Publication details
Otitídy
| Title in English | Otitis |
|---|---|
| Authors | |
| Year of publication | 2011 |
| Type | Article in Periodical |
| Magazine / Source | Postgraduální medicína |
| MU Faculty or unit | |
| Citation | |
| Field | ORL, ophthalmology, stomatology |
| Keywords | otitis media acuta; otoscopy; paracentesis; anibiotic; mastoiditis; prevention |
| Description | Acute otitis media, otitis media acuta (OMA) is the most common inflammation in early childhood with year-round occurrence. The causes of OMA include: Eustachian tube dysfunction, infection, penetration, lack of immune protection. OMA symptoms: ear pain, hearing loss, fever, restlessness. Diagnosis is based on otologic examination, which is based on otoscopy. Differential diagnosis must rule out inflammation of the external auditory canal, obturating cerumen or foreign body in the ear canal. OMA complications may be necrosis of the tympanic membrane, acute mastoiditis (with / without abscess), thrombophlebitis, or sigmoid sinus thrombosis, intracranial complications. L Inflammation of the middle ear, diagnosis and treatment of OMA: total analgesic indicated, execution paracentesis, surgery antibiotics. Antibiotics are indicated in advanced cases of inflammation, which we find also affected airway inflammation and high fever. Broad-spectrum antibiotic is indicated at the beginning of suspected complication of OMA and recurrent otitis media. The antibiotic must be lodged with the patient who OMA affects only hearing ear. For recurrent otitis must remediate possible infectious focus (mostly adenoidectomy) and introduce a pressure equalizing tube (TVT). Intratemporální intracranial complications and are designed as an acute disease by surgery (mastoidectomy) in the failure of antibiotics administered parenterally. For the diagnosis of complications is critical HRCT imaging. |