scholarly journals Acute otitis externa in children: causes, diagnosis, treatment, clinical report

2021 ◽  
pp. 236-240
Author(s):  
I. M. Kirichenko ◽  
V. I. Popadyuk ◽  
N. S. Kozlova
Keyword(s):  
Antibiotic Therapy ◽  
Otitis Media ◽  
External Auditory Canal ◽  
Otitis Externa ◽  
Otitis Media With Effusion ◽  
Common Disease ◽  
Clinical Report ◽  
Primary Therapy ◽  
Topical Antibiotic ◽  
Systemic Antibiotic

Acute otitis externa is a common disease in the pediatric population, characterized by diffuse inflammation of the external auditory canal. Typical symptoms of acute otitis externa include otology, itching, congestion, and a feeling of fullness in the sore ear. In the case of active inflammation, the process can go to the tympanic membrane, and acute otitis media will join the external one. Primary therapy for diffuse uncomplicated acute otitis externa should include a local antimicrobial drug, without systemic antibiotic therapy. Topical therapy with antibacterial drugs in combination with anesthetics is the most rational. A clinical case of a 12-year-old patient with acute diffuse otitis externa and otitis media with effusion; acute nasopharyngitis; and adenoiditis, which was established based on anamnesis and clinical data is presented. Complex therapy was prescribed, which included local antibiotic therapy with a complex topical drug for the treatment of imperforated otitis externa and imperforated otitis media. At reexamination 5 days later, the patient demonstrated positive dynamics, pain in the left ear was eliminated. In cases of uncomplicated diffuse otitis externa, as well as in cases of its combination with otitis media with effusion, topical antibiotic therapy is a major priority. It should be borne in mind that the topical medication is more effective with the cleansing of the external auditory canal from inflammatory secretion. If it is used correctly, it would provide positive dynamics without systemic antibiotic prescription. It preserves the microbiome and mobilizes the body’s defenses. The application of complex topical antibiotic drugs can be widely recommended in pediatric practice.

scholarly journals Non-infectious causes of chronic pharyngitis

2018 ◽  
pp. 112-115
Author(s):  
S. Ya. Kosyakov ◽  
I. B. Angotoeva ◽  
A. N. Isamov
Keyword(s):  
Antibiotic Therapy ◽  
Sore Throat ◽  
Inflammatory Process ◽  
Common Disease ◽  
Main Symptom ◽  
Systemic Antibiotic ◽  
Pharyngeal Mucosa ◽  
Systemic Antibiotic Therapy

Chronic pharyngitis (CP) is a common disease that is not associated with infections and does not require administration of any systemic antibiotic therapy. Many non-infectious factors cause CP. Despite diversity and variability of factors, the inflammatory process of the pharyngeal mucosa lie at the root of the pathogenesis of CP. A sore throat is the main symptom of this process, which can be successfully relieved with local drugs.

scholarly journals POLA PENYAKIT PASIEN RAWAT JALAN DI POLIKLINIK TELINGA, HIDUNG, TENGGOROK - BEDAH KEPALA LEHER BLU RSU PROF. DR. R.D. KANDOU – MANADO PERIODE JANUARI 2010 - DESEMBER 2012

e-CliniC ◽  
2013 ◽  
Vol 1 (3) ◽  
Author(s):  
Elisa E. B. Pembobo ◽  
Steward K. Mengko ◽  
Olivia C. P. Pelealu
Keyword(s):  
Allergic Rhinitis ◽  
Health System ◽  
Otitis Media ◽  
Otitis Externa ◽  
Acute Otitis Media ◽  
Health Financing ◽  
Common Disease ◽  
Local Conditions ◽  
Disease Patterns ◽  
Number Of Patients

