Diseases of The Middle Ear
True statement about ASOM is: [AIIMS May 2011)
|A||Most frequently it resolves without sequelae|
|B||Commonly follows painful parotitis|
|C||Radical mastoidectomy is required for treatment|
|D||Most common oganism is pseudomonas|
a. ASOM is the most common infectious disease seen in children. Peak incidence is 2 yrs of age.
b. Most common predisposing factor for ASOM is; recurrent attacks of common cold, upper respiratory tract infections and exanthematous fevers like measles, diphtheria, whooping cough.
c. Others include: tonsi/itis, adenoids, rhinitis, sinusitis, allergy, cleft palate, down syndrome, Tumors of nasopharynx
d. Painful parotitis (mumps) most commonly leads to orchitis, oophritis, aseptic meningtits, pancreatitis and not ASOM
e. Most common organism for ASOM is: S. pneumonia (35- 40%)
- H. influenza (25- 30%) and M. catarhalis (15%) are less common.
f. Treatment of ASOM is Essentially Medical (not surgical) and involves: - Antibiotics - Penicillin group of antibiotics
- Analgesic and antipyretics
- Ear toileting
g. Some cases may require: Myringotomy Mastoidectomy is not done in case of ASOM
h. - As far as complications are concerned.
Turner 1 Ole, p 424,428 says "Prognosis of ASOM is good, most cases recover completely. Whether in infants or children."
Current otolaryngology 21e pg-658 says "The vast majority of uncomplicated episodes of AOM resolves without any adverse outcome"