Differences In Chronic Suppurative Otitis Media And Acute Otitis Media?
Pgi … Aq Teffy wants to ask … r nWhat are the differences between acute and crony non suppurative … same understanding of tuberculous otitis media, syphilitic otitis media, and also adhesive otitis media r nMksh …
Hello, Teffy M Hawan, thank you for asking HealthReplies.com.
Otitis media is inflammation of the middle ear. Otitis media is classified into several types, namely acute otitis media (OMA), chronic suppurative otitis media (CSOM), effusion otitis media (OME), and adhesive otitis media. The types of otitis media are distinguished by the time / duration of suffering from ear pain, symptoms that appear, the causes and trigger factors, and appearance on physical examination. If mentioned one by one here it will be very long.
In summary, inflammation that occurs in CSOM is inflammation that occurs in a longer time than OMA, which is longer than 2 months. In OMA, the eardrum can look red, swollen, bulging, and perforation can occur in the eardrum. In CSOM, a hole in the eardrum occurs with a history of ear discharge at least 2 months.
OME is a buildup of fluid in the middle ear but not due to infection and no perforation / hole in the eardrum. In syphilitic otitis media and tuberculous otitis media, inflammation of the ear occurs due to specific bacterial infections such as syphilis and Mycobacterium tuberculosis. Meanwhile, otitis media adhesive is a condition where the middle ear is experiencing growth of scar tissue (fibrosis) resulting in adhesions, this is caused by inflammation that is prolonged or due to complications from previous otitis media.
To distinguish the types of otitis media, excavations must be made regarding the history of the disease and symptoms that occur, direct physical examination, and if necessary investigations such as CT-scan / MRI (if there are suspected complications to the brain / in the skull), tympanocentesis (taking fluid samples from the middle ear to further look at the type of fluid and look for the causative agent), to tympanometry.
To find out in more detail, you can read medical literature about otitis media such as: https://emedicine.medscape.com/article/994656-overview.
That's all, hopefully it's useful.