How is adhesive otitis media caused?

Adhesive otitis media is a relatively common disease in otolaryngology, with many causes, the more common causes are cold, rhinitis, sinusitis, nasopharyngitis, mainly because of sudden acute bacterial infection, which can be directly infected through the middle ear, or because of the bacterial infection in the nasal cavity, through the eustachian tube into the middle ear, resulting in adhesive otitis media, and it may also be due to nasal surgery or trauma resulting in poor function of the Eustachian tube, Eustachian tube opening atresia or stenosis. Because the Eustachian tube is not functioning well, the secretions cannot be excreted through the normal Eustachian tube, and it may also be because acute otitis media is not effectively controlled, which induces adhesive otitis media.

It is a sequelae of a previous middle ear infection. When suppurative otitis media or secretory otitis media is sufficiently illusory to damage the middle ear mucosa, it can cause fibroblasts in granulation tissue to produce new fibrous tissue or fluid accumulation to organize, a process that can lead to adhesion of the mucosa of the intratympanic wall to the tympanic membrane, or even adhesion of the ossicular chain.

a) Actively prevent and prevent fibrous adhesions. Hypertrophy of the proliferator body or nasal inflammation that interferes with Eustachian tube function should be done as early as possible. In secretory otitis media, eustachian tube blowing, tympanic membrane puncture, or myringotomy should be performed in a timely manner to drain the middle ear effusion, and if necessary, an indwelling ventilation tube can be placed.

In acute purulent otitis media, the dose of antibiotics should be adequate, and the duration of antibiotics should not be less than 5 days after the symptoms have resolved.

2) Surgery**: After the formation of adhesions, it is difficult, and the current surgical effect is not ideal. When surgery is indicated, the adhesion fixation of the tympanic membrane and ossicular chain can be released under the operating microscope, the fibrous atresia of the two windows can be removed, and the air-containing middle ear cavity can be reconstructed.

To prevent re-adhesion, a silica gel or PTFE film can be placed in the tympanic chamber and removed surgically in the second stage.

3) When the ossicular chain is widely fixed, hearing aids can be worn.

Your situation is the dysfunction of the eustachian tube caused by otitis in the middle of the year, ** I can't see clearly, it is estimated that there is an inverted eardrum, adhesion in the inner ear, tinnitus after a cold in the right ear, I don't know if there is fluid accumulation in the examination? According to traditional Chinese medicine, it is rotten; Kidney opening and ear, lack of kidney qi will also affect the function of the ear, I recommend; Finding TCM dialectic** will be of great help to your condition.

Adhesive otitis media is also known as chronic catarrhal or fibrous otitis media. Adhesions are mostly located in the posterior part of the middle tympanic chamber, the tympanic membrane thickens and adheres to the tympanus, the ossicle can be individually or completely adhered around the oval window, and the fibrous tissue embeds the stapes and the long feet of the anvil together on the oval window, and the oval window can be partially or completely closed. Histologic examination of the subepithelial mucosa is a solid fibrous tissue with calcifications or new bone formation, but much less than tympanic sclerosis, and it is difficult to distinguish between the two.

The ossicular bone may also be partially resorbed, and the ossicular chain is broken.

1.The main symptoms are hearing loss and tinnitus.

2.Examination of the tympanic membrane may reveal invagination or atrophy, thickening, scarring, and calcified plaques. In patients with a perforated eardrum, the new eardrum is thin and translucent. On pneumatic otoscopy, the activity of the tympanic membrane is diminished or absent.

3.Hearing examination shows conductive hearing loss, and in severe cases, mixed hearing loss can sometimes occur.

Precautions for otitis media: Otitis media is mostly caused by colds or other upper respiratory tract infections, and keeping children away from infected children will help reduce the risk of ear infections in other areas. If your child has nasal allergies, controlling the condition can also help prevent ear infections.

When choosing a daycare facility for your child, you should check how it handles the sick child.

It is a sequelae of a previous middle ear infection. When suppurative otitis media or secretory otitis media is severe enough to damage the middle ear mucosa, it can cause fibroblasts in granulation tissue to produce new fibrous tissue or fluid accumulation to organize, a process that can lead to adhesion of the mucosa of the tympanic wall to the tympanic membrane, or even adhesion of the ossicular chain.

Adhesive otitis media refers to the formation of fibrosis and adhesions between the sound transmission structures of the middle ear and between them and the tympanic wall caused by various reasons, which causes movement disorders of the sound transmission structure system of the middle ear and leads to conductive hearing loss.

In chronic otitis media with eardrum perforation, especially to prevent unclean water from entering the middle ear through the external ear canal, causing aggravation of inflammation, if necessary, earplugs can be used to plug the ear canal to prevent, if the water enters the ear, you can use a hair dryer to dry, or side jump to make the water flow out, to avoid digging the ear to make it hurt again.

It is still recommended to take Chinese medicine as soon as possible.

1. Speech development disorders.

Otitis media in children and early infants is often overlooked, and hearing loss can lead to delayed language development and slurred speech.

2. Lesions and symptoms.

Some patients may have lesions and corresponding symptoms that affect the function of the eustachian tube, such as nasal polyps, chronic sinusitis, adenoid hypertrophy, congenital cleft palate, etc.

3. Changes in the inside of the ear.

The tympanic membrane is intact, and there may be varying degrees of thickening, and atrophy, opacity, and calcified plaques can also be seen. Due to invagination, the short protrusion of the malleus bone is prominent, the anterior and post-hammer folds are obvious, and the light cone is displaced, deformed or even disappeared.

4. History of otitis media.

Patients have a clear history of pre-otitis media, including secretory otitis media, acute otitis media, and chronic otitis media, and some patients have a history of middle ear surgery.

5. Hearing loss.

Patients with adhesive otitis media usually experience hearing loss after various otitis media reactions, mostly conductive hearing loss, and some mixed hearing loss. The severity can vary from mild cases to obvious communication impairments, and a few can develop total deafness. Some patients may also experience tinnitus and fullness in the ears.

6. Complications.

The purulent inflammation of the middle ear can cause various complications, the infection route is mainly direct erosion and destruction of bone, the vast majority of which is caused by the acute attack of chronic cholesteatoma otitis media, which is more common in young adults in men, and the pathogenic bacteria are proteus, Pseudomonas aeruginosa and hemolytic streptococcus, staphylococcus, pneumococcal mixed infection is common, according to the location of the complications can be divided into extracranial, intratemporal and intracranial 3 categories, extracranial and temporal complications are common subperiosteal abscess behind the ear, labyrinthitis and facial paralysis; Intracranial complications include meningitis, sigmoid sinus thrombophlebitis, brain abscess, etc., among the three types of complications, intracranial complications are the most critical, improper diagnosis and treatment, high mortality, and one of the acute and severe diseases of otolaryngology.

Adhesive otitis media is the growth or scarring of fibrous tissue within the middle ear as a result of previous inflammation of the middle ear. It usually develops in childhood.

Adhesive otitis media, also known as atelectasis media, refers to the formation of fibrosis and adhesion between the sound transmission structures of the middle ear and between them and the tympanic wall caused by various reasons, which causes movement disorders of the sound transmission structure system of the middle ear and leads to conductive hearing loss.