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Topical Treatment of Chronic Suppurative Otitis Media

  • Upper Respiratory, Head, and Neck Infections (I Brook, Section Editor)
  • Published:
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Abstract

Chronic suppurative otitis media (CSOM) is a chronic inflammation of the middle ear and mastoid cavity presenting with ear discharge or otorrhea through a non-intact tympanic membrane. CSOM is the most common cause of childhood hearing impairment in developing countries. Accurate diagnosis depends on a high index of suspicion, micro-otoscopic examination, and judicious use of imaging as required. CSOM can be classified into 3 types: tubotympanic, atticoantral, and post-tympanostomy tube insertion. Aerobes, anaerobes and fungi are all potential pathogens in CSOM. This review summarizes the results of recent studies on the bacteriology of CSOM, biofilms, and the role of the nasopharynx pathogens that may have important implications for the treatment of this important pathology; that is often associated with misdiagnosis or delayed diagnosis. Particular emphasis will be placed on topical treatment options including choices of antibiotic, antifungal, and antiseptic agents, delivery technique, spectrum of activity, and risk of ototoxicity.

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Disclosure

Dr. S. J. Daniel has received grant support from Alcon, Honoraria from Abbott, and payment for development of educational presentations from Merck and Alcon.

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  1. The Montreal Children’s Hospital, 2300 Rue Tupper, Rm. B-240, Montreal, QC, H3H 1P3, Canada

    Sam J. Daniel

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  1. Sam J. Daniel
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Correspondence to Sam J. Daniel.

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Daniel, S.J. Topical Treatment of Chronic Suppurative Otitis Media. Curr Infect Dis Rep 14, 121–127 (2012). https://doi.org/10.1007/s11908-012-0246-8

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  • DOI: https://doi.org/10.1007/s11908-012-0246-8

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