Tits Media

Tits Media

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Otitis media is inflammation or infection located in the middle ear. Otitis media can occur as a result of a cold, sore throat, or respiratory infection.
About 3 out of 4 children have at least one episode of otitis media by the time they are 3 years of age.
Otitis media can also affect adults, although it is primarily a condition that occurs in children.
While any child may develop an ear infection, the following are some of the factors that may increase your child's risk of developing ear infections:
Bottle-fed while lying on his or her back
Middle ear infections are usually a result of a malfunction of the eustachian tube, a canal that links the middle ear with the throat area. The eustachian tube helps to equalize the pressure between the outer ear and the middle ear. When this tube is not working properly, it prevents normal drainage of fluid from the middle ear, causing a build up of fluid behind the eardrum. When this fluid cannot drain, it allows for the growth of bacteria and viruses in the ear that can lead to acute otitis media. The following are some of the reasons that the eustachian tube may not work properly:
A cold or allergy which can lead to swelling and congestion of the lining of the nose, throat, and eustachian tube (this swelling prevents the normal drainage of fluids from the ear)
A malformation of the eustachian tube
Different types of otitis media include the following:
Acute otitis media. This middle ear infection occurs abruptly causing swelling and redness. Fluid and mucus become trapped inside the ear, causing the child to have a fever and ear pain.
Otitis media with effusion . Fluid (effusion) and mucus continue to accumulate in the middle ear after an initial infection subsides. The child may experience a feeling of fullness in the ear and it may affect his or her hearing or may have no symptoms.
Chronic otitis media with effusion . Fluid remains in the middle ear for a prolonged period or returns again and again, even though there is no infection. May result in difficulty fighting new infection and may affect the child's hearing.
The following are the most common symptoms of otitis media. However, each child may experience symptoms differently. Symptoms may include:
Difficulty sleeping or staying asleep
Tugging or pulling at one or both ears
Fever, especially in infants and younger children
The symptoms of otitis media may resemble other conditions or medical problems. Always consult your child's health care provider for a diagnosis.
In addition to a complete medical history and physical examination, your child's health care provider will inspect the outer ear(s) and eardrum(s) using an otoscope. The otoscope is a lighted instrument that allows the health care provider to see inside the ear. A pneumatic otoscope blows a puff of air into the ear to test eardrum movement.
Tympanometry is a test that can be performed in most health care providers' offices to help determine how the middle ear is functioning. It does not tell if the child is hearing or not, but helps to detect any changes in pressure in the middle ear. This is a difficult test to perform in younger children because the child needs to remain still and not cry, talk, or move.
A hearing test may be performed for children who have frequent ear infections.
Specific treatment for otitis media will be determined by your child's health care provider based on the following:
Your child's age, overall health, and medical history
Your child's tolerance for specific medications, procedures, or therapies
Expectations for the course of the condition
Antibiotic medication by mouth or ear drops
If fluid remains in the ear(s) for longer than three months, and the infection continues to reoccur even with the use of antibiotics, your child's health care provider may suggest that small tubes be placed in the ear(s) . This surgical procedure, called myringotomy, involves making a small opening in the eardrum to drain the fluid and relieve the pressure from the middle ear. A small tube is placed in the opening of the eardrum to ventilate the middle ear and to prevent fluid from accumulating. The child's hearing is restored after the fluid is drained. The tubes usually fall out on their own after six to 12 months.
Your child's surgeon may also recommend the removal of the adenoids (lymph tissue located in the space above the soft roof of the mouth, also called the nasopharynx) if they are infected. Removal of the adenoids has shown to help some children with otitis media.
Treatment will depend on the type of otitis media. Consult your child's health care provider regarding treatment options.
In addition to the symptoms of an ear infection listed above, untreated ear infections can result in any or all of the following:
Infection in other parts of the head
Problems with speech and language development
Our pediatric otolaryngologists are committed to providing compassionate and comprehensive care for children with ear, nose, and throat conditions. As part of the Johns Hopkins Children's Center, you have access to all the specialized resources of a children's hospital. Your child will also benefit from experts who use advanced techniques to treat both common and rare conditions.
At Another Johns Hopkins Member Hospital:
Find Additional Treatment Centers at:
Otitis Media (Middle-Ear Infection) in Adults

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Treasure Island (FL): StatPearls Publishing ; 2022 Jan-.
Describe a patient presentation consistent with acute otitis media and the subsequent evaluation that should be performed.
Explain when imaging studies should be done for a patient with acute otitis media.
Outline the treatment strategy for otitis media.
Employ an interprofessional team approach when caring for patients with acute otitis media.
Decreased immunity due to human immunodeficiency virus (HIV), diabetes, and other immuno-deficiencies
Mucins which include abnormalities of this gene expression, especially upregulation of MUC5B
Anatomic abnormalities of the palate and tensor veli palatini
Bacterial pathogens, Streptococcus pneumoniae , Haemophilus influenza, and Moraxella (Branhamella) catarrhalis are responsible for more than 95%
Viral pathogens such as respiratory syncytial virus, influenza virus, parainfluenza virus, rhinovirus, and adenovirus
Family history of recurrent AOM in parents or siblings
When an otitis media complication is suspected, computed tomography of the temporal bones may identify mastoiditis, epidural abscess, sigmoid sinus thrombophlebitis, meningitis, brain abscess, subdural abscess, ossicular disease, and cholesteatoma.
Magnetic resonance imaging may identify fluid collections, especially in the middle ear collections.
Human parainfluenza viruses (HPIV) and other parainfluenza viruses
Pediatric Haemophilus influenzae infection
Respiratory syncytial virus infection
Rhinovirus (RV) infection (common cold)
Hearing loss (conductive and sensorineural)
Chronic suppurative otitis media (with or without cholesteatoma)
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