Abstract: Health has a great role in improving people's lives. The health system itself is all the activities that have the primary purpose of improving, repairing, or health care. Many things affect the health system in Indonesian as a developing country, among others is people's behavior. This can make the health system spending more responsive to local conditions and the diversity of disease patterns. Moreover, it can also result in the increase of regional disparities of health financing and reduced health information of national importance. This study aimed to determine the pattern of disease in the polyclinic ENT-HN Prof. Dr. R.D. Kandou General Hospital during January 2010 - December 2012. This was a retrospective descriptive study. The highest number of patients was in 2011 which was 2305 patients. The most common disease found in 2010 was obturans wax. In 2011 and 2012, the most common disease was otitis externa. During the period 2010-2012, the highest frequencies were among civilized employees, females, and aged 45-64 years. Conclusion: There were 10 diseases with the highest frequency during 2010-2012. In 2010, obturans wax was the most frequent cases, followed by otitis externa, sinusitis, chronic pharyngitis, acute pharyngitis, rhinitis, corpus alienum MAE, presbyakusis, acute rhinitis, and acute otitis media. In 2011, otitis externa was the most common disease, followed by obturans wax, chronic pharyngitis, sinusitis maxilaris, chronic purulent otitis media, allergic rhinitis, presbyacusis, corpal, and laryngitis. In 2012, otitis externa was still the most frequent, followwed  by obturans wax, chronic pharyngitis, sinusitis maxilaris, presbyacusis, chronic purulent otitis media, allergic rhinitis, laryngitis, and chronic rhinitis Keywords: disease patterns, outpatient, ENT-HN    Abstrak: Kesehatan berperan besar dalam meningkatkan derajat hidup masyarakat. Sistem kesehatan sendiri merupakan semua aktivitas yang memiliki tujuan utama meningkatkan, memperbaiki, atau merawat kesehatan. Banyak hal yang memengaruhi sistem kesehatan di Indonesia sebagai suatu negara berkembang; salah satunya ialah perilaku masyarakat. Hal ini dapat menyebabkan pengeluaran kesehatan menjadi lebih responsif terhadap kondisi lokal dan keragaman pola penyakit; selain itu, dapat juga berdampak pada meningkatnya ketimpangan pembiayaan kesehatan secara regional dan berkurangnya informasi kesehatan yang penting secara nasional. Penelitian ini bertujuan untuk mendapatkan pola penyakit di poliklinik THT-KL BLU RSU Prof. Dr. R.D. Kandou periode Januari 2010 - Desember 2012. Penelitian ini menggunakan metode retrospektif deskriptif. Hasil penelitian memperlihatkan bahwa kunjungan terbanyak pada tahun 2011 yaitu 2305 orang. Pada tahun 2010, penyakit tersering ditemukan serumen obturans. Tahun 2011 dan 2012, penyakit tersering ditemukan ialah otitis eksterna. Pada periode 2010-2012 pekerjaan pasien yang tertinggi ialah PNS, jenis kelamin perempuan, dan usia 45 – 64 tahun. Simpulan: Terdapat 10 jenis penyakit dengan frekuensi terbanyak. Pada periode 2010 secara berurut (mulai dari kunjungan tersering), yaitu: serumen obturans, otitis eksterna, sinusitis, faringitis kronik, faringitis akut, rinitis alergi, korpus alienum, presbiakusis, rinitis akut, dan otitis media akut. Pada periode 2011, yaitu: otitis eksterna, serumen, serumen obturans, faringitis kronik, sinusitis maksilaris, OMPK, rinitis alergi, presbiakusis, korpal, laringitis. Pada periode 2012, yaitu: otitis eksterna, serumen, serumen obturans, faringitis kronik, sinusitis maksilaris, presbiakusis, OMPK, rinitis alergi, laringitis, dan rinitis kronik. Kata kunci: pola penyakit, rawat jalan, THT-KL

EVALUATING THE RESULTS OF TREATMENT FOR OTITIS MEDIA WITH EFFUSION BY VENTILATION TUBE INSERTION

2016 ◽  
pp. 81-86
Author(s):  
Phuoc Minh Hoang ◽  
Thanh Thai Le
Keyword(s):  
Hearing Loss ◽  
Tympanic Membrane ◽  
Otitis Media ◽  
Otitis Media With Effusion ◽  
Clinical Intervention ◽  
Normal Function ◽  
Common Disease ◽  
Age Group ◽  
Ventilation Tube ◽  
Tube Insertion

