What ear drops are used for otitis media?

Written by Deng Bang Yu
Otolaryngology
Updated on September 16, 2024
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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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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.)

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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 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 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 Deng Bang Yu
Otolaryngology
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How to treat granulation in otitis media?

Granulation tissue proliferation in otitis media indicates an active phase of inflammation. In clinical treatment, the first approach is medication, mainly using antibiotics and hormones, with both local and systemic applications of these drugs concurrently. Treatment usually lasts about two weeks. Generally, most granulations in otitis media are relatively small and can gradually shrink or even completely disappear with such medication. For granulations that fill the middle ear and tympanic cavity, if they cannot be reduced or controlled effectively through medication, then surgical intervention is necessary to remove the granulations in the middle ear cavity and thus treat the otitis media.