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Dra Graciela Pepe

Tuesday, April 17, 12
“ otitis es enfermedad
                            proceso ”

                         Dra Graciela Pepe

Tuesday, April 17, 12
otitis es enfermed
             proceso ”
                        Dra Graciela Pepe

Tuesday, April 17, 12
MUCOSA RESPIRATORIA




Tuesday, April 17, 12
El continuum .Prof. Paparella

                                RESOLUCION



                          O.M.M.             O.M.P.
      O.M.C.                                        SECUELAS
                                   O.M.D



                                    O.M.S

                               SILENT O.M.

Tuesday, April 17, 12
membrana timpanica normal




Tuesday, April 17, 12
OM.SEROSA


         HIPOACUSIA
         ACUFENO
         AUTOFONIA
         “EMBOTAMIENTO”




Tuesday, April 17, 12
OM.SEROSA


         HIPOACUSIA
         ACUFENO
         AUTOFONIA
         “EMBOTAMIENTO”




Tuesday, April 17, 12
OM.SEROSA


         HIPOACUSIA
         ACUFENO
         AUTOFONIA
         “EMBOTAMIENTO”




Tuesday, April 17, 12
OM.MUCOIDE

        HIPOACUSIA
        ACUFENO
        AUTOFONIA
        “EMBOTAMIENTO”




Tuesday, April 17, 12
OM.MUCOIDE

        HIPOACUSIA
        ACUFENO
        AUTOFONIA
        “EMBOTAMIENTO”




Tuesday, April 17, 12
OM.MUCOIDE

        HIPOACUSIA
        ACUFENO
        AUTOFONIA
        “EMBOTAMIENTO”




Tuesday, April 17, 12
OM.PURULENTA




Tuesday, April 17, 12
OM.PURULENTA




Tuesday, April 17, 12
OM.PURULENTA




           HIPOACUSIA
           ACUFENO



Tuesday, April 17, 12
OM.PURULENTA


           FIEBRE

           HIPOACUSIA
           ACUFENO



Tuesday, April 17, 12
OM.PURULENTA


           FIEBRE
           DOLOR
           HIPOACUSIA
           ACUFENO



Tuesday, April 17, 12
OM.PURULENTA


           FIEBRE
           DOLOR
           HIPOACUSIA
           ACUFENO



Tuesday, April 17, 12
OM.PURULENTA


           FIEBRE
           DOLOR
           HIPOACUSIA
           ACUFENO



Tuesday, April 17, 12
OM.PURULENTA
                          FIEBRE
                        SUPURACION
                          DOLOR




Tuesday, April 17, 12
OM.PURULENTA

                        SUPURACION




Tuesday, April 17, 12
El continuum .Prof. Paparella

                                RESOLUCION



                          O.M.M.             O.M.P.
      O.M.C.                                        SECUELAS
                                   O.M.D



                                    O.M.S

                               SILENT O.M.

Tuesday, April 17, 12
Tuesday, April 17, 12
Tuesday, April 17, 12
Tuesday, April 17, 12
Tuesday, April 17, 12
otitis media cronica

                              +3 meses
                              Irreversible
                               Secuelas



Tuesday, April 17, 12
DERRAME: otitis
                        media secretora
Tuesday, April 17, 12
RETRACCION
                        TIMPANICA: otitis
Tuesday, April 17, 12
                         media adhesiva
RETRACCION
                        TIMPANICA: otitis
Tuesday, April 17, 12
                         media adhesiva
RETRACCION
                        TIMPANICA: otitis
Tuesday, April 17, 12
                         media adhesiva
PERFORACION
         otitis media cronica simple
Tuesday, April 17, 12
PERFORACION
         otitis media cronica simple
Tuesday, April 17, 12
PERFORACION
         otitis media cronica simple
Tuesday, April 17, 12
GRANULACION :
         otitis media granulomatosa
Tuesday, April 17, 12
GRANULACION :
         otitis media granulomatosa
Tuesday, April 17, 12
GRANULACION :
         otitis media granulomatosa
Tuesday, April 17, 12
GRANULACION :
         otitis media granulomatosa
Tuesday, April 17, 12
epidermizacion - metaplasia
                        Colesteatoma es PIEL
Tuesday, April 17, 12
EPIDERMIZACION =
                         COLESTEATOMA




Tuesday, April 17, 12
EPIDERMIZACION =
                         COLESTEATOMA




Tuesday, April 17, 12
EPIDERMIZACION =
                         COLESTEATOMA




Tuesday, April 17, 12
COMPLICACIONES
                          INTRACRANEANAS

                                           PARALISIS
                        MASTOIDITIS        FACIAL


                                           COCLEO
                                           VESTIBULAR




Tuesday, April 17, 12
LA HISTORIA DE JOSE


          Desde hace años acufenos,
          hipoacusia progresiva,
          rinosinusitis .......




