What is Middle Ear Inflammation, how to prevent and treat it

Otitis media is a condition that can occur in both adults and children. It is worth mentioning that if middle ear infections are not treated promptly, it will lead to many very dangerous complications not only in the ears, but more dangerous than the complications for the brain.

1. Causes of otitis media:

Often due to infections such as nasopharyngitis, sinusitis, tonsillitis, VA …

In addition, it may be due to pressure trauma causing eardrum perforation, tucking the back of the nose for too long, inflammation in the nasopharynx, degeneration of the tail of the lower nose leading to blockage of the Eustachian tubes, or even improper nose blowing. otitis media.

2. Symptoms of otitis media

Ear: in addition to ear pain, ear loss, hearing loss, there is tinnitus, a feeling of heaviness or filtering in the ear.

Body: children often have anorexia, difficulty sleeping, night disturbance, fever (69% of cases), diarrhea, vomiting, stuffy nose, cough, struggling …

3. Differentiate acute and chronic otitis


Usually having more than 3 months of continuous bleeding is called chronic, but this time is not fixed and may have chronic ear infection right after 2nd month.


  • Acute otitis media: there are often generalized symptoms, ear pain, fever, and reduced hearing ability.
  • Chronic otitis media: often painless, no fever but much reduced hearing.


  • Acute otitis media: usually small or no puncture atrial
  • Chronic otitis media: often punctured.

4. Diagnosis and treatment of otitis media


Based on questioning, regular ear exams with a head light (clar lamp), but today endoscopy develops, can be examined at any age, including very small babies, ear endoscopy helps detect congestion , pus accumulation, rupture of pus (and signs of bulging eardrum with the highest specificity 97% – NC in the world)


Internal: KS, KV, analgesic antipyretic, decongestant, nasal wash, ear wash

Surgery: ear and ear canal incision (recurrent acute otitis media: over 3 episodes of acute otitis media in 6 months or more than 4 episodes of acute otitis media in 12 months or hearing loss of more than 20 dB) – surgery bones.

5. Complications of otitis media

Acute otitis media if not treated properly will lead to chronic otitis media and it can be said that chronic otitis media is a long-term complication of acute otitis media, a consequence of acute otitis media. incorrectly treated or treated

Dangerous Complications of Otitis media:

  • Chronic otitis media, with / without cholesteatoma
  • Acute osteomyelitis
  • Atrial inflammation
  • Listing 7 peripheral
  • Intracranial BC (meningitis, brain abscess)
  • Atrial fibrillation, atrial collapse


  • When signs of nasopharyngeal disease, it is necessary to see a doctor for early treatment to prevent spreading to the ear.
  • When there are signs of suspected ear infection (as stated in the symptom section, an endoscopic clinic should be examined for an accurate diagnosis.
  • If acute otitis media is common, it is necessary to find a cause to treat such as VA, tonsillitis, rhinitis, and DD-outside esophagitis
  • Finally, you need good health, a healthy living environment (Proper diet and regular exercise are the most effective preventive measures).
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