What should I do if otitis media is causing pus discharge?

Written by Deng Bang Yu
Otolaryngology
Updated on September 02, 2024
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Otitis media refers to various inflammations of the middle ear cavity, primarily bacterial inflammation. These bacteria are mainly Staphylococcus aureus and Streptococcus pneumoniae. Otorrhea in otitis media indicates relatively severe inflammation and the occurrence of a tympanic membrane perforation, allowing the purulent discharge to be expelled from the ear. In addition to indicating severe inflammation of otitis media, it is necessary to use antibiotics to control the infection. This can include topical antibiotic ear drops like compound polymyxin B ear drops and oral cephalosporin antibiotics, as well as intravenous infusion of cephalosporins to treat the infection.

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Written by Xu Qing Tian
Otolaryngology
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What should be paid attention to for otitis media?

Otitis media requires careful attention to avoid water entering the ear and patients digging into their ears, as well as keeping warm to reduce the chances of catching colds and coughing. Otherwise, otitis media may recur and fail to heal. Otitis media is a common disease in otolaryngology and can be divided into several types, including acute otitis media and chronic suppurative otitis media. For acute otitis media, it usually follows a cold or cough, and patients often exhibit clear symptoms of bacterial infection. Treatment typically involves antibiotics and ear drops, and patients' otitis media can usually be cured. The causative factors for chronic suppurative otitis media mainly include infection of the middle ear cavity and cholesteatoma. Treatment often requires a radical mastoidectomy to achieve cure. (Please use medications under the guidance of a doctor.)

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Written by Xu Qing Tian
Otolaryngology
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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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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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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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How is acute otitis media treated?

Acute otitis media is caused by bacterial infection. It is an infectious inflammation of the middle ear chamber, eardrum, or mastoid cavity. Since it is a bacterial infection, the primary treatment choice is anti-infection therapy, specifically the use of antibiotics. Currently, in clinical practice under the guidance of a doctor, cephalosporin antibiotics are mainly used. At the same time, certain antibiotic ear drops should not be used, such as ofloxacin ear drops and lomefloxacin ear drops, especially in cases of acute otitis media with severe symptoms like fever and headache. Based on the condition, we also consider anti-infection treatment through infusion. Infusion refers to the intravenous use of cephalosporin antibiotics, among others. Additionally, some corticosteroids can be used to enhance the anti-infection effects.