Acute Middle Ear Inflammation

It is an inflammatory disease of the middle ear cavity accompanied by symptoms such as earache, ear discharge, hearing loss, fever. Otitis media is one of the most common diseases of childhood. Approximately 75% of children up to 3 years of age have otitis media at least once. Middle ear infections are usually of bacterial origin. The most common causative microorganisms are S. Pneumonia, H. Influenza and M. Catarrhalis.

WHAT ARE THE SYMPTOMS OF MIDDLE EAR INFLAMMATION?

The most common and most important symptom is ear pain. However, instead of ear pain in children younger than 2 years of age, restlessness, tugging on the sick ear, constant crying, and loss of appetite may occur. Fever is also a very common finding.

WHAT ARE THE RISK FACTORS FOR MIDDLE EAR INFLAMMATION?

bottle feeding

to be a man

the presence of allergies

have otitis media at an early age

smoking at home

WHAT ARE THE FINDINGS OF MIDDLE EAR INFLAMMATION?

At the beginning of the disease, the eardrum is seen as red in the ear examination. In the later period, due to the inflammation accumulated in the middle ear, a bulging outward is observed in the eardrum besides the redness. Then the inflammation in the middle ear cavity begins to flow out. At this stage, the eardrum is usually perforated. In the hearing test, mild to moderate conductive hearing loss is detected in the patient ear.

 

TREATMENT OF MIDDLE EAR INFLAMMATION

The use of antibiotics in otitis media is a very controversial issue. Considering the complications of middle ear infections, the use of antibiotics seems wise. Although many sources show amoxicillin as the first choice drug, it is a correct approach to use amoxicillin-clavulanic acid or cephalosporins as the first choice considering the amoxicillin resistance in our country. Antibiotic therapy should last ten days. In the meantime, it is necessary to use analgesics to relieve the patient’s pain and reduce fever.

WHAT ARE THE COMPLICATIONS OF MIDDLE EAR INFLAMMATION?

If otitis media is not treated, some complications may occur. These:

acute mastoiditis

facial paralysis

inner ear infection (labyrinthitis)

subperiosteal abscess

petrosite

meningitis

brain abscess

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