MANAGEMENT FOR CSOM - GRH BASED

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MANAGEMENT FOR CSOM - GRH BASED

Post by Admin on Sun Mar 07 2010, 19:49

csom tubotympanic :

START with medical treatment
good aural toileting, antibiotic ear drops, antibiotic oral tabs, antiinflamm. anti hista ( if allergy )

INVESTIGATIONS

do DNE, EOT , audiogram , pus for culture and sensitivity , x ray laws lateral oblique view both mastoids

DNE - protocol management ( refer nose case )
clear any septic foci ( adenoids , dns , sinusitis )


AFTER medical rx --> ear dry for 6 wks - take up for myringoplasty

still active disease - take up for cortical mastoidectomy with myringiplasty



CSOM ATTICOANTRAL / CHOLESTEATOMA

do all the investigations as above . and plan MRM at an early date .


NOTE : if the examiner asks for any medical management of cholesteatoma say irrigation with 1:1 distilled white vinegar and 70% isopropyl alcohol may keep
some cholesteatomas stable .... NEVER EVER SAY THIS UNLESS ASKED

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