In detail

Acute otitis media

Acute otitis media

Question:

- My baby, 1 year old and 5 months old, was diagnosed with SERIOUS BILATERAL ACUTE OTITA in November, following treatment, he was treated with tympanotomy 3 times, the fourth time he was put in the room to make bigger holes in the eardrum. pt. to drain the pus and remove its vegetation ... since then he has done twice more otitis. At the moment we are doing a treatment with Rybomunil, something else I can do to increase his immunity and not to stop otitis ... I look forward to hearing other opinions ... Thanks, Gabriela

Answer:

Acute otitis media is an acute inflammation of the middle ear. Two clinical forms are described: catarrhal (serous) and suppurated.

Acute otitis media is an acute inflammation of the middle ear. Two clinical forms are described: catarrhal (serous) and suppurated.
It is a fairly common disease during childhood, mainly due to the fact that in children Eustachio's tuba (the communication between the ear and the nasopharynx) is short, horizontal and has a large diameter, favoring the easy transmission of infections from the kidney to the middle ear.
Factors favoring otitis media are:

  • allergic rhinitis, acute or chronic adenoiditis (polyps), acute or chronic rhinopharyngitis, acute or chronic sinusitis
  • Rhino-pharyngeal scars, vico-palatal clefts, paralysis of the palatal wave
  • Rhino-pharyngeal tumors, deviations of sept
  • infectious diseases
  • general disorders associated with immunodepression.
    There are also risk factors for the occurrence of average otitis in children:
  • male sex
  • attending a community (nursery, kindergarten)
  • absence of natural nutrition
  • passive exposure to cigarette smoke
  • brothers with recurrent otitis
  • the status of a nasopharyngeal pneumococcal carrier
    The disease usually starts during a rhinopharyngeal infection of viral etiology; when the etiology is bacterial most commonly involved is Streptococcus pneumoniae.
    Clinically, fever usually occurs, otalgia (ear pain, which manifests in infants through agitation, screams, refusal of feeding), diminished hearing (related by the older child).
    The treatment includes:
  • local treatment: drainage of pus from the eardrum (tympanocentesis, tympanostomy)
  • administration of antibiotics
  • symptomatic treatment with: analgesics, atypyretics, local heat.
    The prevention of recurrence of otitis is done by detecting and eliminating all the favoring factors: adenoid vegetation, deviations of sept, benign tumors, the correct treatment of the rhinos-pharyngitis, rhino-sinusitis, detection and treatment of diseases that associate immunosuppression.
    Alina Pop-Began
    - Resident doctor - Anesthesia and Intensive Care-
    Specialist details
  • Tags Otita children