Otalgia interventions

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The mainstay of treatment for uncomplicated acute otit media is medical therapy.Myringotomy and tympanostomy tube insertion is usually reserved for patients with either Chronic otitis media with effusion,recurrent acute otitis media,recurrent otitis media with effusionEustachian tube dysfunction,Barotrauma.Tympanocentesis is usually reserved for patients with either Severe otalgia, seriously ill, appearing toxic,Unsatisfactory response to antimicrobial therapy,Potential suppurative complication,OM in a newborn, sick neonate, or patient who is immunologically deficient.

Indications

The mainstay of treatment for uncomplicated otit media is medical therapy. Indications for tympanocentesis include:

• Severe otalgia, seriously ill, or appearing toxic.
• Unsatisfactory response to antimicrobial therapy.
• Onset of AOM in a patient receiving antimicrobial therapy.
• Potential suppurative complication.
• OM in a newborn, sick neonate, or patient who is immunologically deficient.

Indications for myringotomy and tympanostomy tube insertion:

• Chronic otitis media with effusion
• Recurrent acute otitis media
• Recurrent otitis media with effusion
• Eustachian tube dysfunction
• Barotrauma Down syndrome, or other craniofacial abnormalities, may require early surgical intervention to prevent otitis media.