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Inflammation of the ear.



inflammation of the external, middle, or internal ear.

Otitis externa affects the skin of the auricle and external auditory meatus and proceeds with the formation of furuncles and eczema, as in other skin inflammations.

Otitis media may be acute or chronic. The acute form results from the penetration of microbes into the middle ear from the nose and nasopharynx in influenza and other infectious diseases. It occurs more often in children than in adults, because children are more susceptible to colds and adenoids. The symptoms are shooting pains in the ear, loss of hearing, elevated temperature, and suppurative discharges from the ear that often appear in the first day and sometimes even the first hours of the disease. In infants, acute otitis media causes restlessness and insomnia. The baby cries, turns its head, holds the affected ear with its hand, and refuses the breast because pain in the ear intensifies with swallowing. The inflammation is treated by tamponade with an alcoholic solution of boric acid or some other antiseptic; in some cases the tympanic membrane is punctured by paracentesis. In most cases, recovery is possible with prompt treatment. However, if the body is debilitated and other conditions are unfavorable, the disease may become chronic, in which case pus is discharged from the ear, and hearing is permanently impaired. Inflammation of the internal ear and meningitis—inflammation of the brain membranes—are possible complications.

Inflammation of the internal ear—labyrinthitis, or otitis interna—arises not only with otitis media but often in children with epidemic cerebrospinal meningitis. When labyrinthitis is diffuse, all or almost all the endings of the acoustic nerve in the internal ear die, and complete or almost complete deafness results. With localized labyrinthitis hearing is partly preserved. Labyrinthitis is treated with antibiotics and surgery of the temporal bone.


Temkin, Ia. S. Ostryi otit i ego oslozhneniia, 2nd ed. Moscow, 1955.


References in periodicals archive ?
Conclusion: Acute otitis media incidence among unvaccinated children in our study may be useful as baseline data to assess impact of pneumococcal vaccine introduction in the Brazilian National Immunization Program in April 2010.
Impacted wax, acute otitis media, otitis externa and chronic otitis media were the most common ear diseases identified.
of patients ENT Infections Total Male Female Acute pharyngitis 6 8 14 Acute pharyngotonsillitis 1 4 5 Acute tonsillitis 0 1 1 Acute pharyngitis and acute rhinitis 1 0 1 Adeno tonsillitis with acute otitis media 0 1 1 Chronic pharyngitis with sinusitis 0 3 3 Acute otitis media 0 1 1 Acute otitis media with sinusitis 0 1 1 Acute otitis media with tonsillitis 1 1 2 Chronic suppurative otitis media 1 4 5 Chronic sinusitis 1 3 4 Chronic tonsillitis 2 0 2 Total 13 27 40 Table-3: Bacteria isolated from oropharynx of the patients with ENT infections Bacteria Isolated ENT infection No.
Oral amoxicilline and clavulanic acid was prescribed by a general practitioner with the diagnosis of acute otitis media.
Relapse of acute myeloid leukemia presenting as acute otitis media.
Alternative therapies have included ceftriaxone, a third-generation cephalosporin with a spectrum of antibacterial activity that includes most of the common pathogens of acute otitis media.
The search in the Cochrane Library on the subject acute otitis media found 22 Cochrane Reviews, 5 of which met inclusion criteria [15-19], yielding 135 articles from 73 journals.
Primary care practice for acute otitis media may differ from guidelines.
In 2010, the National Institute for Health and Clinical Excellence (NICE) guidelines endorsed this policy and recommended either delayed or no prescribing for five common diagnoses; acute otitis media, acute sore throat, acute cough/bronchitis, acute sinusitis and common cold.
All along, I have believed that the American Academy of Pediatrics' 2004 "watchful waiting" option for treating acute otitis media (AOM) was well intentioned but not based on good evidence.
Evidence suggests that a short duration of treatment is as effective as a longer course of treatment for certain common community-acquired infections, such as acute otitis media, acute bacterial sinusitis, infectious exacerbations of chronic bronchitis, community-acquired pneumonia, and acute pyelonephritis.

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