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RAJ ENT HOSPITAL, 20/25, NEW JAGANATH, RAJKOT :360001 Mobile: +919824224272 doctorjitendra@yahoo.com
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Definition:
Chronic inflammation of the mucosa of the middle ear cleft.( > 3 months)
Types:
1. Chronic Suppurative O.M. 2. Chronic Non-Suppurative O.M. 3. Chronic Specific O.M.
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Definition:
Chronic inflammation of the mucosa of the middle ear cleft produced by pus forming organisms.
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Types:
1. Benign/ Tubotympanic CSOM 2. Dangerous/ Attico antral CSOM
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Etiology:
1) Age: All 2) Sex: Both 3) Predisposing Factors: 1. A.O.M. which fails to heal 2. Traumatic Perforation 3. Congenital Cholesteatoma 4) Causative Organism: Benign: Strepto, Staphylo, Pneumo. Dangerous: Proteous, Psudomonas, Bacteroids
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Etiology:
5) General Factors: > Poor Hygiene, > Poverty/Lower socio-eco.class > Malnourishment 6) Etiology of Cogn. Cholesteatoma: Squamous Epi. Cell Rest Persist Cong. Cholesteatoma
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Etiology:
7) Etiology of Aquired Cholesteatoma: 1. Negative Pressor: 2. Invasive Theory: 3. Metaplasia:
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Pathology:
( Benign Type CSOM ) 2) Ossicals: 1) Tympanic Memb.:
3) Mastoid Bone:
4) Polyp:
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Pathology:
( Danger Type CSOM ) 1)Tympanic Memb.: 2) Ossicles:
3) Cholesteatoma:
4) Polyp
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Symptoms:
Symptoms
1. Otorrhoea
Benign CSOM
Intermittent, Profuse, Without foul smell, Increase with URTI Mild to Moderate May be Present May be Present May be Present if there is Acute inf. Or Comp.
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Dangerous CSOM
Continues, Scanty, With foul smell, Not affected by URTI Mild to Severe May be Present May be Present May be Present if there is Acute inf. Or Comp.
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Signs:
Ear Examination
1. Otorrhoea 2.Deafness 3.Perforation 4.Cholesteatoma 5.Complication Sign
Benign CSOM
Profuse, Without foul smell, Conductive Central Absent Very Rare
Dangerous CSOM
Scanty, With foul smell, Conductive or Mixed Marginal Almost always Present Common
Investigations:
1. Audiogram 2. Pus Culture & Sensitivity 3. X-Ray Both Mastoid
Benign CSOM - Sclerosis of Mastoid Danger CSOM Sclerosis with Erosion
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Systemic
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A: C:
B: D:
Dangerous C.S.O.M
1 / 10
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B: D:
fluid collection
2 / 10
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A: C:
Benign C.S.O.M.
B: D:
3 / 10
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A: C:
B: D:
4 / 10
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big perforation
5 / 10
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A: C:
Posteroinferior
B: D:
Posterosuperior Anterosuperior
Anteroinferior
7 / 10
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A: C:
B:
pretracheal fascia
Temporalis fascia
D: Buccophariangeal fascia
8 / 10
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Q 9: in tympanoplasty...
Perforation is closed
all of above
9 / 10
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B: D:
Tympanoplasty Myringotomy
Medical treatment
10 / 10
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Correct answers :
Q. 1: C Q. 2: A Q. 3: B Q. 4: C Q. 5: D
Q. 6: D Q. 7: B Q. 8: C Q. 9: D Q. 10: C
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Thank You
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