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Chronic otitis media in Adult
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Chronic otitis media in Adult

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Contributors: Paul C. Bryson MD
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Synopsis

Chronic otitis media is a condition of chronic inflammation of the middle ear, usually from prolonged otitis media. It may also be associated with tympanic membrane perforation or cholesteatoma. It is characterized by continuous or intermittent otorrhea and some degree of hearing loss. It may be unilateral or bilateral. It can occur in children and in adults. Other signs and symptoms include otalgia, purulent malodorous discharge, and pruritus. Untreated infection may lead to complications, including irreversible hearing loss that negatively impacts speech development and quality of life in children and adults.

Management includes relief of symptoms and prevention of progression to severe and damaging complications. Measures include regular aural toilet and quinolone antibiotic ear drops. Tympanoplasty without mastoidectomy for noncholesteatomatous chronic otitis media may be called for. Other types of surgery depend on the extent of complications and include removal of infected ear tissue, repair of damaged ear structures, mastoidectomy, ossicular reconstruction, and tympanoplasty.

Codes

ICD10CM:
H65.20 – Chronic serous otitis media, unspecified ear

SNOMEDCT:
21186006 – Chronic otitis media

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Last Reviewed: 02/06/2017
Last Updated: 02/06/2017
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Chronic otitis media in Adult
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Chronic otitis media : Hearing loss, Otorrhea
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