Login      Sign Up

Acute Otitis Media in Children

Author: Dr. Mohammed Osama Aboborda - Ear health
Last reviewed at: 07.Sep.2018  

11

Abstract:

This article talks about the management of acute otitis media in children.
Image: Acute Otitis Media in Children

Otitis media means inflammation of the middle ear cavity with or without mastoid cavity inflammation. Otitis media can be bacterial or viral.

The middle ear is a cavity connected to the oropharynx by the eustachian tube and connected with the mastoid cavity by the mastoid antrum.

Otitis media is more common in children than in adults because the eustachian tube is shorter and more horizontal than in adults. These anatomical features cause the infection to be delivered more easily from the oropharynx to the middle ear cavity.

In children over 3 years, the diagnosis is easy as the child can talk and describe the illness and also detect the diseased ear. Also, endoscopic ear examination is possible which reveals middle ear inflammation. But, in children below 3 years, the diagnosis is difficult as the child cannot describe the illness. The child just cries loudly and sometimes hits his diseased ear with his palm.

In children below 3 years, otitis media can be missed by the physician and the sickness may be misdiagnosed as gastroenteritis because otitis media in this age presents with fever, vomiting, and diarrhea. Here, the endoscopic ear examination is helpful to confirm middle ear infection.

Treatment

The treatment of acute otitis media in children is classified according to the stage of the disease whether it is before suppuration or after suppuration. Suppuration is the collection of pus behind the eardrum.

Before suppuration, the treatment is antibiotics, mucolytics, vasoconstrictor nasal drops, and analgesics. After suppuration, the treatment is mainly surgical. Myringotomy is mandatory to drain the collected pus from behind the eardrum and a prophylactic treatment is prescribed.

In the case of recurrent acute otitis media, surgical causes should be excluded such as enlarged adenoid tissue. Ventilation tubes can be introduced through the eardrum for adequate middle ear ventilation.

For more information consult a ear infections specialist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist/ear-infections


RATING

11
 


Ask your health query to a doctor online?
 
* guaranteed answer within 4 hours.
 

Related Questions & Answers


Homeopathic Management of Acute Otitis Media

Article Overview: Acute otitis media (AOM) is a condition, which is frequently encountered in children under 5 years and one of the most troublesome disease. This article discusses the causes, incidence, risk factors, symptoms, prevention of the disease and role of homeopathy in combating the disease.
Dr. Ashish Kumar Dixit
Homeopathic Physician

Acute otitis media (AOM) is the presence of inflammation in the middle ear accompanied by the rapid onset of signs and symptoms of an ear infection. Causes: Frequently it occurs in infants and children. The most common causative organisms are Streptococcus pneumonia, Hemophilus influenza, Mor ...  Read Full »
 
Query: Hello doctor, I am not fat, but my body gets really warm sometimes especially when I sleep, which makes me uncomfortable. So, what might be the reason?Secondly, I get pain near my left ear when I open my mouth. Three weeks ago, the pain went after four days (it started and ended when I woke up afte...
Dr. Penchala Prasad Kandikattu
Internal Medicine Physician

Answer: Hello, Welcome to icliniq.com. Are you suffering from an allergy? If the ear pain is arising during the opening of the mouth at ear area it may be arising from temporomandibular joint. Middle ear infection or eustachian tube block may also give rise to pain in the ear. But in your history, you di...  Read Full »
 
Query: Hello doctor, I had an otitis media with effusion a year back. Meaning, a bit more than a year ago. My ears never cleared properly. If I move my jaw or even slightly yawn, I hear dramatic crackling sounds from my ears. They do not feel very blocked, and my hearing is fine. However, I do still have ...
Dr. Mehak Agarwal
ENT Otolaryngologist

Answer: Hi, Welcome to icliniq.com. It can be due to eustachian tube block. Did you ever get tympanometry done? If yes can you send me reports, tympanometry is done to check middle ear pressure (which is not maintained in eustachian tube block). Eustachian tube block can be due to allergy or due to si...  Read Full »
 
Query: Hi doctor, I am a 21 year old male, and I have pain in the ear from today afternoon. I do not have any liquid discharge from the ear, but the pain is increasing with passing time. At night, the pain is very intense.I can hear all voices clearly, but my ear is paining a lot. I do not understand the r...
Dr. Priyanka Aggarwal
Audiologist

Answer: Hi, Welcome to icliniq.com. Your ear pain is probably due to a middle ear infection with Eustachian tube blockage. Did you suffer from any nasal congestion or throat infection in the recent past? I suggest taking Paracetamol for pain and follow-up with the required information, so that I can sugg...  Read Full »
 
Query: Hello doctor, Last year, I noticed that my 3 year old's tonsils were very large. I contacted his doctor. But, he could not find anything wrong. I later noticed him yelling or talking loudly and asking me to repeat a lot. So, I had a hearing test done and he failed. They explained that he had a flui...
Dr. Priyanka Aggarwal
Audiologist

Answer: Hello, Welcome to icliniq.com. Your kid has a serous otitis media. The mild conductive hearing loss is due to this. In kids the most common cause is adenotonsillitis. My advice is to get a nasopharynx lateral view X-ray done for adenoids and send me the pictures. Give him an oral decongestant syrup ...  Read Full »
 
Query: Hello Doctor, For the last 3-4 years I have been getting occasional autophony. This usually occurs during physical exercises like running etc., or when in college or when I am with my friends. It is very irritating to listen to my own voice echoing in the ear and also I do hear my own heart beat a...
Dr. Prasun Mishra
ENT Otolaryngologist

Answer: Hello, Welcome to icliniq.com. I read your entire history and understood your problem. Autophony is the unusual hearing of one's own voice and even breathing sounds. You have two issues:- Patulous Eustachian Tube and, OME (Otitis Media with Effusion) which is on and off fluid collection in th...  Read Full »