How to medicate for secretory otitis media?

Written by Deng Bang Yu
Otolaryngology
Updated on September 28, 2024
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Secretory otitis media refers to a type of sterile otitis media caused by the negative pressure in the middle ear cavity due to blockage of the Eustachian tube, leading to the exudation and accumulation of fluid in the middle ear cavity. The treatment of secretory otitis media includes both pharmacological and surgical interventions. Pharmacologically, corticosteroids such as dexamethasone and prednisone are mainly used. Some antibiotics, like cephalosporin antibiotics, may also be used. Nasal treatments, such as mometasone furoate nasal spray, are also necessary. Additionally, medications that facilitate the drainage of secretions from the middle ear, such as Mucosolvan, can be used. (Medication should be used under the guidance of a doctor.)

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Written by Li Rui
Otolaryngology
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Can you drink alcohol with otitis media?

Otitis media should not be accompanied by alcohol consumption. There are various types of otitis media, the more common ones being secretory otitis media, acute otitis media, purulent otitis media, and cholesteatoma-type otitis media, generally categorized as inflammatory reactions of the middle ear diseases. Drinking alcohol can potentially exacerbate the inflammatory response. Furthermore, if alcohol is consumed during treatment, it may lead to poor therapeutic effects and potentially harmful interactions with the medications being used, severely endangering health. For example, drinking alcohol while using cephalosporins may trigger a disulfiram-like reaction, which can be severe and potentially life-threatening. Therefore, during otitis media, it is advised not to drink alcohol and to keep the external auditory canal dry and free from water.

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Written by Deng Bang Yu
Otolaryngology
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What ear drops are used for otitis media?

Otitis media primarily refers to the acute and chronic inflammation of our middle ear tympanic membrane, tympanic cavity, and mastoid cavity. Clinically, when ear drops are needed for treatment, it mainly refers to acute otitis media, which is primarily caused by bacterial infection, such as Staphylococcus aureus, Streptococcus pneumoniae, etc., caused by bacterial infection. Therefore, the ear drops mainly used are antibiotic eye drops, such as ofloxacin eye drops, lomefloxacin eye drops, compound polymyxin B ear drops, penicillin, hydrocortisone eye drops, etc. It is important to note that some special ear drops, such as phenol ear drops, can be used when the patient is not in pain. However, if the patient has a tympanic membrane perforation, then phenol ear drops should not be used, as they have the effect of burning the mucous membrane of the middle ear, so they cannot be used. (Note: The above medications should be used under the guidance of a doctor.)

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Written by Deng Bang Yu
Otolaryngology
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Treatment methods for otitis media with effusion

Otitis media with effusion mainly refers to a type of secretory otitis media, where there is negative pressure in the middle ear cavity and fluid accumulation occurs. Treatment usually begins with medications, lasting either one to three months or three to six months. Antibiotics, steroids, and medications that facilitate the drainage of the effusion, such as Mucosolvan, may be used. Additionally, medications that constrict the mucosal blood vessels in the nasal cavity can also be used to facilitate the function of the Eustachian tube. If medication does not relieve or cure the condition, invasive treatment methods such as tympanic membrane puncture, tympanotomy, tympanostomy tube insertion, and Eustachian tube balloon dilation can be employed.

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Written by Deng Bang Yu
Otolaryngology
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How is acute otitis media treated?

Acute otitis media is caused by bacterial infection. It is an infectious inflammation of the middle ear chamber, eardrum, or mastoid cavity. Since it is a bacterial infection, the primary treatment choice is anti-infection therapy, specifically the use of antibiotics. Currently, in clinical practice under the guidance of a doctor, cephalosporin antibiotics are mainly used. At the same time, certain antibiotic ear drops should not be used, such as ofloxacin ear drops and lomefloxacin ear drops, especially in cases of acute otitis media with severe symptoms like fever and headache. Based on the condition, we also consider anti-infection treatment through infusion. Infusion refers to the intravenous use of cephalosporin antibiotics, among others. Additionally, some corticosteroids can be used to enhance the anti-infection effects.

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Written by Deng Bang Yu
Otolaryngology
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How to medicate for secretory otitis media?

Secretory otitis media refers to a type of sterile otitis media caused by the negative pressure in the middle ear cavity due to blockage of the Eustachian tube, leading to the exudation and accumulation of fluid in the middle ear cavity. The treatment of secretory otitis media includes both pharmacological and surgical interventions. Pharmacologically, corticosteroids such as dexamethasone and prednisone are mainly used. Some antibiotics, like cephalosporin antibiotics, may also be used. Nasal treatments, such as mometasone furoate nasal spray, are also necessary. Additionally, medications that facilitate the drainage of secretions from the middle ear, such as Mucosolvan, can be used. (Medication should be used under the guidance of a doctor.)