Current Concepts of Otitis Media and Recent Management Strategies
Current Concepts of Otitis Media and Recent Management Strategies

Current Concepts of Otitis Media and Recent Management Strategies


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About the Book

• 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.

About the Author

Anand Job DLO MS MNAMS, Professor, Department of ENT-1, Christian Medical College, Vellore, Tamil Nadu L Paul Emerson DLO MS (ENT), ENT Consultant, Department of ENT-1, Christian Medical College, Vellore, Tamil Nadu



Table of Contents:
1. History of Otitis Media 1 L Paul Emerson, Anand Job 2. Anatomy and Physiology of the Middle Ear 3 L Paul Emerson, Anand Job • Endoscopic Anatomy of the Middle Ear Spaces 4 • Sound Transmission 8 • Ossicular Coupling 9 3. Eustachian Tube and its Role in Otitis Media 10 Anand Job, L Paul Emerson • Role of the Eustachian Tube in Chronic Otitis Media, Mucosal Disease 10 • Evolution Effects on Immune System and on Eustachian Tube Function 10 • Anatomy and Prenatal Growtht 10 • Histopathology of Mucous Membrane of Tubal Lumen 11 • Physiology of the Eustachian Tube 13 • Tests of Eustachian Tube Function 18 • Treatment 23 • Management 25 4. Acute Otitis Media 29 L Paul Emerson, Anand Job • Clinical Diagnosis 30 • Contribution of Acute Otitis Media to Chronic Otitis Media 32 5. Chronic Otitis Media Associated with Effusion 36 L Paul Emerson, Anand Job, John Mathew • Classification of Post-Tympanostomy Tube Otorrhea 39 6. Chronic Otitis Media 43 L Paul Emerson, Anand Job 7. Chronic Otitis Media-Mucosal Disease 47 Anand Job, L Paul Emerson • Etiopathology 47 • Bacteriology 47 • Investigations 48 • Medical Treatment 4820 Current Concepts of Otitis Media and Recent Management Strategies 8. Microbiology of Acute Otitis Media 51 Shalini Anandan, L Paul Emerson, Anand Job 9. Microbiology of Chronic Otitis Media 53 Shalini Anandan, Anand Job, L Paul Emerson 10. Pathophysiology of Chronic Otitis Media 55 Anand Job, L Paul Emerson • Role of Inflammatory Mediators in the Pathogenesis of Otitis Media and their Sequelae 56 11. Prevention of Acute Otitis Media 59 L Paul Emerson, Anand Job • Approach to the Child with Recurrent Infections 59 • Predisposing Factors 60 • “Normal” Child 60 • Child with Atopic Disease 61 • Child with Chroknic Disease 62 • Child with an Immunodeficiency 62 • Management of Allergy 65 12. Vaccination for Preventing Acute Otitis Media 69 L Paul Emerson, Anand Job • Prevention of Recurrent Acute Otitis Media 69 • Vaccine Schedule 70 13. Eosinophilic Otitis Media 72 L Paul Emerson, Anand Job • Clinical Features 72 14. Preoperative and Intraoperative Considerations 76 Anand Job, L Paul Emerson, John Mathew • Factors that Affect Surgical Decisions 76 15. Classification of Tympanoplasty 81 Anand Job, L Paul Emerson, John Mathew • Classification of Tympanoplasty 82 16. Local Anesthesia for Middle Ear Surgery 84 L Paul Emerson, Anand Job • Premedication 84 • Adverse Effects of Lidocaine 86 • Adverse Effects of Bupivacaine 87 17. Approaches for Tympanoplasty 88 L Paul Emerson, Anand Job, John Mathew • Transcanal Approach for Myringoplasty 88 • Endaural Approach 88 • Retroauricular Approach 88Contents 21 18. Surgery of Tympanoplasty 103 Anand Job, L Paul Emerson, John Mathew • Myringoplasty 103 • Type I Tympanoplasty 103 • Type II Tympanoplasty 104 • Type III Tympanoplasty 107 19. Tympanic Membrane Reconstruction Using Cartilage 110 Anand Job, L Paul Emerson, John Mathew • Classification of Cartilage Tympanoplasty 110 • Class I 110 • Class-II 113 • Class-III 114 20. Ossicular Reconstruction 117 John Mathew, Anand Job, L Paul Emerson • Porp and Torp in Ossiculoplasty 117 • General Principles of Reconstruction 120 • Total Ossicular Replacement Prosthesis 126 21. Hearing Aids 131 Swapna Sabastian, L Paul Emerson • Indications 131 • Types of Hearing Aids 131 • Digital Hearing Aid 134 • Bone Conduction Retain Hearing Aid 134 • Implantable Hearing Aid 136 • Bone Conduction Implantable Hearing Aids 137 • Bilateral Amplification 138 • Cochlear Implant 138 Index 141


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Product Details
  • ISBN-13: 9789351524533
  • Publisher: Jaypee Brothers Medical Publishers
  • ISBN-10: 9351524531
  • Publisher Date: 30 Mar 2015


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