH}}
{{WS}}
 
[[Category:Disease]]
[[Category:Disease]]
[[Category:Infectious disease]]
[[Category:Inflammations]]
[[Category:Inflammations]]
[[Category:Otolaryngology]]
[[Category:Otolaryngology]]
[[Category:Otology]]
[[Category:Otology]]
[[Category:Pediatrics]]
[[Category:Pediatrics]]
{{WH}}
{{WS}}

Latest revision as of 23:30, 29 July 2020

Otitis media Microchapters

Home

Patient Information

Overview

Historical Perspective

Pathophysiology

Causes

Classification

Differentiating Otitis Media from other Diseases

Epidemiology and Demographics

Risk Factors

Natural History, Complications and Prognosis

Diagnosis

History and Symptoms

Physical Examination

Laboratory Findings

CT or MRI

Other Imaging Findings

Treatment

Medical Therapy

Surgery

Prevention

Cost-Effectiveness of Therapy

Case Studies

Case #1

Otitis media surgery On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Images

American Roentgen Ray Society Images of Otitis media surgery

All Images
X-rays
Echo & Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA onOtitis media surgery

CDC on Otitis media surgery

media surgery in the news

on Otitis media surgery

Directions to Hospitals Treating Otitis media

Risk calculators and risk factors for Otitis media surgery

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Luke Rusowicz-Orazem, B.S.

Overview

Surgery to treat otitis media is primarily myringotomy with or without insertion of a tympanostomy tube. It consists of creating an incision inside the tympanic membrane to relieve pressure by draining effusive fluid or suppuration. It is indicated for recurrent cases of acute otitis media and chronic suppurative otitis media when non-surgical treatment therapies do not relieve symptoms. Insertion of a tympanostomy tube is indicated for otitis media cases of which there is eustachian tube dysfunction causing necessary tympanic membrane reparation, as well as for suppurative complications requiring additional draining. Otorrhea is a possible complication of myringotomy performed with a tympanostomy tube inserted.

Surgery

Myringotomy

References

  1. "Ear tube insertion: MedlinePlus Medical Encyclopedia".
  2. Bluestone CD (1984). "Surgical management of otitis media". Pediatr Infect Dis. 3 (4): 392–6. PMID 6540871.
  3. Schmelzle J, Birtwhistle RV, Tan AK (2008). "Acute otitis media in children with tympanostomy tubes". Can Fam Physician. 54 (8): 1123–7. PMC 2515237. PMID 18697973.

Template:WH Template:WS