Tuesday, April 17, 12
SU TAC Y OTOSCOPIA




Tuesday, April 17, 12
• Haga clic para
                          modificar el estilo de
                          texto del patrón


                        • Haga clic para
                          modificar el estilo de
                          texto del patrón


                                                   23

Tuesday, April 17, 12
• Haga clic para
                          modificar el estilo de
                          texto del patrón


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                                                   23

Tuesday, April 17, 12
DRENAJE Y VENTILACION




Tuesday, April 17, 12
DRENAJE Y VENTILACION




Tuesday, April 17, 12
UN AÑO DESPUES ....
                              HIPOACUSIA Y
                        SUPURACION ESCASA FETIDA




Tuesday, April 17, 12
UN AÑO DESPUES ....
                              HIPOACUSIA Y
                        SUPURACION ESCASA FETIDA




Tuesday, April 17, 12
TRES AÑOS DESPUES

                     Empeora la
                hipoacusia,acufenos
                 supuracion fétida,
                   cefalea,mareos,
               adormecimiento facial



Tuesday, April 17, 12
TIMPANOMETRIA
                             IMPOSIBLE EN
                        PERFORACION TIMPANICA


Tuesday, April 17, 12
TIMPANOMETRIA
                             IMPOSIBLE EN
                        PERFORACION TIMPANICA


Tuesday, April 17, 12
• Haga clic para
                          modificar el estilo de
                          texto del patrón


                        • Haga clic para
                          modificar el estilo de
                          texto del patrón


                                                   28

Tuesday, April 17, 12
• Haga clic para
                          modificar el estilo de
                          texto del patrón


                        • Haga clic para
                          modificar el estilo de
                          texto del patrón


                                                   28

Tuesday, April 17, 12
• Haga clic para
                          modificar el estilo de
                          texto del patrón


                        • Haga clic para
                          modificar el estilo de
                          texto del patrón


                                                   28

Tuesday, April 17, 12
OTITIS MEDIA CRONICA SUPURADA:

                            PSEUDOMONAS AERUGINOSA
                              ESTAFILOCOCO AUREUS
                           PROTEUS, KLEBSIELLA, E.COLI
                                  ANAEROBIOS




Tuesday, April 17, 12
DE ACUERDO A EXAMEN
                    BACTERIOLOGICO
                        CEFTAZIDIME C/S clinadamicina
                        GENTAMICINA o amikacina CON CLINDAMICIN
                        CEFTRIAXONA con /sin rifampicina
                        CLINDAMICINA O AMPICILINA SULB IV con
                        Rifampicina
                        QUINOLONAS IV



Tuesday, April 17, 12
Tuesday, April 17, 12
Tuesday, April 17, 12
Tuesday, April 17, 12
Tuesday, April 17, 12
Tuesday, April 17, 12
Tuesday, April 17, 12
Tuesday, April 17, 12
“ otitis es enfermedad proceso
                           cuya evolucion dependera
                                de situaciones que
                           coexistan previamente ,
                                 interaccionen,
                         o coincidan, agravandola ...”


                            Dra Graciela Pepe


Tuesday, April 17, 12
“ ...pero pueden haber factores que solo sean
                      coincidentes o simultaneos,
                         y que no tengan relacion
                         con el proceso ,y Ud debe
                    poder diferenciarlos claramente para
               poder resolver el problema de su paciente “

                        Dra Graciela Pepe

Tuesday, April 17, 12
Tuesday, April 17, 12
“de lo intensamente complejo
               emerge lo intensamente simple”

                        Sir Winston Churchill




                                                36
Tuesday, April 17, 12

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Otitis cronicas y complicaciones 12