How to treat otitis media

summary

The child is 9 years old. After catching a cold, he has sore throat and ears. He went to the hospital for examination and said that the child suffered from otitis media. After treatment, he obviously felt better. Let me share with you the experience of how to treat otitis media effectively.

How to treat otitis media

Treatment 1: tympanic membrane puncture fluid extraction: adult patients with local anesthesia, because children active, so the use of general anesthesia. Under aseptic operation, the No.7 needle with a short tip slope was inserted into the tympanic chamber from the anterior and inferior part of the tympanic membrane, and the effusion was aspirated. If necessary, the puncture can be repeated, but the interval should be 1-2 weeks.

Treatment 2: myringotomy: it is suitable for people, including those with thick effusion, who can't be sucked clean through tympanic membrane puncture; children who are difficult to cooperate, who are inconvenient for tympanic membrane puncture under local anesthesia, can implement myringotomy. The method of anesthesia is the same as that of tympanic membrane puncture. During the operation, care should be taken not to damage the inner membrane of the tympanic chamber. After the tympanic membrane is cut, the liquid in the tympanic chamber should be removed.

Treatment 3: tympanic catheterization: it is suitable for people with recurrent inflammation or persistent disease, middle ear effusion is too viscous to discharge, and eustachian tube function is difficult to return to normal in a short time after head radiotherapy. These patients should be considered to improve ventilation and drainage through tympanic catheterization to promote the recovery of eustachian tube function. The indwelling time of ventilation tube is usually 6-8 weeks. When the eustachian tube function recovered, the ventilation tube was taken out, and some patients' ventilation tubes could be discharged from the external auditory canal.

matters needing attention

Warm reminder: when the acute attack of chronic otitis media, use cotton swab or negative pressure suction to remove the external auditory canal and middle ear secretion, and then use cortisone acetate ear drops. Severe acute attack should be oral antibiotics such as amoxicillin, or according to the type of infection bacteria and drug sensitivity test to choose antibiotics.