Study note
ENT
Cholesteatoma and Chronic Otitis Media
Treatment of tuberculous otitis media
THE CONTEXT
Treatment includes systemic antitubercular therapy, local ear care and surgery when complications require it.
Medical and local treatment
•
Systemic antitubercular therapy
is given as for the primary disease.
•
Local treatment consists of aural toilet and control of secondary pyogenic infection.
Surgery and healing
•
Mastoid surgery
is indicated for complications.
•
Healing
is delayed in tuberculous cases, and wound breakdown and fistula formation are common.
•
Reconstructive middle ear surgery
is delayed until antitubercular therapy has been completed.
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