Inflammation of the middle ear


  • Otitis
  • Causes of otitis
  • The manifestation of otitis
  • Treatment for otitis
  • The prognosis of otitis

  • Otitis

    Inflammation of the middle ear (otitis media), frequent infections, especially in children.

    Depending on the duration of acute otitis media are talking about (up to 3 weeks)
    subacute (from 3 weeks to 3 months), or chronic (over three months)
    otitis. Also, distinguish purulent (if purulent
    in the ear) and purulent otitis media.

    Causes of otitis

    Inflammation of the middle ear
    Two factors are responsible for the development of the disease: impaired function
    Eustachian tube and the presence of infection (virus and / or bacteria) average
    ear. Auditory (Eustachian) tube serves to equalize the pressure
    tympanic cavity and atmospheric. Due to the movement of the cilia,
    located in the auditory tube, mucus moves in the direction from
    the middle ear to the nasopharynx.

    By the blockage of the auditory tube can lead
    mucosal edema (allergic or due to infections of the upper
    respiratory tract), foreign body, tumor or adenoids. As a result,
    blockage of the auditory tube in the tympanic cavity develops negative
    pressure. This leads to penetration of mucus and bacteria from the nasopharynx to
    middle ear. Other causes of otitis factors include trauma,
    immunoglobulin deficiency, and perhaps genetic

    Manifestations of otitis

    The classic symptoms of acute suppurative otitis media are acute
    onset (within several hours), one-sided earache,
    fever and a runny nose. In infants, symptoms of otitis media may be
    anxiety, irritability, and stretching of the affected ear. Children
    older may complain of a sore throat and feeling
    congestion and pressure in the ear. Less frequently observed dizziness,
    drowsiness, headache, loss of appetite, nausea, vomiting, diarrhea.
    Approximately 70 - 80% of cases of otitis media infection precedes
    upper respiratory tract.

    Treatment for otitis

    For the treatment of acute suppurative otitis media is used
    antibiotics (amoxicillin, amoxiclav, cefaclor, cefixime, erythromycin
    et al.) at doses of age.

    Since in most cases
    acute otitis media pathogen is not defined, the drugs of choice are
    antibiotics act on microorganisms most likely to cause
    disease. These preparations are listed above.

    For most
    patients the drug of choice is amoxicillin tablets (for children -
    syrup) which is effective against major pathogens
    the relatively low incidence of adverse reactions (rash and diarrhea) and
    It has a relatively small cost. In the presence of the patient
    allergy to amoxicillin, erythromycin is recommended.

    antibacterial therapy for acute otitis media is usually 10 days.
    When unsatisfactory response to treatment can be carried out
    additional course, but in most cases this is not

    In addition to antibiotics in acute otitis prescribed allergy medications (suprastin, Claritin, tavegil).

    The prognosis of otitis

    Most children relapse otitis completely disappear upon reaching
    adulthood. In rare cases, however, develop chronic
    otitis. In adults, the disease is more difficult.
    Intracranial (eg, meningitis) and extracranial (eg labyrinthitis
    hearing loss or chronic) complications are rare.

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