What are some common problems with middle ear effusion?

What is a middle ear effusion?

Middle ear effusion, also known as secretory otitis media, is a buildup of mucus or fluid in the tympanic chamber without symptoms of infection.

Effusions usually resolve on their own, so doctors often recommend watching and waiting for the first 3 months. Be sure to follow up to ensure that the fluid is completely gone.

Does it matter time whether the effusion resolves?

If it is not more than 3 months or if it is known to have started (eg, after a cold, ear infection), ear effusion usually disappears quickly. When the effusion has been at least 3 months old or is detected at a regular check-up visit without knowing when it began, the effusion is likely to persist.

Can fluid build-up turn into infection?

Fluid build-up doesn't turn directly into an ear infection, but your child is at increased risk of a middle ear infection during a cold because the fluid makes it easier for bacteria to grow and spread.

How does middle ear effusion affect my child?

The most common symptoms of middle ear effusion are mild malaise, ear fullness, and mild hearing problems. Some children also have trouble sleeping, emotional distress, delayed speech, irritability, clumsiness, balance problems, or learning difficulties at school.

How can parents help their children make the fluid clear?

Keep your child away from secondhand smoke, especially in enclosed spaces, such as cars and living rooms. If your child is still using a pacifier over 12 months, stopping the pacifier during the day will help the fluid build away.

Can medications or other** medications help the effusion go away?

Medications** don't work well, so don't give your child antibiotics, antihistamines, decongestants, steroids (by mouth or nasal), or acid reflux medications. There is no evidence that chiropractic**, special diets, herbal medicines, supplements**, or alternatives to nature are effective.

Can fluid accumulation cause hearing loss?

Effusions can cause hearing loss in children, especially in groups or when there is background noise, but the effects are usually small and usually go away as the effusion subsides.

How can parents help their children listen better?

When you speak, stand or sit close to your child and be sure to let him or her look at your face. If your child doesn't understand, repeat it. Hearing loss can be frustrating for your child, so be patient with your child.

If there is fluid in the middle ear, can my child fly?

If the ear is completely filled with fluid, this is usually fine, but if the middle ear is only partially effluent or mixed with gas, you will have earache when the plane lands. Doctors can measure the amount of fluid in the acoustic impedance, and a flat acoustic impedance tympanogram often indicates that the ear is filled with fluid. It can be helpful to keep your child awake when the plane lands and encourage him or her to swallow to equalize the air pressure inside and outside the middle ear.

If I look like I've recovered, do I need a follow-up visit?

Need. This is because the effusion may still be present and may cause problems later. Long-term ear effusion can damage the ear and require surgery.

At the same time, young children often do not express themselves well. Parents may not be aware that their child is struggling with hearing or other problems related to fluid accumulation. The best way to prevent this is to have follow-up appointments every 3 to 6 months until the effusion resolves.

Acute otitis media in children is mostly caused by upper respiratory tract infection, and middle ear effusion often occurs with acute otitis media. Children with otitis media can cause effusion in the middle ear if the function of the Eustachian tube is not restored in time after the acute phase. So,What to do if there is fluid accumulation in otitis media

Middle ear effusion is mainly caused by obstruction of the Eustachian tube. The eustachian tube is the ventilation tube that connects the middle ear cavity to the nasopharynx. Children between the ages of 2 and 5 years have short, flat Eustachian tubes and large lymphatic tissue at the opening near the nasopharynx that can easily block the Eustachian tubes.

Therefore, as long as there is a cold, acute rhinitis, sinusitis, etc., it is easy to cause acute otitis media.

Studies have found that the vast majority of children with middle ear effusion recover spontaneously, so only a small percentage of children experience middle ear effusion for more than a year. The vast majority of children do not have an episode of otitis media or fluid in the middle ear until they reach adolescence.

In other words, middle ear effusion is just a natural recovery process after acute otitis media. Most do not require any treatment. Within 3 months, the middle ear fluid will automatically absorb and disappear from the body, and there is no need to worry too much about health.

If the child only has fluid in the middle ear and has no other symptoms, it is recommended to follow up first, that is, every 1 month or 1 and a half months, do an otoscopy; During the tracing process, the home environment should be improved, such as avoiding exposure to cigarettes in the environment as much as possible; reduce the use of pacifiers; Do not breastfeed while lying down, breastfeeding, etc.

After 1 and a half months of follow-up, if the middle ear effusion does not improve, antibiotics** and hearing assessment can be considered. If the middle ear effusion persists after 3 months, it is recommended to do a hearing test, and if it is determined that there is no effect on hearing, you can continue to observe or take antibiotics, and cooperate with the improvement of the family environment to help the child.