Background: Otitis media with effusion (OME) is a common disease especially in children. Objective: To study clinical, tympanometry, audiometry and the results of ventilation tube insertion. Materials and methods: Prospective study with clinical intervention in 114 ears of 76 patients with OME. Results: The most common age group was ≤ 6 years of age (39.5%). Common symptoms in ≤6 years of age group are nasal obstruction (73.3%), rhinorrhea (66.7%); in > 6 years of age group are tinnitus (78.3%), hearing loss (76.1%). Tympanic membrane findings: completed opaque (40.4%), air-fluid level (64.1%), retraction (44.7%), losing cone of light (87.7%). Tympanograme type B was 78.1%. Audiograme was conductive hearing loss with PTA > 20 db (100%). Ventilation tube insertion one or both side associated with or without adenoidectomy. After 6 months of follow-up, postoperative average PTA was 28.4±1.6 dB. Most of cases have dry ear, hearing improvement, tubes on the tympanic membrane. Common complications were otorrhea and extrusion. Conclusion: OME is asymptomatic especially in children. Tympanograme plays a key role in diagnosis. Ventilation tube insertion improves the hearing and restores the normal function of the middle ear.

scholarly journals 732. Description of Diagnoses and Antibiotic Management of Otitis Media and Otitis Externa in Adults

2018 ◽  
Vol 5 (suppl_1) ◽  
pp. S263-S263
Author(s):  
Benjamin Pontefract ◽  
Karl Madaras-Kelly ◽  
McKenna Nevers ◽  
Katherine Fleming-Dutra ◽  
Matthew Samore
Keyword(s):  
Otitis Media ◽  
Otitis Externa ◽  
Otitis Media With Effusion ◽  
Acute Otitis Media ◽  
Incidence Density ◽  
Antibiotic Prescribing ◽  
Oral Antibiotic ◽  
Oral Antibiotics ◽  
Similar Frequency ◽  
Antibiotic Management

Abstract Background Otitis diagnoses include acute otitis media (AOM), otitis media with effusion (OME), and acute otitis externa (AOE). AOM and OME occur primarily in children, whereas AOE occurs with similar frequency in children and adults. Treatment with amoxicillin or close observation without antibiotics is recommended for pediatric AOM, and oral antibiotics are not routinely recommended to treat OME or uncomplicated AOE. Data on otitis diagnoses in adults is limited. This study’s purpose is to characterize the incidence and antibiotic management of otitis diagnoses in adults. Methods. A retrospective cohort of ambulatory veterans who presented at one of six VA Medical Centers during years 2014–2016 with an ICD-9 or -10 code for AOM, OME, and AOE diagnoses was developed. Data extracted included demographics, vital signs, diagnoses, and antibiotic prescriptions. Incident density rates for adult AOM, OME, and AOE were calculated and compared with rates for acute rhinosinusitis. Antibiotic prescribing rates were calculated. Results. Of 4,759 otitis visits identified, the most frequent diagnoses included AOM (38%), OME (25%), and AOE (34%). A single otitis diagnosis was coded in 95.6% of visits and 13.0% had co-diagnosis of another acute respiratory infection (ARI). The incidence density (±95% confidence interval) was 5.4 (5.2, 5.7), 3.6 (3.5, 3.9), and 4.9 (4.7, 5.2) cases per 1,000 patient-years for AOM, OME, and AOE, respectively. For comparison, the incidence density of rhinosinusitis was 16.6 (16.2, 17.0) cases per 1,000 patient-years. Oral antibiotics were prescribed in 48% of visits: AOM (50%), OME (49%), and AOE (47%). Topical antibiotics were prescribed in 32% of AOE visits. The most common oral and otic antibiotics prescribed were amoxicillin/clavulanate (36%), amoxicillin (28%), azithromycin (11%), and hydrocortisone/neomycin/polymyxin (65%), respectively. Conclusion. Otitis diagnoses in adults were common independent of ARI co-diagnoses, but less frequent than rhinosinusitis. Almost half of the patients received an oral antibiotic including those with AOE and OME, indicating a possible focus for antibiotic stewardship programs. Studies to evaluate diagnostic accuracy and treatment of otitis diagnoses in adults are needed. Disclosures All authors: No reported disclosures.

