How to check for otitis media

Written by Deng Bang Yu
Otolaryngology
Updated on September 10, 2024
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Otitis media is a common and frequently occurring disease in our department of otolaryngology and head and neck surgery. It is an inflammatory disease of the middle ear. There are many clinical examination methods, mainly the following:

First, we use our forehead mirror to directly visualize the external auditory canal, tympanic membrane, and tympanic cavity. That's one method.

Next, we can examine our middle ear using instruments such as an otoscope or an endoscope, which allow direct observation of the middle ear structure and the tympanic membrane.

The third examination focuses on the auditory function in otitis media. We can conduct pure tone audiometry and check acoustic impedance to assess the condition of our hearing function.

Additionally, we perform imaging studies, such as a CT scan of the temporal bone or mastoid to observe the condition of our middle ear cavity.

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Written by Li Rui
Otolaryngology
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How to treat otitis media?

Otitis media is a relatively common ENT disease, with various clinical classifications including chronic otitis media, acute otitis media, secretory otitis media, and cholesteatoma-type otitis media. Different types of otitis media require different treatment plans. Some patients may consider oral medication, some may need ear drops for ear bath treatment, some may require tympanocentesis, and others might need surgical treatment. Therefore, after the onset of the condition, it is necessary to visit an ENT department for diagnostic tests such as audiological testing and endoscopic examination of the ear. Some patients may also need a CT scan to determine the specific severity of the condition and tailor the treatment accordingly.

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Written by Cheng Fu Wei
Otolaryngology
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What are the symptoms of otitis media?

Otitis media comes in several types, with most cases of acute otitis media involving ear pain, typically throbbing or stabbing pain, followed by decreased hearing, or tinnitus. There may also be ear discharge or pus; using a cotton swab, one might notice an unusual smell from the ear secretions. Systemic symptoms such as fever and chills are less common, with the primary symptoms being localized, mainly consisting of ear pain, reduced hearing, and discharge.

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Written by Xu Qing Tian
Otolaryngology
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Symptoms of Otitis Media Recovery

Otitis media is a common and frequently occurring disease in otolaryngology, which is divided into various types such as acute otitis media, chronic otitis media, and cholesteatoma otitis media. Acute otitis media is often seen in cases of colds or coughs. Patients primarily present with pain and pus discharge from the middle ear. Treatment under the guidance of a physician may include the use of antibiotics and corticosteroids. Additionally, during a cold, it is advisable to avoid forceful nose blowing to prevent retrograde infection to the middle ear. For patients with chronic cholesteatoma otitis media, treatment usually requires radical mastoidectomy to remove the lesion and granulation tissue in the middle ear, thereby restoring the normal physiological environment of the middle ear. Repairing the perforated eardrum can also achieve a cure.

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Written by Deng Bang Yu
Otolaryngology
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What ointment is used for otitis media?

Clinically, otitis media primarily refers to the acute and chronic infections of the middle ear caused by various reasons, mainly acute infectious inflammation of the middle ear. The treatment of otitis media primarily involves the local and systemic use of anti-infection drugs, such as local use of ofloxacin ear drops, and systemic treatment with cephalosporin antibiotics. Ointments are generally not used for treatment. Ointments are difficult to apply to the external ear canal; once an ointment enters the external ear canal, it can block it. This blockage can prevent the timely expulsion of secretions from the ear canal, potentially exacerbating the inflammation. Currently, ointments are not used in the treatment of otitis media.

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Written by Yao Jun
Otolaryngology - Head and Neck Surgery
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Symptoms of otitis media

Otitis media is an inflammation of the mucous membrane of the tympanic cavity of the middle ear. The inflammation can cause pain, tympanic membrane perforation, pus, etc., and can lead to decreased hearing and a feeling of stuffiness in the ears. These are some of the common symptoms of otitis media. If the inflammation is recurrent and chronic, the pus inside may be yellow, viscous, and foul-smelling, and there may also be some gritty substances. This situation should be considered for the possibility of cholesteatoma otitis media, and it is best to check with a CT scan. If it is a frequently inflamed, chronic type of otitis media, it might be bone ulcerative otitis media or cholesteatoma otitis media, which requires surgical treatment. When washing hair, avoid getting water into the ears and refrain from consuming spicy and irritating foods.