Chronic Simple Otitis Media<\/h2><\/div>Chronic otitis<\/b> media is defined as “simple” in the presence of a long-standing tympanic perforation<\/b>, without complications such as cholesteatoma<\/b>. It is a chronic infection<\/b> of the middle ear<\/b>. The presence or absence of otitis symptoms<\/b> is related to the phase (active or not) of the disease, any involvement of the mastoid bone<\/b>, and the presence or absence of a tympanic perforation<\/b>. The accompanying symptoms of the active phase of otitis<\/b> can be:<\/p>\n\n- otorrhea<\/b> (discharge of material<\/b> from the ear, sometimes foul-smelling<\/b>);<\/li>\n
- hearing loss<\/b> (decreased hearing);<\/li>\n
- tinnitus<\/b> (ringing, buzzing, pulsations);<\/li>\n
- vertigo;<\/strong><\/li>\n
- pain;<\/strong><\/li>\n
- rarely facial nerve paralysis.<\/strong><\/li>\n<\/ul>\n
The types of otitis media<\/strong> are:<\/p>\n\n- acute otitis media;<\/li>\n
- otitis media with effusion (also known as serous-mucous otitis);<\/li>\n
- chronic suppurative otitis media;<\/li>\n
- adhesive otitis media.<\/li>\n<\/ul>\n
In children, acute otitis media and otitis media with effusion are more common, whereas chronic suppurative otitis media is more frequent in adults.<\/p>\n
CHOLESTEATOMA<\/b><\/p>\n
A particular form of chronic otitis<\/b> is cholesteatom<\/b>a, which consists of a cyst of desquamated skin<\/b> that accumulates in the middle ear<\/b> and mastoid<\/b>, with expansive and destructive tendencies on the surrounding structures. If not removed, this cyst<\/b> continues to grow, destroying the surrounding structures <\/b>(in order: the ossicles<\/b>, the inner ear<\/b>, the facial nerve<\/b>, up to the involvement of the meninges<\/b> and the brain<\/b>). <\/p>\n
There are two types of cholesteatoma:<\/span><\/p>\n\n- congenital;<\/span><\/li>\n
- acquired.<\/span><\/li>\n<\/ul>\n
Acquired cholesteatoma<\/b>, which represents the most common form<\/b>, can be caused by a pathological alteration of the tympanic membrane with a tendency to accumulate keratin<\/b> within the middle ear<\/b>. More rarely, the pathology can be caused by a developmental anomaly of the ear structures<\/b>; in this case, the cholesteatoma develops from birth in the form of a retro-tympanic keratin cyst. The treatment of cholesteatoma<\/b> and some forms of chronic otitis media<\/b> is surgical<\/b>.<\/p>\n<\/div><\/div><\/div>
Chronic otitis<\/b> media is defined as “simple” in the presence of a long-standing tympanic perforation<\/b>, without complications such as cholesteatoma<\/b>. It is a chronic infection<\/b> of the middle ear<\/b>. The presence or absence of otitis symptoms<\/b> is related to the phase (active or not) of the disease, any involvement of the mastoid bone<\/b>, and the presence or absence of a tympanic perforation<\/b>. The accompanying symptoms of the active phase of otitis<\/b> can be:<\/p>\n The types of otitis media<\/strong> are:<\/p>\n In children, acute otitis media and otitis media with effusion are more common, whereas chronic suppurative otitis media is more frequent in adults.<\/p>\n CHOLESTEATOMA<\/b><\/p>\n A particular form of chronic otitis<\/b> is cholesteatom<\/b>a, which consists of a cyst of desquamated skin<\/b> that accumulates in the middle ear<\/b> and mastoid<\/b>, with expansive and destructive tendencies on the surrounding structures. If not removed, this cyst<\/b> continues to grow, destroying the surrounding structures <\/b>(in order: the ossicles<\/b>, the inner ear<\/b>, the facial nerve<\/b>, up to the involvement of the meninges<\/b> and the brain<\/b>). <\/p>\n There are two types of cholesteatoma:<\/span><\/p>\n Acquired cholesteatoma<\/b>, which represents the most common form<\/b>, can be caused by a pathological alteration of the tympanic membrane with a tendency to accumulate keratin<\/b> within the middle ear<\/b>. More rarely, the pathology can be caused by a developmental anomaly of the ear structures<\/b>; in this case, the cholesteatoma develops from birth in the form of a retro-tympanic keratin cyst. The treatment of cholesteatoma<\/b> and some forms of chronic otitis media<\/b> is surgical<\/b>.<\/p>\n<\/div><\/div><\/div>\n
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