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Medical Care books of ENT

Chronics Suppurative Otitis Media

The chronic suppurative otitis media is of two types:

1) Tubotympanic (Safe or Benign)

Majority of cases fall in this type of infection. This infection is usually in the anterio inferior segment of the middle ear cleft. It is not the dangerous type of infection.

2) Attico Antral (Unsafe/Dangerous)

This type of infection is less common and involves the posterio superior segment of the middle ear cleft. In this type of C.S.O.M., the changes in the mucous membrane are proliferative granulation tissue, polypus and cholesteatoma formation.

Bacteriology

Mixed i.e. gram +ve cocci mixed with gram -ve bacilli. Also present are a wide range of both the aerobic and anaerobic microbes.

Symptoms

  • Discharge
  • Deafness
  • Occasionally Tinnitus and Vertigo
  • Pain (sometimes present)

Signs

  • Discharge
  • Deafness (Conductive type)
  • Perforation

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