How to treat chronic otitis media

Otitis media is also called ear rot. If our body's resistance is weak, or when bacteria or toxins become stronger, we will easily get infected with inflammation. Otitis media will have a great impact on us. Symptoms of pain will appear inside the ear, especially at night. Sometimes there will also be symptoms of fever, bitter taste in the mouth, and yellow urine. So how to treat chronic otitis media?

Chronic otitis media is a very common ear disease. We all probably had this disease when we were young. The most obvious symptom is that the inside of the ear hurts a lot. Sometimes the pain is so severe that we can't fall asleep. We must get timely treatment. So how do we treat chronic otitis media?

Chronic suppurative otitis media is relatively common among ear diseases. The treatment methods and effective measures should be selected according to different types. Some people mistakenly believe that "ear root" is not a serious disease, and go to the pharmacy to buy ear drops, and think that one drop is treatment. In fact, this view is wrong. If it is not treated properly, it will cause great harm. Conservative treatment should be adopted for simple chronic suppurative otitis media. Conservative treatment should be given first to chronic suppurative otitis media with bone ulcer, and then surgical treatment should be performed if necessary. Chronic suppurative otitis media with cholesteatoma needs to be actively treated with surgery.

Chronic otitis media can be caused by acute otitis media, Eustachian tube obstruction, mechanical trauma, thermal and chemical burns, and blast wave trauma. Based on the type of perforation, it can be divided into two categories: (1) benign central perforation caused by the pars tensa, and (2) more dangerous epitympanic perforation caused by the pars tensa or pars flaccid.

1. Determine the type of otitis media. (1) Simple type: The most common type, usually occurs after an upper respiratory tract infection. The ear discharge is usually intermittent and is mucoid or mucopurulent, and generally does not smell. The amount varies. When the upper respiratory tract is infected, the amount of pus increases, and examination reveals a perforation in the central part of the tympanic membrane. (2) Bone ulcer type: also known as necrotizing type or granuloma type, it is mostly caused by the progression of acute necrotizing otitis media. The tissue destruction is extensive, and the characteristic is that the pus in the ear is mostly continuous, with blood streaks in the pus. (3) Cholesteatoma type, but it is not a true tumor. The amount of pus in the ear is small, and there may be white scales, bean curd-like substances, and a foul odor. Sometimes headaches and significant hearing loss may occur.

2. Ask an otolaryngologist to examine the inside of the ear in detail to distinguish the above types.

3. Actively treat focal diseases of the upper respiratory tract, such as chronic sinusitis and chronic tonsillitis.

4. Drug treatment: The simple type is mainly treated with local medication: antibiotic aqueous solution or a mixture of antibiotics and steroid hormones can be used, such as 0.25% chloramphenicol solution, chloramphenicol cortisone solution, ofloxacin ear drops, etc.

5. Precautions for local medication: ① Before using the medicine, clean the pus in the external auditory canal and middle ear cavity. You can use 3% hydrogen peroxide or boric acid water for cleaning, then wipe it clean with a cotton swab or use an aspirator to absorb the pus before dripping the medicine. ② When the amount of pus is large, use water; when the amount is small, use boric acid alcohol.

6. Ear drop method: The patient sits or lies down with the affected ear facing upwards. Gently pull the auricle backward and upward, and drip 3 to 4 drops of medicine into the external auditory canal. Then press the tragus lightly with your fingers several times to encourage the medicine to flow into the middle ear through the perforation of the eardrum. You can change your position after a few minutes. Note that the ear drops should be as close to body temperature as possible to avoid causing dizziness.

7. Large perforation of the eardrum affects hearing. Tympanoplasty or tympanoplasty can be performed about 2 months after dry ear.

8. For bone ulcer type otitis media with unobstructed drainage, local medication is the main treatment, but regular check-ups should be noted. Patients with poor drainage or suspected complications and cholesteatoma otitis media. Modified radical mastoidectomy or radical mastoidectomy should be performed as soon as possible to completely remove the lesions and prevent complications.

Everyone should know how to treat chronic otitis media. After all, the incidence of otitis media is very high, and it will have many impacts on our physical health. After this disease occurs, we will not be able to bear the ear pain and it will be very painful, especially at night. The pain will be very obvious and must be treated as soon as possible.