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Otitis MediaOtitis Media
Dr.Sherif Dr.Sherif BugnahBugnahENT Resident | AFHSRENT Resident | AFHSRSupervised by Dr.MuslihSupervised by Dr.Muslih
 
INTRODUCTION & DEFINITIONSINTRODUCTION & DEFINITIONS 
Otitis media (OM) is the most commonOtitis media (OM) is the most commonbacterial infection in children and the mostbacterial infection in children and the mostfrequent indication for antimicrobial orfrequent indication for antimicrobial orsurgical therapy in this age group. It is alsosurgical therapy in this age group. It is alsothe leading cause of hearing loss in children.the leading cause of hearing loss in children.OM : any inflammatory process in theOM : any inflammatory process in themiddle-ear cleft behind an intact tympanicmiddle-ear cleft behind an intact tympanicmembrane (TM).membrane (TM).
 
CLASSIFICATIONSCLASSIFICATIONS
Two Major Classes of OM areTwo Major Classes of OM are
è
Acute Otitis MediaAcute Otitis Media
è
Chronic OMChronic OMwithwitheffusion (OME)effusion (OME)..
A diagnosis of A diagnosis of AOMAOMrequires the presence of arequires the presence of a(MEE)
 
(MEE)and the symptoms and signs of acute infectionand the symptoms and signs of acute infection(Fever,
 
(Fever,Pain,Red and Bulging TMP
 
ain,Red and Bulging TM).).OMEOMEindicates anindicates anMEE without signs of inflammationMEE without
 
signs of inflammation..Equivalent terms are chronic secretory OM, chronicEquivalent terms are chronic secretory OM, chronicserous OM, and "glue ear." MEE denotes a liquid in theserous OM, and "glue ear." MEE denotes a liquid in themiddle-ear cleft regardless of etiology.middle-ear cleft regardless of etiology.
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