Chronic Otitis Media

نویسندگان

  • Alberto Chinski
  • Hernán Chinski
چکیده

Cholesteatoma may be classified as either primary or secondary. Primary cholesteatoma occurs when its formation precedes the TM perforation and Secondary cholesteatoma develops from an ingrowth of skin through a TM perforation. Chronic Secretory Otitis Media (CSOM) In chronic secretory otitis media, fluid may be present for more than two months in the middle ear behind a TM with increased vascularization and opacification but there are no infectious signs such as bulging or pressure in the middle ear. Atelectatic Chronic Otitis Media (Atelectatic COM) Atelectatic COM occurs with inward displacement of the TM. This pathology is commonly believed to be related to Eustachian tube dysfunction causing a negative pressure in the middle ear; congenital amniotic fluid keratin implantation causing focal middle ear inflammation that medializes a segment of the tympanic membrane is a another hypothetical etilogy. The pressure generates circumscribed or generalized TM retraction, either central or peripheral. The chronic condition of the ear affection may generate tympanic areas that have lost their middle layer, Chronic Otitis Media

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تاریخ انتشار 2009