Eardrums in Babies

The eardrum is deep in the ear canal. The eardrum is a thin membrane that vibrates when sound waves come in.
The middle ear is an air-filled cavity located behind the eardrum. When the eardrum vibrates
Small ossicles (anvil, stirrup, hammer) in the ear cavity also vibrate and transmit sound to the inner ear. sound in the inner ear
nerves that transmit to the brain are stimulated. Between the middle ear and the nasal passages behind the nose, called the eustachian tube
There is a small channel. The task of the Eustachian tube is to pressurize the air in the middle ear cavity to the external environment.
is equal to atmospheric pressure. Noises coming from the ear while yawning or swallowing, this pressure equalization
belongs to the process.

Ear infections are the most common ailment in young children. The majority of ear infections are caused by the outer ear and
Middle ear infections and obstruction of the canal that connects the ear and throat. If these infections
If not treated in time, they can be dangerous in the future. Earache symptoms; hypersensitivity, loss of appetite and
is fire.

Outer Ear Inflammation
It occurs in the skin lining the external ear canal. If your child stays too long in chlorinated water or
If a foreign object stings and scratches the ear skin, this can lead to an external ear infection. Symptoms; over
pain in the ear when lying down, redness in the outer ear canal, discharge from the ear and
is itching.

Middle Ear Inflammation (Otitis Media)
Acute otitis media is an inflammation of the middle ear cavity behind the eardrum. Eustachian tube in children
It is shorter than in the adult and therefore it is easier for germs to reach the middle ear from the nose.
As a result, inflammatory fluid accumulates in the middle ear; the pressure of the fluid causes pain and the eardrum
causes it to vibrate. Therefore, some hearing loss occurs during otitis media.
income. When the bacteria are killed with appropriate drug treatment, the fluid in the middle ear disappears and hearing is impaired.
It will be alright.

Acute otitis media is a common disease of childhood. Children up to the age of three
2/3 of them have at least one otitis media. Treatment of acute otitis media with antibiotics
is done. Even with effective antibiotic treatment, 40% of children are in the middle ear for another 3-6 weeks.
A non-inflammatory fluid remains and causes mild hearing loss that later resolves.
can happen.

Middle ear infections are also common in children with frequent upper respiratory tract infections. Therefore, the child
especially in the first two years, in children who start to enter crowded environments for the first time, such as in their kindergartens,
colds and ear problems are more common.

There are other types of otitis media as well. Otitis media with effusion (serous otitis media), from six weeks
prolonged presence of fluid in the middle ear. This is because some children have not had acute otitis media.
Although they are, it is due to the fact that the Eustachian tube cannot perform the function of taking air to the middle ear. if
If the inflammation lasts for a long time, damage to the middle ear and eardrum may occur, and non-healing of the eardrum may occur.
a continuous stream begins from a hole. This is called chronic otitis media. Treatment of this type of middle ear infections
It should be done by an Ear, Nose and Throat specialist.

Symptoms and Signs

Older children may express complaints of fullness in the ear, pain and hearing loss. Small
In children, the first symptoms may be restlessness, sleep disturbance or loss of appetite. fever in children of all ages
it could be.

These symptoms are usually associated with otitis media, such as runny nose and cough, in the upper respiratory tract.
present with symptoms of infection. Perforation of the eardrum in severe middle ear infections
may occur. As a result, the inflammation in the middle ear drains from the ear canal, the pain decreases and the fever decreases.
The hole in the eardrum usually closes spontaneously as a result of treatment.

Disease Prevention

Immunity provided by substances passing through breast milk in newborn babies, acute otitis media
prevents its development. Position of breastfed children during feeding, bottle-fed
more suitable for normal functioning of the Eustachian tube than in children; so mom
Middle ear infections are less common in children who are breastfed than in children who are bottle fed.
If the child needs to be bottle fed, feeding in a sitting position is better than lying down.
it is better.

Duration of the Disease

The recovery time of otitis media can be variable. Within 48 hours, even when untreated
it is self-correcting. Sometimes 2 weeks to 2 months despite being treated with antibiotics.
fluid remains in the middle ear. This fluid usually disappears on its own, but this
Hearing may have decreased over time. Otitis media is not contagious, but its main cause is upper respiratory tract infections.
tract infection can be contagious.

Home Treatment

Middle ear infection should be evaluated by your doctor first. Can be applied at home
methods are aimed at comforting the child. Comfortable sleep of the child with painkillers and antipyretics
sleep can be achieved.

Children with ear discharge should not swim, while in the bathroom, water contact should be prevented with earplugs.
Your doctor will tell you how to prepare earplugs or what kind of plug you should get.
will explain.

Medical treatment

Acute otitis media is usually treated with antibiotics and medications to restore the function of the Eustachian tube.
is treated. Sometimes if the child’s eardrum is very swollen due to inflammation and causes severe pain,
It may be necessary to drain the inflammation by making a small incision (paracentesis) in the eardrum. After this process
The eardrum usually heals within a week.

Parents often worry about permanent hearing loss. If appropriate treatment
If the drugs are used in the recommended dose and time, the probability of permanent hearing loss is very low.

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