Otitls media is one of the most common diseases during childhood with a peak incidence and prevalence from 6 to 20 months of age. It is the most frequent disease managed with antibiotics in children. The infection typically develops as a result of bacterial contamination through the Eustachian tube in the presence of preexisting inflammation in the middle ear. The optimal method of management remains open to question and is the subject of continuing controversy. Over-diagnosis of the disease and unnecessary prescription of antibiotics for this condition have contributed to the spread of antimicrobial resistance. Thus, the differential diagnosis between acute otitis media and otitis media with effusion is important to determine the management strategy; whether to use antibiotics and which antibiotics to use when necessary. Otitis media may be accompanied by a variable degree of conductive hearing loss. Both infectious and noninfectious complications of otitis media may result in significant morbidity and complications, including acute and chronic mastoiditis, petrositis, and intracranial infection.
Anti-Bacterial Agents ; Child* ; Diagnosis, Differential ; Ear, Middle ; Eustachian Tube ; Hearing Loss, Conductive ; Humans ; Incidence ; Inflammation ; Mastoid ; Mastoiditis ; Otitis Media with Effusion ; Otitis Media* ; Otitis* ; Petrositis ; Prescriptions ; Prevalence

No abstract available.
Otitis Externa*

The authors examined 312 outpatients, including 100 with otorrhea, 144 with rhinorrhea and 68 with pharyngeal discharge. The pH of otorrhea was generally acid, except in 2 cases of diffuse otitis externa where the discharge was strongly alkalihe. Otorrhea in purulent otitis media was mucopurulent or purulent and was strongly acid. The pH of rhinorrhea ranged from 6.6 to 7.4, being generally weakly alkaline. In acute rhinitis, it was alkaline in half the cases; a tendency to greater alkalinity showed in cases of marked swelling of the inferior nasal conchae. In chronic paranasal sinusitis, the pH generally shifted to the acid side; in acute paranasal sinusitis and in nasal polyps, it was weakly alkaline in all cases; and in allergic rhinitis it was neutral with in a narrow range. the usual pH of oral and pharyngeal discharges ranged from 6.4 to 7.0, being generally weakly alkaline. The character of inflammatory discharges was serous or mucous in all cases, except for a case of peritonsillar abscess with mucopurulent discharge; the pH was weakly alkaline in 5 cases (7.4 per cent), neutral in 26 (38.2 per cent), and acid in 37 (54.4 per cent). When these discharges changed in character from seromucous to purulent, their pH was lowered.
Humans ; Hydrogen-Ion Concentration* ; Nasal Polyps ; Otitis Externa ; Otitis Media, Suppurative ; Otolaryngology* ; Outpatients ; Peritonsillar Abscess ; Rhinitis ; Sinusitis ; Turbinates

No abstract available.
Lipopolysaccharides* ; Otitis Media with Effusion* ; Otitis Media* ; Otitis*

No abstract available.
Mastoid* ; Otitis Media with Effusion* ; Otitis Media* ; Otitis*

No abstract available.
Mastoid* ; Otitis Media with Effusion* ; Otitis Media* ; Otitis*

Subperiosteal abscess of the mastoid region and Bezold's abscesses have become very rare since introduction of antibiotics. Subpriosteal abscess is usually seen in children who have acute mastoiditis. Its occurrence in adults or in associated with chronic otitis media is even more unusual. Bezold's abscess, a complication of acute otitis media in adult who has well pneumatized air cells in the tip of the mastoid, is also rarely seen in the current era of antibiotics. This paper reports a case of postauricular subperiosteal and Bezold's abscess complicating chronic suppurative otitis media with cholesteatoma in a 37-year old woman with review of literatures.
Abscess* ; Adult ; Anti-Bacterial Agents ; Child ; Cholesteatoma* ; Female ; Humans ; Mastoid ; Mastoiditis ; Otitis Media ; Otitis Media, Suppurative*

Objectives: To identify the bacterial pathogens associated with chronic suppurative otitis media and their antimicrobial sensitivity and resistance. Study Design: Cross-sectional survey. Setting: The study was carried out from July 2004-July 2005 at the outpatient clinic of a government tertiary hospital. Number of subjects: A total of 32 patients (54 ears) with unilateral or bilateral active chronic suppurative otitis media. Results: Bacterial pathogens of 54 ear discharge samples from CSOM were studied. Among them, 42 (78 percent) were pure cultures and 9 (16.7 percent) were mixed, only 3 (5.6 percent) of the submitted samples had no growth. There were 42 pure isolates, the most common of which was Staphylococcus aureus 21 (50 percent), followed by Pseudomonas aeruginosa 14 (33.3 percent). Drug sensitivity pattern of Staphylococcus aureus showed that 61.9 percent were resistant to Penicillin while more than 90 percent were sensitive to Aminoglycosides and Clindamycin. Pseudomonas aeruginosa was resistant to penicillin in 64.3 percent of cases and Ciprofloxacin was active against pseudomonas in 85.7 percent. Conclusion: The most common bacterial pathogens from CSOM include Staphylococcus aureu and Pseudomonas aeruginosa. Majority of the isolates of Staphylococcus aureus were resistant to penicillin. Aminoglycosides, macrolides and quinolones were effective against most of the isolates of Staphylococcus aureus. (Author)
OTITIS MEDIA OTITIS MEDIA ; SUPPURATIVE TYMPANIC-MEMBRANE MASTOIDITIS CROSS-SECTIONAL STUDIES

Otitis externa and otitis media spreading to the temporomandibular joint (TMJ) is rare, and infection to the TMJ may result as well from direct spreading from the adjacent structures or from hematogenous spreading. But, apparent pathomechanism is not identified clearly and more specific studies are required. We experienced 2 cases of otits media and otitis externa which involved dehiscence of the bony canal wall that communicates with TMJ and the glenoid cavity. We report this cases with literature.
Ear Canal* ; Ear, Middle* ; Glenoid Cavity ; Otitis Externa ; Otitis Media ; Temporomandibular Joint*

No abstract available.
Hypersensitivity* ; Immunoglobulins* ; Otitis Media with Effusion* ; Otitis Media* ; Otitis*