When your child's hearing is found to be impaired and above 20 decibels, antibiotics** or osteotomy should be done to place a drain**.

1. Take a pig bitter gall, the amount of two dimes of a large niche slice, an appropriate amount of alum, and an appropriate amount of sesame oil.

Production method: first break the bitter gall of the pig, take out the bile, then grind the big ni slices into fine powder, and finally dry the alum and grind it into fine powder. Mix the fine powder of the big ni slices with bile, add the white alum powder and stir it into a flour ear like for rolling noodles, cool and dry, grind finely, sift it, and put it into a bottle for later use.

**Method: Add 5-6 drops of sesame oil to the sake cup, add the medicinal powder, and stir with a matchstick to form a viscous paste. Disinfect with two drops of hydrogen peroxide in the patient's ear hole, and then use a matchstick to dip the paste into the patient's ear for 3-4 drops, 2 times a day, for 4 days.

After a few days, drop it 2 more times, and you can**. Indications for purulent otitis media and general otitis media.

2. External treatment of traditional Chinese medicine. Prescription of red cotton powder: musk, alum, dry rouge, calamine, tablet brain and other precious and authentic medicinal materials.

Indications: anti-itching, analgesic. Indications for deafness, pus, pain, redness, swelling, yellow water. The composition of the drug is to reconcile qi and blood, invigorate qi and restore pulse** otitis media disease, the drug selection is fine, the compatibility is fine, and the effect is very significant.

Fluid accumulation in the ear can cause tinnitus, ear tightness or hearing loss. The so-called effusion in the ear is what is clinically described as a tympanic effusion in the middle ear. Due to the presence of effusion, it will affect the conduction function of the eardrum and ossicular chain to sound, and clinical symptoms such as tinnitus, ear stuffiness and hearing loss will be manifested.

The method of blowing your nose is incorrect.

After a cold, inflammation of the pharynx and nose spreads to the eustachian tube, resulting in middle ear effusion that passes through the nasopharynx and enters the middle ear, causing otitis media.

Foreign body in the ear.

Hello, your symptoms may be acute purulent otitis mediaPurulent otitis media is a purulent inflammation of the mucosa of the middle ear caused by an infection of pathogenic bacteria. The main symptoms are earache, tympanic membrane congestion, perforation, and pus.

Guidance: Recommendations; Positive**, detoxification and swelling, liver cleansing and fire. Use sensitive and effective antibiotic antimicrobial**. Topical hydrogen peroxide can be used to irrigate the ear canal, and chloramphenicol eye drops can be used to reduce inflammation locally. Gentian laxative liver granules can be used orally.

This condition requires timely medical attention, and otitis media will become chronic for a long time, and it will be difficult to treat.

There are generally three ways to go to the hospital to see a doctor: 1. Conservative, that is, to control with drugs to see your own absorption. 2. Puncture**, that is, poke in with a very thin needle to suck out the effusion.

3. Drainage**, that is, after general anesthesia, open an opening on your eardrum and put a ring on the opening, in order to prevent the tympanic membrane from healing automatically, use a tube to drain the fluid from the small hole, and wait for the fluid inside to be completely gone, and then take out the small ring to let the tympanic membrane heal itself. Then, according to your own situation, see if you need to wear hearing aids.

It is advisable to consult a doctor in a timely manner. Just in time.

Effusion in the ear usually occurs in oozing otitis media, which can be acute and chronic. Acute otitis media is often a complication of otitis media caused by upper respiratory tract infection, usually in the case of cold or rhinitis, flying or diving, may lead to acute otitis media, usually given anti-inflammatory**, and auxiliary nasal alkaline spray, usually the effusion will be slowly discharged through the eustachian tube.

If it is chronic otitis media with effusion, the patient may present with long-term ear tightness, at this time there may be Eustachian tube dysfunction, Eustachian tube stenosis, etc., at this time it is necessary to go to the hospital to do the Eustachian tube test, at the same time, we can also see the ear effusion, tympanic membrane invagination and middle ear cavity fluid level, the doctor usually gives the Eustachian tube dilation, middle eardrum tube tube making**.

Tympanic effusion is usually common

The situation is because of the du tympanum.

Infection due to various causes, intratympanic goblet cell secretion is intensified, coupled with Eustachian tube blockage (which may also be the initial cause of tympanic effusion), and intratympanic effusion cannot be discharged into the nasopharynx through the Eustachian tube, so fluid is formed.

