Chronic tubotympanic suppurative otitis media
ICD-10 H66.1 is a billable code used to indicate a diagnosis of chronic tubotympanic suppurative otitis media.
Chronic tubotympanic suppurative otitis media is a persistent inflammatory condition of the middle ear characterized by the presence of pus and a perforated tympanic membrane. This condition often arises from recurrent acute otitis media or Eustachian tube dysfunction, leading to chronic inflammation and infection. Patients typically present with symptoms such as ear pain, hearing loss, and discharge from the ear, which may be foul-smelling. The condition can lead to complications such as hearing impairment, tympanosclerosis, or even cholesteatoma if left untreated. Diagnosis is primarily clinical, supported by otoscopic examination revealing a perforated tympanic membrane and purulent discharge. Audiometric testing may be performed to assess the degree of hearing loss. Management often involves medical treatment with antibiotics and topical ear drops, but surgical intervention, such as tympanoplasty or myringotomy, may be necessary for persistent cases or to restore hearing. Regular follow-up is essential to monitor for complications and ensure resolution of the infection.
Detailed history of ear symptoms, physical examination findings, and treatment plans.
Patients presenting with recurrent ear infections, chronic ear discharge, or hearing loss.
Ensure documentation reflects the chronic nature and any surgical interventions performed.
History of recurrent otitis media, developmental assessments related to hearing.
Children with frequent ear infections and associated developmental delays.
Documenting family history and environmental factors that may contribute to recurrent infections.
Used for patients with chronic suppurative otitis media requiring surgical intervention.
Document the indication for surgery, findings during the procedure, and post-operative care.
Otolaryngologists must ensure detailed operative notes are available.
Common symptoms include persistent ear pain, discharge from the ear, and hearing loss. Patients may also experience a feeling of fullness in the ear.
Diagnosis is typically made through a clinical examination, otoscopic findings of a perforated tympanic membrane, and audiometric testing to assess hearing loss.
Treatment may include antibiotics, topical ear drops, and surgical options such as tympanoplasty or myringotomy for persistent cases.
