Does otitis media require hospitalization?

Written by Deng Bang Yu
Otolaryngology
Updated on September 14, 2024
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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 Cheng Fu Wei
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What are the symptoms of otitis media?

Otitis media comes in several types, with most cases of acute otitis media involving ear pain, typically throbbing or stabbing pain, followed by decreased hearing, or tinnitus. There may also be ear discharge or pus; using a cotton swab, one might notice an unusual smell from the ear secretions. Systemic symptoms such as fever and chills are less common, with the primary symptoms being localized, mainly consisting of ear pain, reduced hearing, and discharge.

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Written by Deng Bang Yu
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What should I do if otitis media causes a fever?

Otitis media is an acute infectious inflammation of the ear, which can also be chronic. Fever indicates that the otitis media is an acute inflammation, and the presence of fever, indicating an increase in body temperature, suggests that the inflammation is relatively intense and severe. Therefore, it is mainly necessary to provide enhanced anti-infection treatment. Otitis media is primarily a bacterial infection, so the main treatment is the use of cephalosporin antibiotics. Generally, when there is a fever, blood can be drawn to check a complete blood count to see the level of white blood cells, indicating the degree of infection. Clinically, infusion anti-infection treatment is generally provided, mainly using cephalosporin antibiotics. If the pain is significant and the temperature is high, corticosteroids can also be used for combined treatment.

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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 Li Rui
Otolaryngology
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Can you drink alcohol with otitis media?

Otitis media should not be accompanied by alcohol consumption. There are various types of otitis media, the more common ones being secretory otitis media, acute otitis media, purulent otitis media, and cholesteatoma-type otitis media, generally categorized as inflammatory reactions of the middle ear diseases. Drinking alcohol can potentially exacerbate the inflammatory response. Furthermore, if alcohol is consumed during treatment, it may lead to poor therapeutic effects and potentially harmful interactions with the medications being used, severely endangering health. For example, drinking alcohol while using cephalosporins may trigger a disulfiram-like reaction, which can be severe and potentially life-threatening. Therefore, during otitis media, it is advised not to drink alcohol and to keep the external auditory canal dry and free from water.

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Written by Deng Bang Yu
Otolaryngology
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How to treat otitis media with effusion?

Otorrhea in otitis media suggests that it may be acute purulent otitis media. This fluid could be mucopurulent or purulent secretion, primarily considered to be caused by bacterial infection. Clinically, we mainly focus on anti-infection treatment. Locally, antibiotic ear drops like ofloxacin ear drops can be used. Systemically, oral antibiotics such as cephalosporins are utilized among others. Additionally, in cases of otorrhea, we need to rule out cerebrospinal fluid leakage caused by otitis media, which results in drainage through the external auditory canal. This requires a CT scan for verification.