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OOttiittiiss MMeeddiiaa 
FFeerrdduusshhii AAkkhhtteerr 
JJuunniioorr FFaaccuullttyy 
PPrriimmee BBaannkk NNuurrssiinngg II...
Otitis media: 
Background: 
Otitis media (OM) is the second most 
common disease of childhood, after 
upper respiratory in...
11/13/14 4
Classification of otitis media 
Acute otitis media 
2. Chronic otitis media 
Other-a. 
Serous otitis media 
b.Secretory ot...
Otitis media 
• Healthy 
Tympanic 
Membrane
Etiology 
Age: Common among 
children due to shorter 
Eustachian tube 
11/13/14 7
Etiology 
Tonsillitis, Rhinitis, 
Sinusitis, Pharyngitis & 
infections secondary to 
cleft palate 
Trauma to the TM 
He...
Clinical manifestation 
Fullness or heaviness in the ear 
Severe ear pain at night 
Deafness 
Tinnitus (ringing or buz...
Serous 
Acute otitis 
Serous otitis media media 
11/13/14 11
Perforation 
11/13/14 12
Bulging Ear drum 
11/13/14 13
Diagnostic evaluation 
• History 
• Physical examination 
• Otoscopic examination 
• Culture 
• Audiometry ( testing of th...
Management 
Medical Management- 
• Administration of 
antibiotic (Ampicillin or 
Amoxicillin). 
• Anti-inflammatory 
(anal...
Management 
Surgical management- 
Myringotomy or 
tympanotomy (incision in 
the tympanic membrane) 
11/13/14 17
Nursing care 
• Apply hot water bag over the ear with the 
child lying on the affected side may 
reduce the discomfort (ap...
• Excoriation of the outer ear should be 
prevented by frequent cleansing & 
application of zinc oxide to the area of 
oxi...
Complications of O.M 
• Hearing loss 
• Chronic suppurative O.M 
• Adhesive otitis 
• Facial palsy 
• Brain abscess. 
• Me...
Otitis media
Otitis media
Otitis media
Otitis media
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Pediatric Nursing subject related topics. that topic is otitis media.

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Otitis media

  1. 1. OOttiittiiss MMeeddiiaa FFeerrdduusshhii AAkkhhtteerr JJuunniioorr FFaaccuullttyy PPrriimmee BBaannkk NNuurrssiinngg IInnssttiittuuttee 11/13/14 1
  2. 2. Otitis media: Background: Otitis media (OM) is the second most common disease of childhood, after upper respiratory infection (URI). Definition: It is defined as an inflammation of the middle ear.
  3. 3. 11/13/14 4
  4. 4. Classification of otitis media Acute otitis media 2. Chronic otitis media Other-a. Serous otitis media b.Secretory otitis media c.Suppurative otitis media 11/13/14 5
  5. 5. Otitis media • Healthy Tympanic Membrane
  6. 6. Etiology Age: Common among children due to shorter Eustachian tube 11/13/14 7
  7. 7. Etiology Tonsillitis, Rhinitis, Sinusitis, Pharyngitis & infections secondary to cleft palate Trauma to the TM Head injury 11/13/14 8
  8. 8. Clinical manifestation Fullness or heaviness in the ear Severe ear pain at night Deafness Tinnitus (ringing or buzzing in the ear) Autophony (spoken words of patient echo in his ears) 11/13/14 9
  9. 9. Serous Acute otitis Serous otitis media media 11/13/14 11
  10. 10. Perforation 11/13/14 12
  11. 11. Bulging Ear drum 11/13/14 13
  12. 12. Diagnostic evaluation • History • Physical examination • Otoscopic examination • Culture • Audiometry ( testing of the hearing sense) & Tympanometry (evaluation of the mobility and patency of the eardrum) 11/13/14 14
  13. 13. Management Medical Management- • Administration of antibiotic (Ampicillin or Amoxicillin). • Anti-inflammatory (analgesic & antipyretic). 11/13/14 16
  14. 14. Management Surgical management- Myringotomy or tympanotomy (incision in the tympanic membrane) 11/13/14 17
  15. 15. Nursing care • Apply hot water bag over the ear with the child lying on the affected side may reduce the discomfort (applied during the attack of pain). • Put ice bag over the affected ear may also be beneficial to reduce edema (between pain attacks). • For drained ear; the external canal may be frequently cleaned using sterile cotton swabs (dry or soaked in hydrogen peroxide).
  16. 16. • Excoriation of the outer ear should be prevented by frequent cleansing & application of zinc oxide to the area of oxidate. • Give special attention to th tympanostomy tube i.e., avoid water entering the middle ear and introducing bacteria. • Educate family about care of child, & keep them aware with the complications of acute otitis media e.g.,hearing loss. • Provide emotional support to the child & his family.
  17. 17. Complications of O.M • Hearing loss • Chronic suppurative O.M • Adhesive otitis • Facial palsy • Brain abscess. • Meningitis.
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Pediatric Nursing subject related topics. that topic is otitis media.

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