Treatment methods for otitis media with effusion

Written by Deng Bang Yu
Otolaryngology
Updated on September 01, 2024
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Otitis media with effusion mainly refers to a type of secretory otitis media, where there is negative pressure in the middle ear cavity and fluid accumulation occurs. Treatment usually begins with medications, lasting either one to three months or three to six months. Antibiotics, steroids, and medications that facilitate the drainage of the effusion, such as Mucosolvan, may be used. Additionally, medications that constrict the mucosal blood vessels in the nasal cavity can also be used to facilitate the function of the Eustachian tube. If medication does not relieve or cure the condition, invasive treatment methods such as tympanic membrane puncture, tympanotomy, tympanostomy tube insertion, and Eustachian tube balloon dilation can be employed.

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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
50sec home-news-image

Treatment methods for otitis media with effusion

Otitis media with effusion mainly refers to a type of secretory otitis media, where there is negative pressure in the middle ear cavity and fluid accumulation occurs. Treatment usually begins with medications, lasting either one to three months or three to six months. Antibiotics, steroids, and medications that facilitate the drainage of the effusion, such as Mucosolvan, may be used. Additionally, medications that constrict the mucosal blood vessels in the nasal cavity can also be used to facilitate the function of the Eustachian tube. If medication does not relieve or cure the condition, invasive treatment methods such as tympanic membrane puncture, tympanotomy, tympanostomy tube insertion, and Eustachian tube balloon dilation can be employed.

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Written by Xu Qing Tian
Otolaryngology
55sec home-news-image

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 Zhang Jun
Otolaryngology
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Can otitis media heal itself?

Otitis media is difficult to heal on its own because it is caused by an acute bacterial infection that leads to reduced eustachian tube function, resulting in fluid accumulation in the middle ear cavity. Patients will experience sudden high fever, with body temperatures above 38.5°C, severe pain in the ear, and symptoms of hearing loss, tinnitus, and a feeling of ear fullness. Upon examination, the eardrum appears significantly congested and swollen, and a large amount of fluid can be found in the middle ear cavity. In terms of treatment, otitis media initially requires symptomatic anti-inflammatory treatment. Patients can take oral medications such as cefaclor, amoxicillin, and potassium penicillin V tablets. At the same time, the ear should be treated locally with ofloxacin ear drops twice a day, which can reduce local congestion and swelling. During treatment, patients also need to maintain a light diet, avoid vigorously blowing their nose, and prevent water from entering the outer ear canal. Generally, recovery can gradually occur within a week. (The use of medication should be under the guidance of a doctor.)

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Written by Deng Bang Yu
Otolaryngology
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Does otitis media require intravenous therapy?

Otitis media refers to acute or chronic inflammation of the tympanic membrane, tympanic cavity, or mastoid cavity. Whether otitis media requires intravenous (IV) therapy mainly concerns acute suppurative otitis media. Generally, if the symptoms of otitis media are mild, such as ear pain without ear discharge, fever, headache, etc., IV therapy is usually not necessary. If the patient's symptoms are severe, such as intense ear pain, discharge from the ear, or even fever and other systemic symptoms, then IV anti-infection treatment should be considered. It is also common to perform a complete blood count to check the number of white blood cells; a high white blood cell count further supports the need for IV anti-infection treatment.