scholarly journals Prioritising topics for the undergraduate ENT curriculum

2017 ◽  
Vol 131 (7) ◽  
pp. 631-639 ◽  
Author(s):  
J D Constable ◽  
G A Moghul ◽  
P Leighton ◽  
S J Schofield ◽  
M Daniel
Keyword(s):  
Otitis Media ◽  
Clinical Examination ◽  
Future Development ◽  
Otitis Externa ◽  
Otitis Media With Effusion ◽  
Acute Otitis Media ◽  
Multiple Stakeholders ◽  
Key Topics

AbstractObjective:Knowledge of ENT is important for many doctors, but undergraduate time is limited. This study aimed to identify what is thought about ENT knowledge amongst non-ENT doctors, and the key topics that the curriculum should focus on.Methods:Doctors were interviewed about their views of ENT knowledge amongst non-ENT doctors, and asked to identify key topics. These topics were then used to devise a questionnaire, which was distributed to multiple stakeholders in order to identify the key topics.Results:ENT knowledge was generally thought to be poor amongst doctors, and it was recommended that undergraduate ENT topics be kept simple. The highest rated topics were: clinical examination; when to refer; acute otitis media; common emergencies; tonsillitis and quinsy; management of ENT problems by non-ENT doctors; stridor and stertor; otitis externa; and otitis media with effusion.Conclusion:This study identified a number of key ENT topics, and will help to inform future development of ENT curricula.

scholarly journals Role of Biofilms in Children with Chronic Adenoiditis and Middle Ear Disease

2019 ◽  
Vol 8 (5) ◽  
pp. 671 ◽  
Author(s):  
Sara Torretta ◽  
Lorenzo Drago ◽  
Paola Marchisio ◽  
Tullio Ibba ◽  
Lorenzo Pignataro
Keyword(s):  
Antibiotic Therapy ◽  
Otitis Media ◽  
Middle Ear ◽  
Otitis Media With Effusion ◽  
Acute Otitis Media ◽  
Subsequent Development ◽  
Current Evidence ◽  
Bacterial Biofilms ◽  
Middle Ear Disease ◽  
Chronic Adenoiditis

Chronic adenoiditis occurs frequently in children, and it is complicated by the subsequent development of recurrent or chronic middle ear diseases, such as recurrent acute otitis media, persistent otitis media with effusion and chronic otitis media, which may predispose a child to long-term functional sequalae and auditory impairment. Children with chronic adenoidal disease who fail to respond to traditional antibiotic therapy are usually candidates for surgery under general anaesthesia. It has been suggested that the ineffectiveness of antibiotic therapy in children with chronic adenoiditis is partially related to nasopharyngeal bacterial biofilms, which play a role in the development of chronic nasopharyngeal inflammation due to chronic adenoiditis, which is possibly associated with chronic or recurrent middle ear disease. This paper reviews the current evidence concerning the involvement of bacterial biofilms in the development of chronic adenoiditis and related middle ear infections in children.

scholarly journals Diagnosis and Antibiotic Management of Otitis Media and Otitis Externa in United States Veterans

2019 ◽  
Vol 6 (11) ◽  
Author(s):  
Benjamin Pontefract ◽  
Mckenna Nevers ◽  
Katherine E Fleming-Dutra ◽  
Adam Hersh ◽  
Matthew Samore ◽  
...  
Keyword(s):  
Otitis Media ◽  
Antibiotic Treatment ◽  
Otitis Externa ◽  
Otitis Media With Effusion ◽  
Acute Otitis Media ◽  
Acute Respiratory Tract Infection ◽  
Incidence Rates ◽  
Antibiotic Prescribing ◽  
Similar Frequency ◽  
Antibiotic Management