Infection of the tympanic cavity can be from the nasopharynx through the eustachian tube, or from the eardrum perforated through the external auditory canal, or aseptic inflammation. can lead to tympanic effusion.

Then you have to go to a big hospital to assess the amount of effusion, if the amount is too much, you must puncture and drain the pus, otherwise it will cause permanent damage to the ligament muscles related to the ossicular chain, if it is less, and the symptoms are not serious, you can take medicine and wait for absorption.

It is advisable to listen to the doctor or to withdraw the effusion. Conservative for a long time, and it may not be able to absorb it again.

The best thing to do is to do a tympanic puncture, and the fluid inside will get better.

How much does it cost?

Hello, Chemai is concerned about secretory middle ear.

Enthritis, clearing of middle ear effusion. To improve middle ear ventilation and drainage, the common ones are tyringocentesis, myringotomy, tympanotomy, keeping the nasal cavity and Eustachian tube unobstructed, and Eustachian tube blowing. Active**Nasopharyngeal or nasal disease such as adenoidectomy.

Nasal septum correction. Inferior turbinate surgery. Nasal polyp removal, etc.

The tonsils are particularly enlarged. and related to secretory otitis media**. Antibiotics or other synthetic antimicrobials may be used in the acute phase.

Glucocorticoids are taken orally. For short term**.

Different types of otitis media have different characteristics, non-purulent otitis media such as catarrhal otitis media can have symptoms such as hearing loss, stuffiness, and excessive self-hearing, purulent otitis media is divided into acute otitis media and chronic otitis media, acute otitis media can have symptoms such as earache, hearing loss, and pus in the external auditory canal, chronic otitis media is divided into chronic simple otitis media, chronic osteolitic otitis media and chronic cholesteatoma otitis media, all have long-term symptoms of pus drainage in the external auditory canal, hearing loss symptoms, osteolitic and cholesteatoma otitis media pus has a foul smell, Can cause brain abscess.

Acute catarrhal otitis media is usually caused by the imbalance of middle ear pressure (tympanic pressure) due to edema and congestion of the nasal mucosa, which causes the Eustachian tube to be unobstructed. Eustachian tube distension is performed if necessary, and it is generally not difficult in the early stages**. In later stages, tyringocentesis (aspiration) or tympanometry tube surgery is sometimes done.

Systemic antibiotics for patients with acute purulent otitis media with unperforated tympanic membrane**, phenol glycerin ear drops for severe ear pain, and nasal drops with fur hemp fluid for acute rhinitis; Patients with perforated eardrum should not use phenolic glycerin ear drops, they should use hydrogen peroxide to clean the external ear canal and middle ear, and then use antibiotic ear drops after cleaning.

Chronic otitis media is divided into chronic simple otitis media, chronic osteotic otitis media, and chronic cholesteatoma otitis media. Chronic simple otitis media should use hydrogen peroxide solution to clean the external auditory canal and middle ear, clean the purulent secretions of the external auditory canal and middle ear, blot or wipe dry, and then use antibiotic ear drops ear drops, with the use of antibiotics throughout the body**, generally can control acute inflammation, after the inflammation control of the mucosa in the middle ear returns to normal, no secretion, this is called "dry ear", after the dry ear, if the eustachian tube function is normal, tympanic membrane repair can be done, in order to achieve the purpose of **; In the case of chronic osteotic otitis media and chronic cholesteatoma otitis media, surgery is necessary to completely remove the risk of intracranial infection, open and drain the tympanic cavity and tympanic sinus, remove inflammatory tissue and cholesteatoma, and finally perform tympanoplasty as appropriate.

It's best to smoke it, otitis media is a bit troublesome and requires patience**.

Hello, tympanic effusion, this may be secretory otitis media, when the eustachian tube is blocked, the middle ear is in the form of negative pressure, for a long time, there will be oozing to form tympanic effusion, you have to go to the hospital to do eustachian tube blowing, if you can open the eustachian tube is the best, can not open can only draw fluid or do catheterization.

Hello: Inverted eardrums are a symptom, not a disease. Chronic secretory otitis media and poor function of the Eustachian orifice are the main genera.

Guidance: Because secretory otitis media can lead to adhesive otitis media, adhesive otitis media has a great impact on hearing. Because secretory otitis media is the most important **, it is caused by the incorrect method of blowing the nose during the cold period. If your condition is not serious, you can consult a cooperative doctor**, and your condition will improve.