MANAGEMENT FOR CSOM - GRH BASED
MANAGEMENT FOR CSOM - GRH BASED
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
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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