Other indicators include tinnitus, deafness, thick yellow offensive otorrhoea
, a desire for sweets and warm food, increased appetite, flatulence, cold extremities, dry skin, intermittent chills and sweats and auditory hyperaesthesia.
The diagnosis of LCH should be considered in children as a differential when they present with chronic otorrhoea
with the presence of a mass or granulation tissue, which does not respond well to conventional medical treatment.
responded well to the medical treatment.
Chronic suppurative otitis media (CSOM) is a chronic inflammation of the middle ear and mastoid cavity presenting with ear discharge or otorrhoea
through a non-intact tympanic membrane1, 2.
The presenting complaints at the time of diagnosis are tabulated in Table-I.As shown hearing loss and pruritis were the most common symptoms at the time of diagnosis followed by otalgia otorrhoea
and pain had subsided but he still had hearing loss.
Guidelines recommend antibiotic prescription in children with severe illness, and in those aged less than two years with bilateral acute otitis media or acute otorrhoea
. For most other children with acute otitis media, initial observation is recommended.
To the Editor: We would like to record an unusual presentation of rupture of an internal carotid artery (ICA) aneurysm with carotido-tympanic leak presenting as a middle ear mass, profuse bloody otorrhoea
and anterior and posterior epistaxis, resulting from the minor trauma of ear syringing for impacted wax.
Immunoblotting of transferrin in the identification of cerebrospinal fluid otorrhoea
Children in the study presented with acute otitis media and a characteristic eardrum picture or acute otorrhoea
, along with one or more symptoms of acute infection--fever at or above 38[degrees] C, earache, general malaise, and irritability.
The clinical picture is generally one of increasing pain and offensive otorrhoea
with a worsening confusional state.
The complications associated with grommet insertion include persistent otorrhoea
, which is the most common complication occurring in 15% of patients and persisting as long as 1 year in 5% of patients.