RT Book, Section
A1 Rudolph, Colin D.
A1 Rudolph, Abraham M.
A1 Lister, George E.
A1 First, Lewis R.
A1 Gershon, Anne A.
SR Print(0)
ID 7024049
T1 Chapter 243. Infections of the Ear
T2 Rudolph's Pediatrics, 22e
YR 2011
FD 2011
PB The McGraw-Hill Companies
PP New York, NY
SN 978-0-07-149723-7
LK accesspediatrics.mhmedical.com/content.aspx?aid=7024049
RD 2024/10/11
AB Acute  otitis  media  (AOM)  is  defined  as  an  acute  illness  marked  by  the  presence  of  middle  ear  fluid  and  inflammation  of  the  mucosa  that  lines  the  middle  ear  space.  Otitis  media  with  effusion  (OME)  is  defined  by  the  presence  of  middle  ear  fluid  without  acute  signs  of  illness  and  usually  follows  AOM  but  may  also  occur  as  a  result  of  barotrauma  or  allergy.  Synonyms  for  OME  include  serous  otitis,  secretory  otitis,  glue  ear,  and  middle  ear  catarrh.  Less  common  chronic  variations  of  otitis  media  include  permanent  perforation  of  the  tympanic  membrane,  and  perforation  or  retraction  of  the  tympanic  membrane  with  trapped  epithelium  that  is  unable  to  spontaneously  clear  desquamated  debris,  forming  a  cholesteatoma.  This  may  occur  in  the  presence  of  an  intact  tympanic  membrane.  Both  perforations  and  cholesteatoma  may  be  associated  with  recurrent  foul-smelling  otorrhea,  termed  chronic  suppurative  otitis  media.