Treatment Of Chronic Otitis Media

  Treatment Of Chronic Otitis Media -various aspects-

Before understanding Treatment Of Chronic Otitis Media it is necessary to go through a brief introduction of Chronic otitis media.    Introduction of Chronic otitis media- It is a suppurative perforation of the tympanic membrane that lasts longer than six weeks and is consistently draining. The symptoms include conductivity-induced hearing loss and otorrhea without discomfort. Complications include the development of cholesteatoma, infections, and auditory polyps. The granulation tissue must be carefully removed, the ear canal must be completely cleaned numerous times daily, and topical corticosteroids and antibiotics must be used. Only the most serious conditions necessitate surgery and systemic antibiotics.

Treatment Of Chronic Otitis Media
Treatment Of Chronic Otitis Media

Persistent otitis media in relation to Treatment Of Chronic Otitis Media-

Chronic otitis media can be brought on by acute otitis media, eustachian tube obstruction, mechanical trauma, thermal or chemical burns, blast injuries, or iatrogenic causes. Chronic Otitis, such as following the insertion of a tympanostomy tube. Patients who have craniofacial defects such DiGeorge syndrome, Velocardiofacial syndrome, Shprintzen syndrome, or Shprintzen-Goldberg syndrome are also more vulnerable. Examples include cleft lip and/or palate, 22q11.2 deletion, Down syndrome, and cri du chat syndrome.

Although viruses are the most common cause of otitis media in children, bacteria also frequently affect those children who have chronic suppurative otitis media. The normal aetiology is polymicrobial. Understanding eitiology is necessary as a part of Treatment Of Chronic Otitis Media .The most common bacterium found in this condition (MRSA) is Staphylococcus aureus. Pseudomonas aeruginosa, Proteus species, Klebsiella species, Bacteroides species, and Fusobacterium species are additional infections that can cause the illness. Less frequently, but more frequently, Aspergillus and Candida species are found in immunocompromised individuals. [4] Chronic otitis media as a result of tuberculosis is more typical in areas with a high tuberculosis incidence.

Chronic otitis media is a persistent inflammation of the middle ear that is characterized by the presence of fluid behind the eardrum, recurrent ear infections, and hearing loss. It is a common condition that affects both children and adults, and if left untreated, can lead to complications such as meningitis, brain abscess, and permanent hearing loss. Treatment options for chronic otitis media vary depending on the severity of the condition, the presence of complications, and the underlying cause of the inflammation. In this article, we will discuss the Treatment Of Chronic Otitis Media in detail .
1. Antibiotics as a part of Treatment Of Chronic Otitis Media-
The first line of treatment for chronic otitis media is antibiotic therapy. Antibiotics are medications that are used to kill the bacteria that cause the inflammation and infection of the middle ear. The choice of antibiotic depends on the type of bacteria involved, and may include amoxicillin, azithromycin, or clarithromycin. The duration of antibiotic therapy varies depending on the severity of the infection, but is typically between 7 to 14 days. It is important to complete the full course of antibiotics to prevent the development of antibiotic-resistant strains of bacteria.
2. Ear Drops as a part of Treatment Of Chronic Otitis Media-
In addition to oral antibiotics, topical ear drops may be recommended to treat chronic otitis media. Ear drops are medications that are applied directly into the ear canal to reduce inflammation and infection. These ear drops may contain antibiotics, steroids, or a combination of both. Examples of commonly used ear drops include ciprofloxacin and ofloxacin. In some cases, ear drops may be combined with oral antibiotics for more effective treatment.
3. Surgery as a part of Treatment Of Chronic Otitis Media-
If chronic otitis media does not respond to antibiotics and ear drops, surgery may be necessary. The type of surgery depends on the severity of the condition, the presence of complications, and the underlying cause of the inflammation. The most common surgical procedure for chronic otitis media is a tympanoplasty- for details of Tympanoplasty surgery pl click on the link given below


This surgery involves the repair of the eardrum and middle ear structures. Other surgical procedures may include a mastoidectomy, which involves the removal of infected tissue in the mastoid bone, or a stapedectomy, which involves the removal of the stapes bone to treat hearing loss. A myringotomy, a small hole made in the eardrum to drain fluid, may also be necessary.

