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- $Unique_ID{BRK00046}
- $Pretitle{}
- $Title{What is Otitis Media?}
- $Subject{otitis media allergy allergies middle ear ears Sense Senses Bacterial
- Bacteria Bacterium infection infections eustachian tube effusion allergens
- allergen allergic rhinitis virus viruses viral cromolyn tympanostomy tubes
- auditory}
- $Volume{F-21}
- $Log{}
-
- Copyright (c) 1991-92,1993 Tribune Media Services, Inc.
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-
- What is Otitis Media?
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-
- QUESTION: I know there can be many forms of infections to the ears. My
- youngster was recently found to have a form called "Otitis Media". What is
- otitis media and how did he get it?
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-
- ANSWER: Otitis media is any inflammation of the middle ear. Bacterial
- infection of the upper respiratory tract is the most common cause of otitis
- media, which is frequently associated with obstruction of the eustachian tube
- (the canal between the middle ear and the area above the soft palate). The
- eustachian tube is responsible for maintaining proper pressure in the middle
- ear, and obstruction of the tube can result in negative middle ear pressure
- and/or effusion (escape of fluid).
- With the discovery that frequent reexposure to an allergen can cause
- inflammation that leads to eustachian tube obstruction for extended periods of
- time, allergic rhinitis has been implicated in otitis media as well. The role
- of viruses is unclear because they are extremely difficult to culture.
- The condition occurs most frequently in children aged one to four years.
- The incidence decreases gradually through ages six and seven, and it drops
- abruptly after age ten. However, it can occur at any age.
- In cases where the otitis media is accompanied by fluid forming in the
- middle ear, antihistamine-decongestant therapy may be effective, but results
- of various studies about this yield differing results. Because bacteria are
- found in most cases, antibiotics are the mainstay of therapy. In those
- patients who don't respond readily to antihistamine-decongestant therapy or
- antibiotics, other treatment options include corticosteroids, cromolyn, or the
- insertion of a tympanostomy tube (a small tube inserted through the membrane
- that separates the middle ear from the outer ear canal) to permit drainage of
- the middle ear.
-
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-
- The material contained here is "FOR INFORMATION ONLY" and should not replace
- the counsel and advice of your personal physician. Promptly consulting your
- doctor is the best path to a quick and successful resolution of any medical
- problem.
-