Symptoms of Otitis Media Recovery

Written by Xu Qing Tian
Otolaryngology
Updated on December 15, 2024
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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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Does otitis media require hospitalization?

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.

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Written by Deng Bang Yu
Otolaryngology
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Can otitis media cause a fever?

Otitis media is a common and frequent disease in the otolaryngology department, mainly involving the head and neck domains. It primarily arises from bacterial infections leading to both acute and chronic forms of otitis media. While chronic otitis media typically shows no apparent symptoms, acute otitis media often manifests clinically with symptoms such as ear pain, tinnitus, hearing loss, and in severe cases, ear discharge. If the symptoms are severe, the patient may also experience systemic symptoms like fever, chills, general discomfort, and reduced appetite. Thus, fever can indeed be a symptom of otitis media, largely related to the extent of the inflammatory infection. If the inflammation is due to a specific bacterial infection, the symptoms may be relatively more severe. Additionally, if the inflammation spreads to adjacent structures, such as cranial structures, the fever may be more pronounced.

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Written by Xu Qing Tian
Otolaryngology
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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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Written by Deng Bang Yu
Otolaryngology
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Can otitis media be cured?

Otitis media is a common and frequently occurring disease in clinical practice. It is divided into acute otitis media and chronic otitis media, as well as another type known as cholesteatoma otitis media, or middle ear cholesteatoma. Currently, the main treatment for acute otitis media involves anti-infection therapies. For chronic otitis media or middle ear cholesteatoma, the treatment primarily involves surgical methods to remove pathological tissue within the ear and to repair structural damage. Generally speaking, otitis media is treatable. However, some cases of otitis media, due to frequent acute flare-ups, prolonged infiltration, and accompanying structural pathologies, can be relatively tricky to treat. But this does not mean that otitis media cannot be treated or cured.

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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.