How to Treat Inflammation of The Middle Ear ?


The three ossicles that are placed in this order and having the shape which their names suggest are:

  • The external ear canal formed by starting at the orifice of the ear and ends at the eardrum.
  • The inner ear consists of the snail (cochlea), which is the one that has the ability to hear, and by the labyrinth, which is responsible for balance.
  • Between the outer ear and the inner ear is the middle ear.

What is an inflammation of the middle ear?

Inflammation of the middle ear can occur for two reasons:

The first case can be explained by a blockage of the Eustachian tube. The second case is explained by a continuously open eustachian tube.

Altered middle ear ventilation is known by different names:

The middle ear infection called acute otitis media. The middle ear inflammation usually occurs mainly during childhood because the child’s eustachian tube is shorter, is open and is more horizontal than adults, which favors all processes of the back of the nose are in contact with the middle ear. It begins in the first year of life and continues for two to three years to seven years, which is when one begins to decrease significantly to occur only occasionally.

Most of these pictures comes after a cold and often by contact with other children about, especially in the nursery stage. It can also occur for other childhood diseases such as measles .

  • By altering the middle ear ventilation
  • For middle ear infection

How is inflammation of the middle ear?

In the altered middle ear ventilation an obstruction of the Eustachian tube due to respiratory diseases of the nose and inflammation of the vegetation that produces a lot of mucus and inflammation of the nose . It can also occur for nasal polyps and deviated septum . Other diseases that can cause impaired middle ear ventilation are much less frequent as the processes tumor and malformations of the face and skull.

In the middle ear infection there is a malfunction of the Eustachian tube that allows germs and cells of the body’s defenses (white blood cells) falling within the middle ear and produce an infection with pus formation inside the ear.

What are the symptoms of middle ear inflammation?

Most importantly, the pain is usually particularly intense. You may have fever, malaise found the child, have some hearing loss and if the eardrum is opened, appears forage or discharge from the external ear canal that falls out of the ear and can stain the pillow. Other symptoms that occur less frequently may be an inflammation of the back of the ear, ear noise and dizziness. The language disturbance may occur when deafness is important and held for a long time.

How is it diagnosed?

The diagnosis of middle ear inflammation is one of the easiest to do. It takes knowing the symptoms stated above and looking through the external ear canal with a device called an otoscope to see the eardrum. According as the eardrum can find the evolution of inflammation and severity of the case.

We can also explain the operation of the tympanic cavity by a tympanogram, to be held in cases of poor ventilation of the middle ear. Audiometry, which is how to measure the ability of the sense of hearing, is made for the amount of hearing loss has occurred.

Does this type of ear infection is cured completely?

Generally, if the treatment is successful, the symptoms disappear and the ear is fully restored. The pain is removed immediately, gave the fever and discomfort, recovers the ability to hear and stop soiling the child’s pillow. The acute outbreak control is very good, the problem may exist when repeated these severe attacks, then you should see a specialist to fix the cause of the repetition of these otitis.

What complications can occur?

Complications usually occur in middle ear infections. In developed countries these complications have greatly diminished due to the use of antibiotics. The alarm is given by a worsening of the discomfort, increased ear pain that is severe, headache , vertigo, facial paralysis and deafness.

Major complications include mastoiditis and meningitis .

Mastoiditis is the most common complication. It occurs more in children than in adults. It is an inflammation of the part that is located behind the ear makes the ear itself detach and forward. It is an accumulation of pus in the area comes from the middle ear. Drug treatment should be intense and intravenous. Surgical treatment is indicated when there are signs that the infection is affecting the brain or no facial paralysis.

Meningitis also occurs more in children than in adults. It is an inflammation of the lining of the brain due to the same middle ear inflammation. The presenting symptoms are fever, stiff neck, unable to move his neck, headache, vomiting . You have to perform a spinal puncture in the waist for liquid and thus to make the diagnosis.

Treatment is with intravenous heavy medications and surgery is performed to remove the focus of pus that caused the meningitis.

Can sequelae of middle ear inflammation?

For alteration of the middle ear ventilation if the picture occurs repeatedly, fibrosis may occur within the middle ear and cause the eardrum retraction into the ear. Adhesion occurs on the eardrum of the middle ear structures (the three ossicles that are inside). This makes hearing worse and sometimes this earache. This sequel is known as adhesive otitis.

Both in the case of disturbance of the middle ear ventilation and in the middle ear infection may occur due to the repetition of the process, an accumulation of fibers, a reservoir of calcium and bone erosions in a middle ear. These make it become a rigid structure that is where the ossicles in the middle ear can not move, producing a higher degree of deafness.

There may occur a chronic inflammation of the middle ear (chronic otitis media) where a perforated eardrum, ear suppuration continuous and deafness. When this state is reached, drug treatments only resolve the infection while acting, when you stop taking the medicine becomes the ear to drain in most cases. Surgical treatment serve to perform cleanup and eliminate middle ear infection.

How is the middle ear infection?

When the cause has been impaired ventilation, proceeds to restore the ventilation of the middle ear through the eustachian tube through medicines. Drugs include antibiotics, decongestants, antihistamines, corticosteroids, nasal, and if necessary, a specific treatment against allergy  . If problems of alteration of the middle ear ventilation persist over three months treatment with medicines, it is advisable to pass surgical treatment.

Surgical treatment of impaired middle ear ventilation involves removing mucus accumulation in the middle ear making a small cut to aspirate eardrum therethrough mucus containing whole. Sometimes it is also necessary to leave a small plastic tube in the eardrum same for ventilation of the middle ear through, and that has failed its natural ventilation through the eustachian tube. The tubes are placed in the eardrum usually leave several months and in some cases are left running for a couple of years.

Another treatment is performed surgical removal of the adenoids (adenoidectomy). The vegetations are located on the back of the nose, and in most cases the Eustachian tube blocks either directly, or by producing large amounts of mucus. Many cases improve when performing this operation. It is usually done in conjunction with the previous operation.

When both treatment modalities have failed, surgery is recommended that ear is open, clean and, if possible, to eliminate the disease reconstruct and restore the ability to hear.

In case the inflammation of the middle ear or by infection, treat with antibiotics taken by mouth. If the picture does not improve, you have to make a puncture the eardrum to evacuate the pus, the pain goes away and you get a sample of pus for culture and know that antibiotics must be used.

If the table continues to be repeated treatment with antibiotics, decongestants, antihistamines and nasal steroids. Those children with middle ear infection and again may be given preventive antibiotics during the winter or spring. If children continue with the problems of infection would proceed to surgery, removing vegetation and placing ventilation tubes in the eardrum.

Can you do something to prevent inflammation of the middle ear?

Avoid smoking in the home, as the smoke of snuff increases the risk in children.

Mothers should avoid giving the infants chest when lying horizontally, as the food can enter more easily into the middle ear for the situation of the Eustachian tube in infants.

If your child has had ear pain every time you have a cold, you should see a specialist.

Dr. Robert Mills , a specialist in Otolaryngology