Otalgia surgery: Difference between revisions
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==Surgical treatment for Primary Otalgia== | ==Surgical treatment for Primary Otalgia== | ||
[[Otitis media]]: Surgical options for Otitis media include : | <u>[[Otitis media]]</u>: Surgical options for Otitis media include : | ||
*[[Tympanocentesis]] - early intervention | *[[Tympanocentesis]] - early intervention | ||
*[[Myringotomy]] and [[Tympanostomy tube]] insertion | *[[Myringotomy]] and [[Tympanostomy tube]] insertion | ||
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*Potential suppurative complication. | *Potential suppurative complication. | ||
*OM in a newborn, sick neonate, or patient who is immunologically deficient. | *OM in a newborn, sick neonate, or patient who is immunologically deficient. | ||
Indications for Myringotomy and Tympanostomy tube insertion: | Indications for Myringotomy and Tympanostomy tube insertion: | ||
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*Eustachian tube dysfunction | *Eustachian tube dysfunction | ||
*Barotrauma | *Barotrauma | ||
Intratemporal and intracranial complications of [[Otitis media]] requires surgical consultation. Patients with cleft palate<ref name="pmid22796197">{{cite journal |author=Klockars T, Rautio J |title=Early placement of ventilation tubes in cleft lip and palate patients: Does palatal closure affect tube occlusion and short-term outcome? |journal=Int J Pediatr Otorhinolaryngol |volume= |issue= |pages= |year=2012 |month=July |pmid=22796197 |doi=10.1016/j.ijporl.2012.06.028 |url=}}</ref>, Down syndrome, or other craniofacial abnormalities, may require early surgical intervention to prevent Otitis Media. | |||
<u>[[Otitis externa]]</u>: Surgery is now reserved for local debridement, removal of bony sequestrum, or abscess drainage. | |||
==References== | |||
{{reflist|2}} | |||
[[Category:Otolaryngology]] | |||
[[Category:Emergency medicine]] | |||
[[Category:Pediatrics]] | |||
{{WH}} | |||
{{WS}} | |||
Revision as of 15:26, 17 July 2012
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Otalgia Microchapters |
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Diagnosis |
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Treatment |
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Case Studies |
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Otalgia surgery On the Web |
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American Roentgen Ray Society Images of Otalgia surgery |
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
Intratemporal and intracranial complications of Otitis media requires surgical consultation. Patients with cleft palate[1], Down syndrome, or other craniofacial abnormalities, may require early surgical intervention to prevent Otitis Media.
Otitis externa: Surgery is now reserved for local debridement, removal of bony sequestrum, or abscess drainage.
References