Does otitis media require hospitalization?

Written by Deng Bang Yu
Otolaryngology
Updated on September 14, 2024
00:00
00:00

Otitis media refers to the acute or chronic inflammatory disease of our middle ear, mainly caused by bacterial infection. For otitis media, whether it is acute or chronic, hospitalization is rarely considered. The vast majority of treatments do not require hospitalization; treatment typically involves outpatient anti-infection therapy. However, if complications arise in otitis media, such as tympanic membrane perforation, disruption of the ossicular chain in the middle ear, granulation in the mastoid cavity, or cholesteatoma, then hospitalization and surgical treatment are considered. The purpose of surgery is mainly to repair structures and clear pathological tissues. In summary, for otitis media, hospitalization for surgical treatment is considered only when necessary; otherwise, inpatient treatment is not required for medical treatment.

Other Voices

doctor image
home-news-image
Written by Yao Jun
Otolaryngology - Head and Neck Surgery
57sec home-news-image

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.

doctor image
home-news-image
Written by Deng Bang Yu
Otolaryngology
48sec home-news-image

Is otitis media easy to treat?

Clinically, otitis media is a common and frequently occurring disease, primarily referring to acute and chronic inflammation of the eardrum, tympanic cavity, and mastoid antrum. Its clinical treatment mainly involves two aspects: surgical treatment and medication. Generally, during the acute phase of the disease, medication is the main treatment, primarily using antibiotics to control the infection. Surgical treatment is mainly aimed at chronic otitis media, secretory otitis media, or cholesteatoma otitis media, involving the removal of lesions and repair of structures. Overall, the treatment for otitis media is generally effective and yields good results. The key is to detect and treat it early without delay.

doctor image
home-news-image
Written by Deng Bang Yu
Otolaryngology
40sec home-news-image

How to treat otitis media with effusion?

Otorrhea in otitis media suggests that it may be acute purulent otitis media. This fluid could be mucopurulent or purulent secretion, primarily considered to be caused by bacterial infection. Clinically, we mainly focus on anti-infection treatment. Locally, antibiotic ear drops like ofloxacin ear drops can be used. Systemically, oral antibiotics such as cephalosporins are utilized among others. Additionally, in cases of otorrhea, we need to rule out cerebrospinal fluid leakage caused by otitis media, which results in drainage through the external auditory canal. This requires a CT scan for verification.

doctor image
home-news-image
Written by Li Rui
Otolaryngology
50sec home-news-image

What should I do if I have inflammation of otitis media?

Otitis media is a relatively common ENT disease. After the onset, it is necessary to visit an ENT department, where routine blood tests and otoscopic examinations can be conducted to determine the extent and type of inflammation. Most patients may consider conservative medical treatment, commonly using oral medications and ear drops. During the treatment process, regular follow-ups are required to observe the effects of the treatment. However, for some patients with severe conditions where conservative medical treatment is ineffective, surgical intervention may be considered. Post-surgery, regular follow-ups are also needed to monitor the recovery. Overall, with timely treatment, the condition can be well-controlled. (Please use medications under the guidance of a professional physician.)

doctor image
home-news-image
Written by Deng Bang Yu
Otolaryngology
50sec home-news-image

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.