Otalgia surgery

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Raviteja Guddeti, M.B.B.S. [2]

Overview

Surgery forms the main stay of treatment for major ear pathologies like Otitis media (OM), Otitis externa, Cholesteatoma, Mastoiditis etc., and some non-ear pathologies like TMJ disorder, Retropharyngeal abscess etc.

Surgical treatment for Primary Otalgia

• Otitis media: Surgical options for Otitis media include :
  • Tympanocentesis - early intervention
  • Myringotomy and Tympanostomy tube insertion
  • Adenoidectomy

Indications for Tympanocentesis include:

• Severe Otalgia, seriously ill, or appearing toxic.
• Unsatisfactory response to antimicrobial therapy.
• Onset of AOM in a patient receiving antimicrobial therapy.
• Potential suppurative complication.
• OM in a newborn, sick neonate, or patient who is immunologically deficient.

Indications for Myringotomy and Tympanostomy tube insertion:

• Chronic Otitis media with effusion
• Recurrent Acute otitis media
• Recurrent Otitis media with effusion
• Eustachian tube dysfunction
• Barotrauma