How to drain fluid from otitis media

Written by Deng Bang Yu
Otolaryngology
Updated on September 06, 2024
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Otitis media with effusion refers to the fluid in the tympanic cavity of secretory otitis media. Clinically, the methods for draining or reducing the effusion mainly include the following:

First is pharmacological treatment, which primarily involves antibiotics, steroids, and medications that promote the secretion of fluids. This is the pharmaceutical approach to treatment.

There is also invasive treatment, which includes procedures such as tympanocentesis, tympanostomy tube placement, and eustachian tube balloon dilation, with the aim of draining or extracting these fluids.

Clinically, treatment generally begins with pharmacological approaches, followed by invasive procedures.

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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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Does otitis media require intravenous therapy?

Otitis media refers to acute or chronic inflammation of the tympanic membrane, tympanic cavity, or mastoid cavity. Whether otitis media requires intravenous (IV) therapy mainly concerns acute suppurative otitis media. Generally, if the symptoms of otitis media are mild, such as ear pain without ear discharge, fever, headache, etc., IV therapy is usually not necessary. If the patient's symptoms are severe, such as intense ear pain, discharge from the ear, or even fever and other systemic symptoms, then IV anti-infection treatment should be considered. It is also common to perform a complete blood count to check the number of white blood cells; a high white blood cell count further supports the need for IV anti-infection treatment.

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What should I do if I have otitis media?

Otitis media is a common otolaryngological condition that often occurs in patients who frequently swim or clean their ears excessively, as well as those who accumulate cholesteatomas in the external ear canal, leading to otitis media and tympanic membrane perforation. The main pathogens associated with otitis media are typically Streptococcus pyogenes and Staphylococcus aureus. The treatment involves selecting sensitive antibiotics based on throat swab culture and drug sensitivity tests to provide anti-inflammatory symptomatic treatment. If the inflammation is severe and there is formation of cholesteatoma or granulation tissue along with perforation of the tympanic membrane in the external auditory canal, it may be necessary to perform mastoidectomy and tympanoplasty to thoroughly remove the middle ear lesions and achieve healing. (Medication should be used under the guidance of a doctor.)

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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.

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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.