4. Hearing Aids

as a part of Treatment Of Chronic Otitis Media-
Chronic otitis media can lead to hearing loss, and in some cases, hearing aids may be recommended to improve hearing. The use of hearing aids can help to amplify sounds and improve speech perception. Hearing aids may be recommended for both children and adults with chronic otitis media.

5. Vestibular Rehabilitation

as a part of Treatment Of Chronic Otitis Media-
Chronic otitis media can also affect the vestibular system, which is responsible for maintaining balance and spatial orientation. Vestibular rehabilitation involves a series of exercises to retrain the brain and improve balance and coordination. Vestibular rehabilitation may be recommended for patients with chronic otitis media who experience dizziness or imbalance.

6. Prevention versus

Treatment Of Chronic Otitis Media-
Prevention is the best treatment for chronic otitis media. To prevent the development of chronic otitis media, it is important to practice good hygiene, avoid exposure to cigarette smoke and other pollutants, and receive timely treatment for ear infections. Adults and children who are prone to recurrent ear infections should also receive the pneumococcal vaccine, which can help to prevent the development of bacteria that cause ear infections.
In conclusion, chronic otitis media is a common condition that can lead to complications if left untreated. Treatment Of Chronic Otitis Media- includes antibiotics, ear drops, surgery, hearing aids, vestibular rehabilitation, and prevention. If you or a loved one is experiencing symptoms of chronic otitis media, it is important to seek medical attention for prompt treatment and the prevention of complications.

Chronic suppurative otitis media (CSOM), which is typified by recurring or prolonged acute otitis media episodes lasting longer than 12 weeks, can damage and perforate the tympanic membrane (TM), which will not heal. CSOM is the most common infectious disease that affects kids worldwide. Risk factors include having Native American, Native Alaskan, or Aboriginal Australian ancestry, poor nutrition, unsanitary living circumstances, family history, low birth weight, cranial abnormalities, and upper respiratory infections. Hearing loss and otorrhoea that enters the external ear canal through the TM perforation are symptoms of CSOM. Even though the average hearing loss is just 10 to 20 dB, there is a chance that it could get worse with severe perforations. Ossicular chain deterioration, which can have a more profound effect on the audiology, can also occur in other circumstances. (50 to 70dB). In these situations, it’s crucial to rule out the possibility of cholesteatoma. Tympanic membrane perforations are possible in the pars tensa as well as the pars flaccida. (albeit the former is overwhelmingly more prevalent). The hole can alternatively be categorised as marginal, central, moist, or dry depending on where it is in respect to the annulus. (respectively, chronic otorrhoea or no otorrhoea in progress).

A subtype of the illness is called CSOM with cholesteatoma. Tympanoplasty and mastoid surgery are necessary for cholesteotoma-as a part of Treatment Of Chronic Otitis Media- The most common cause of middle ear cholesteatomas is an acquired illness condition. They are comprised of a sac of squamous epithelium, which originates at the pars falccida of the TM and frequently grows in the attic. These sacs may protrude from the TM, causing bone to erode and ossicular chains to disintegrate.The same CSOM symptoms and signs, such as foul-smelling otorrhoea, hearing loss, TM perforation, and attic retraction, can also be present with cholesteroleatoma.

A perforated TM is surgically repaired with a tympanoplasty in an effort to prevent reinfection and restore hearing, with or without repairing the ossicles (ossiculoplasty). Although CSOM is the most common indication, mastoidectomy with TM reconstruction may be required in cases of extensive, invasive cholesteatomas. Wullstein and Zollner, who popularised the use of overlay grafts to patch perforated TMs and restore the middle ear’s sound-conduction mechanism, performed the first tympanoplasty treatments in the 1950s as a part of Treatment Of Chronic Otitis Media .Since then, tympanoplasty surgical methods have changed, as this page explains.

If any patient requires treatment for chronic otitis media, he may consult ENT specialist doctor Dr Sagar Rajkuwar (MS-ENT) at the following adress-

Prabha ENT clinic, plot no 345,Saigram colony, opposite Indoline furniture, Ambad link road ,Ambad ,1 km from Pathardi phata Nashik 422010 ,Maharashtra ,India-Dr Sagar Rajkuwar (MS-ENT), Cel no- 7387590194,9892596635

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