Current Concepts of Otitis Media and Recent Management Strategies

Salient Features Presents the current concepts of otitis media, mucosal disease and surgical management. Includes anatomy and physiology of the middle ear with current classification of the anatomy of retrotympanum with the aim of aiding the newly developed endoscopic surgical management. The initial chapters deal with the pathogenesis of otitis media media with special emphasis on the Eustachian tube and its role in otitis media. Current definitions from various disease spectra of otitis media are presented along with relevant microbiology and pathology. Describes recent classification of acute otitis media with recent guidelines of treatment and chronic otitis media with special emphasis on tympanostomy tube otorhea, biofilms and their management. Treatment options are discussed in their entirety with contraindications. Defines eosinophilic otitis media- a recently recognized entity and its role in otitis media. Surgical management is discussed with specific emphasis on ossicular reconstruction for building up an easy reporting system from surgical point of view. Rehabilitation of hearing loss with currently available devices has also been dealt with. Useful for ENT practitioners, ENT postgraduates as well as postgraduate teachers. Table of Content History of Otitis Media Anatomy and Physiology of the Middle Ear Endoscopic Anatomy of the Middle Ear Spaces Sound Transmission Ossicular Coupling Eustachian Tube and its Role in Otitis Media Role of the Eustachian Tube in Chronic Otitis Media, Mucosal Disease Evolution Effects on Immune System and on Eustachian Tube Function Anatomy and Prenatal Growtht Histopathology of Mucous Membrane of Tubal Lumen Physiology of the Eustachian Tube Tests of Eustachian Tube Function Treatment Management Acute Otitis Media Clinical Diagnosis Contribution of Acute Otitis Media to Chronic Otitis Media Chronic Otitis Media Associated with Effusion Classification of Post-Tympanostomy Tube Otorrhea Chronic Otitis Media Chronic Otitis Media-Mucosal Disease Etiopathology Bacteriology Investigations Medical Treatment Current Concepts of Otitis Media and Recent Management Strategies Microbiology of Acute Otitis Media Microbiology of Chronic Otitis Media Pathophysiology of Chronic Otitis Media Role of Inflammatory Mediators in the Pathogenesis of Otitis Media and their Sequelae Prevention of Acute Otitis Media Approach to the Child with Recurrent Infections Predisposing Factors ""Normal"" Child Child with Atopic Disease Child with Chroknic Disease Child with an Immunodeficiency Management of Allergy Vaccination for Preventing Acute Otitis Media Prevention of Recurrent Acute Otitis Media Vaccine Schedule Eosinophilic Otitis Media Clinical Features Preoperative and Intraoperative Considerations Factors that Affect Surgical Decisions Classification of Tympanoplasty Classification of Tympanoplasty Local Anesthesia for Middle Ear Surgery Premedication Adverse Effects of Lidocaine Adverse Effects of Bupivacaine Approaches for Tympanoplasty Transcanal Approach for Myringoplasty Endaural Approach Retroauricular Approach Contents Surgery of Tympanoplasty Myringoplasty Type I Tympanoplasty Type II Tympanoplasty Type III Tympanoplasty Tympanic Membrane Reconstruction Using Cartilage Classification of Cartilage Tympanoplasty Class I Class-II Class-III Ossicular Reconstruction Porp and Torp in Ossiculoplasty General Principles of Reconstruction Total Ossicular Replacement Prosthesis Hearing Aids Indications Types of Hearing Aids Digital Hearing Aid Bone Conduction Retain Hearing Aid Implantable Hearing Aid Bone Conduction Implantable Hearing Aids Bilateral Amplification Cochlear Implant Index

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