PRESENTATIONS OF MIDDLE EAR DISEASE. Elizabeth Rose Royal Victorian Eye and Ear Hospital Royal Children’s Hospital. A “look and learn” lecture. Middle-ear conditions Management of otitis media Differential diagnosis of ear pain Clinical cases An invitation! (Or Two!).
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Royal Victorian Eye and Ear Hospital
Royal Children’s Hospital
and may be acontinuumof disease
Decongestants (oral/topical) and antihistamines
amoxicillin 50mg/kg/day in 3 doses
1. tubotympanic disease(“safe”)
2. atticoantral disease(“unsafe”)
the presence of keratinising squamous epithelium in the middle ear
Who should have middle ear ventilation tubes?
1. COME for 4 months at least, with hearing loss
2. COME in a child ‘at risk’ regardless of the hearing
3. COME and structural damage to the tympanic membrane
50% of children with persistent OME have hearing thresholds at
20% of children with persistent OME have hearing thresholds at
2. An ‘at risk’ child has an increased risk of developmental difficulties due to:
factors not related to the OME
should be examined every three months
A.External auditory canal
B. Middle ear
C. Referred pain
1. ENT clinics at RVEEH
Every week day afternoon
(and some mornings)
2. Hedley Summons Otolaryngology Prize
Coming in September!