ADVANCED THERAPY OF OTITIS MEDIA

'Associate Professor of Otolaryngology University of Pittsburgh School of Medicine Department of Pediatric Otolaryngology Children's Hospital of Pittsburgh 'Eberly Professor of Pediatric Otolaryngology University of Pittsburgh School of Medicine Director, Department of Pediatric Otolaryngology Children's Hospital of Pittsburgh 'Professor of Otolaryngology University of Pittsburgh School of Medicine Director of Research and Education Department of Pediatric Otolaryngology Children's Hospital of Pittsburgh 'Associate Professor Department of Otolaryngology University of Pittsburgh School of Medicine Department o f Pediatric Otolaryngology Children's Hospital of Pittsburgh 'Research Associate Professor Department of Otolaryngology & Pediatrics University of Pittsburgh School of Medicine Department of Pediatric Otolaryngology Children's Hospital of Pittsburgh

'A. Introduction1.Definitions2.Diagnostic methods 3.Examination of ear drum for OM 4.Epidemiology 5.Risk factors B. Acute Otitis Media6.First line treatment of simple acute otitis media 7.Short course antibiotics for AOM 8.Management of AOM without antibiotics 9.Myringitis bullosa 10.AOM with perforation 11.Irritable child with middle ear fluid with or without fever 12.Red ear drum with no middle ear effusion 13.Myringotomy in AOM 14.Viral AOM? 15.OME in neonate 16.AOM/OME in immunocompromised child 17.AOM in HIV 18.AOM in children with penicillin/antibiotic allergy 19.Persistent symptoms/antibiotic failure in AOM20.Management of AOM in antibiotic resistance era worldwide 21.Unresolved fluid after AOM 22.Adjuvant therapy for AOM 23.Intramuscular therapy of AOMC. Recurrent Acute Otitis Media24.Risk factors related to management 25.When is AOM too often? 26.Management of otitis prone child 27.Ventilation tubes for recurrent AOM 28.Antibiotic prophylaxis for recurrent AOM 29.Adenoidectomy with/without tonsillectomy for recurrent AOM 30.Nasopharyngeal colonization in recurrent AOM 31.Viral vaccines for recurrent AOM 32.Bacterial vaccines for recurrent AOM 33.Mucosal / nasal vaccines for recurrent AOM 34.Allergy testing /treatment for recurrent AOM 35.Prevention of AOM during common cold 36.Sinusitis in recurrent AOM 37.Immune work up/management for Recurrent AOM 38.Immunoglobulins (IVIG) for recurrent AOMD. Otitis Media with Effusion39.Watchful waiting for OME 40.Antibiotics for OME 41.Steroids for OME 42.Otoventilation for OME 43.Tubes for OME 44.Ventilation tube placement in ears with thin ear drum or myringosclerosis 45.Management of OM/OME in speech delayed child 46.Laser assisted myringotomy in OME47.Adenoidectomy with/without tonsillectomy for OME 48.Long lasting tubes for OME 49.Mastoidectomy for COME 50.Incidental ME/mastoid fluid in CT/MRIE. Complications of Ventilation Tubes51.Type of tube to insert 52.Post tympanostomy tube otorrhea 53.Water precautions with tubes 54.Ear drops for otorrhea 55.Ototoxicity due to ear drops 56.Oral antibiotics for otorrhea 57.Intravenous antibiotics for otorrhea 58.Work up and management of recurrent otorrhea 59.Work up and management of persistent otorrhhea 60.Pseudomonas auriginosa otorrhea 61.MRSA otorrhea 62.Other complications of tubes 63.Persistent perforation after tubes 64.Retained tubesF. Chronic Suppurative Otitis Media65.Chronic suppurative otitis media (CSOM) with cholesteatoma 66.CSOM without cholesteatoma 67.External ear canal polyp vs. mass in external canalG. Complications of Otitis Media68.When to suspect suppurative complicated otitis media 69.Periauricular /postauricular/external ear canal swelling 70.Acute mastoiditis 71.Chronic mastoiditis 72.Facial paralysis 73.Balance disorders in OM 74.Sensorineural hearing loss 75.Labyrinthitis 76.Cholesterol granuloma (or blue ear drum) 77.Subperiosteal abscess/Bezold’s abscess 78.Petrositis 79.Extradural abscess/Subdural empyema 80.Sigmoid sinus thrombophlebitis/Otitic hydrocephalus81.Meningitis 82.Cerebritis/Brain abscessH. Sequelae of Otitis Media83.Tympanic membrane perforation 84.Tympanosclerosis 85.Dimeric membrane 86.Middle ear atelectasis 87.Adhesive otitis88.Retraction pockets 89.Cholesteatoma 90.Ossicular discontinuity/fixationI. Miscellaneous Topics on Otitis Media91.Conductive hearing loss 92.Speech delay 93.Age in tympanoplasty/ Tympanoplasty in young child 94.State of Eustachian tube function in tympanoplasty 95.Persistent perforation in tympanoplasty96.Ventilation tubes during/after tympanoplasty 97.Imaging in OM 98.When to refer to a specialist 99.AOM/OME in children with cleft palate 100.AOM/OME in children with craniofacial abnormalities101.AOM/OME in children with external ear canal atresia/stenosis 102.Exclusively unilateral Recurrent AOM and/or OME 103.Recurrent AOM and/or OME in a teenager/adult 104.Affect of season in treatment of AOM 105.OM in Inpatient/ICU 106.Persistent/recurrent otalgia 107.Persistent/recurrent negative middle ear pressure 108.Management of OM or mastoiditis in children with cochlear implants 109.Tuberculous OM 110.The Role of Biofilms in Understanding and Management of OME/Otorrhea 111.Treatment of OM in the managed care environment 112.Cost effectiveness in treatment of OM 113.Treatment of OM in countries /regions with limited/poor health care114.Parental counseling in OM