← All decks
ENT
Aural and Extratemporal Complications of Otitis Media
Built from Haynes-Glasscock-Shambaugh Surgery of the Ear, Seventh Edition
What’s inside
5 sections · 103 slides
Overview
- Scope of this topic
- Definition of otitis media
- Historical and current epidemiology
- Tempo of presentation
- Complications of suppurative ear disease
Complications of acute otitis media
- Natural history of acute otitis media
- Perforation of the pars tensa
- Hearing loss with a persistent perforation
- Myringoplasty and Eustachian tube function
- Acute mastoiditis: anatomical basis
- Radiological mastoiditis versus clinical disease
- Progression to coalescent mastoiditis
- Coalescent mastoiditis on axial CT
- Directions of erosive spread
- Luntz multicentre series of acute mastoiditis
- Bacteriology of acute mastoiditis
- Management of noncoalescent mastoiditis
- Management of coalescent mastoiditis
- Postauricular incision in infants
- Subperiosteal abscess on contrasted CT
- Cortical and sigmoid plate erosion
- Subacute and masked mastoiditis
- Anaerobic mechanism of masked mastoiditis
- Complications found in masked mastoiditis
- Imaging when complications are suspected
- Subperiosteal and intraluminal sigmoid sinus abscess
- Petrositis: definition
- Air cell tracts to the petrous apex
- Acute petrositis
- Gradenigo syndrome
- Acute petrous apicitis on contrast MRI
- Chronic petrositis
- Medical management of petrous apicitis
- Surgical corridors to the petrous apex
- Facial paralysis complicating AOM
- Routes of infection to the facial nerve
- Management of facial palsy after AOM
- Schuknecht classification of labyrinthitis
- Serous versus suppurative labyrinthitis
- Labyrinthitis ossificans
- Labyrinthitis ossificans on axial CT
- Adjuvant corticosteroids in labyrinthitis
Complications of chronic otitis media
- Chronic otitis media in the antibiotic era
- Smyth hypothesis of chronic ear disease
- Effect of long-standing middle-ear effusion
- Stable scar and permanent perforation
- Atelectasis of the tympanic membrane
- Retraction pocket to cholesteatoma
- Two forms of chronic suppuration
- Tubotympanic disease
- Three presentations of tubotympanic disease
- Complications in noncholesteatomatous ears
- Atticoantral disease
- The atticoantral perforation is a retraction pocket
- Pars flaccida versus pars tensa cholesteatoma
- Behaviour of retraction pockets
- Bacteriology of atticoantral disease
Extratemporal and intratemporal complications of COM
- Subperiosteal abscess in chronic disease
- Physical signs of a subperiosteal abscess
- Diagnosis and management of subperiosteal abscess
- Labyrinthine fistula: frequency and cause
- Bony erosion versus true fistula
- Symptoms of a labyrinthine fistula
- The fistula test
- Imaging of a labyrinthine fistula
- Superior semicircular canal fistula on axial CT
- Principles of fistula surgery
- Controversy over matrix removal
- Staged canal wall up strategy
- Gacek factors in deciding on matrix removal
- Overall goal of fistula management
- Labyrinthitis complicating chronic otitis media
- Rehabilitation after labyrinthitis
- Tuberculous labyrinthitis
- Facial paralysis complicating COM
- Proposed mechanisms in nontubercular ears
- Assessment of facial palsy in COM
- Medical measures in COM facial palsy
- Definitive surgical management
- Types of facial nerve damage found at surgery
- Extent of decompression and nerve repair
- Prognosis and fallopian canal dehiscence
- Meningoencephaloceles: definition
- Tegmen defects and herniation
- Presentation of meningoencephalocele
- Imaging in meningoencephalocele
- Goals and approaches for repair
- Hearing rehabilitation after canal closure
- Layered closure of the tegmen defect
Summary
- Key numbers
- Practice points
- Concluding perspective
- References
- References (continued)
- References (continued)
- References (continued)
- References (continued)
- Haynes-Glasscock-Shambaugh Surgery of the Ear, Seventh Edition
- Join our WhatsApp groups