Abstract Background Acute otitis media (AOM) and otitis media with effusion (OME) occur primarily in children, whereas acute otitis externa (AOE) occurs with similar frequency in children and adults. Data on the incidence and management of otitis in adults are limited. This study characterizes the incidence, antibiotic management, and outcomes for adults with otitis diagnoses. Methods A retrospective cohort of ambulatory adult veterans who presented with acute respiratory tract infection (ARI) diagnoses at 6 VA Medical Centers during 2014–2018 was created. Then, a subcohort of patients with acute otitis diagnoses was developed. Patient visits were categorized with administrative diagnostic codes for ARI (eg, sinusitis, pharyngitis) and otitis (OME, AOM, and AOE). Incidence rates for each diagnosis were calculated. Proportions of otitis visits with antibiotic prescribing, complications, and specialty referral were summarized. Results Of 46 634 ARI visits, 3898 (8%) included an otitis diagnosis: OME (22%), AOM (44%), AOE (31%), and multiple otitis diagnoses (3%). Incidence rates were otitis media 4.0 (95% confidence interval [CI], 3.9–4.2) and AOE 2.0 (95% CI, 1.9–2.1) diagnoses per 1000 patient-years. By comparison, the incidence rates for pharyngitis (8.4; 95% CI, 8.2–8.6) and sinusitis (15.2; 95% CI, 14.9–15.5) were higher. Systemic antibiotics were prescribed in 75%, 63%, and 21% of AOM, OME, and AOE visits, respectively. Complications for otitis visits were low irrespective of antibiotic treatment. Conclusions Administrative data indicated that otitis media diagnoses in adults were half as common as acute pharyngitis, and the majority received antibiotic treatment, which may be inappropriate. Prospective studies verifying diagnostic accuracy and antibiotic appropriateness are warranted.

scholarly journals Otitis Media With Effusion Caused by a Parapharyngeal Tumor Showing Normal Nasopharyngeal Findings

2019 ◽  
pp. 014556131988151
Author(s):  
Atsunobu Tsunoda ◽  
Mayumi Suzuki ◽  
Seiji Kishimoto ◽  
Takashi Anzai ◽  
Fumihiko Matsumoto ◽  
...  
Keyword(s):  
Otitis Media ◽  
Otitis Media With Effusion ◽  
Imaging Study ◽  
Pathological Examination ◽  
Common Disease ◽  
Initial Symptom ◽  
Delay In Diagnosis ◽  
Parapharyngeal Tumors ◽  
Malignant Lesions ◽  
Parapharyngeal Tumor

The objective of this study is to evaluate otitis media with effusion (OME) among patients with parapharyngeal tumor. We have experienced 82 parapharyngeal tumor cases and encountered 14 patients complaining of hearing loss due to OME as the initial symptom. These patients showed normal nasopharyngeal findings and the presence of tumor had been detected long time after the beginning of their hearing symptoms (4 months to 13 years: median 2.5 years). Six patients had undergone ventilation tube insertion on the affected ear, which may lead to delay in diagnosis. Pathological examination was performed in 76 of 82 patients. Among these 76 patients, 13 showed OME. Seven patients had malignant lesions, whereas 6 had benign lesions. Therefore, malignant lesions are prone to occur with OME and its relative risk was 2.26 (95% confidence intervals, 1.16-4.42). This difference was statistically significant ( P = .044, Fisher test). Otitis media with effusion is a very common disease and is well-known as a primary symptom of nasopharyngeal carcinoma. Therefore, nasopharyngeal observation is necessary for patients with intractable middle ear effusion. However, present 14 patients with OME showed normal nasopharyngeal findings and finally found after an imaging study. From our data, OME is an important but go-by symptom of parapharyngeal tumors. Imaging studies are potently useful for such patients with intractable OME.

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