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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How to relieve pain from acute otitis media?

Acute otitis media commonly leads to pain, and it can also cause feelings of ear blockage, decreased hearing, and secretions in the ear canal. If the pain is significant, it is primarily considered to be caused by acute infection and inflammation. Initial treatment involves timely anti-infection therapy, predominantly with antibiotics, taken orally. If the inflammation is severe, infusion therapy may be necessary, and ear drops can also be considered. If, after anti-infection treatment, the pain still hasn't significantly relieved, painkillers can be considered. Generally, the treatment period is about a week, and regular follow-up checks with an otoscope and maintaining dryness in the outer ear canal are necessary. (Medications should be used under the guidance of a doctor based on specific conditions.)

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How to drain fluid from otitis media

Otitis media with effusion refers to the fluid in the tympanic cavity of secretory otitis media. Clinically, the methods for draining or reducing the effusion mainly include the following: First is pharmacological treatment, which primarily involves antibiotics, steroids, and medications that promote the secretion of fluids. This is the pharmaceutical approach to treatment. There is also invasive treatment, which includes procedures such as tympanocentesis, tympanostomy tube placement, and eustachian tube balloon dilation, with the aim of draining or extracting these fluids. Clinically, treatment generally begins with pharmacological approaches, followed by invasive procedures.

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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.

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Written by Li Mao Cai
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Can you swim with otitis media?

Patients with otitis media should not swim, whether it is acute or chronic otitis media. This is because water can enter the ear during swimming. Once dirty water enters the ear, especially in cases of chronic otitis media, it can lead to an acute episode of chronic otitis media. Many patients with chronic otitis media have a perforated eardrum. Without the protection of the eardrum, dirty water can directly enter the middle ear, causing an acute episode of otitis media. This can result in suppuration, ear discharge, and further deep infections, such as infections reaching the deep bone tissue of the mastoid, which requires a long time to treat and might even necessitate surgical intervention. If it is the acute phase of otitis media, the entry of water can irritate the eardrum or cause the pus in the middle ear to worsen, further hindering recovery and exacerbating the condition.

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Does otitis media spread?

Otitis media is a common and frequent disease in the field of otorhinolaryngology, mainly caused by bacterial infections, such as Streptococcus pneumoniae and Staphylococcus aureus. Therefore, otitis media is generally not contagious. In certain situations where families live closely together, it is possible for two children to be sick at the same time; however, this is often related to the living environment or other upper respiratory infections, which does not indicate that otitis media is contagious. On the other hand, some specific infections may be contagious, such as tuberculous otitis media. The secretions from tuberculous otitis media are contagious, so it is important to differentiate between types of otitis media to determine whether they are contagious. Generally, otitis media is not contagious.