Chronic allergic otitis media can be treated with general treatment

As they age, many patients develop symptoms of chronic suppurative otitis media. Because this disease is not common in clinical practice, many patients do not know the causes of the disease and how to prevent it. Let us take a detailed look at the disease and its causes.

Chronic suppurative otitis media is a chronic suppurative inflammation of the middle ear mucosa, periosteum or deep into the bone, which often coexists with chronic mastoiditis. It is mostly caused by delayed or improper treatment or prolonged treatment of acute suppurative otitis media; or it is a direct continuation of acute necrotizing otitis media. The course of the disease usually lasts more than 6 to 8 weeks, with recurrent ear discharge, tympanic membrane perforation and hearing loss as the main clinical features. In severe cases, it may cause intracranial and extracranial complications.

According to pathology and clinical manifestations, this disease is traditionally divided into three types: simple type, bone ulcer type and cholesteatoma type. Domestic and foreign research further divides it into dormant and active stages. Its main symptoms are:

1. Pus discharge from the ear

It is the main common symptom of this disease. It may be mucous, mucopurulent or pure purulent. The simple type of pus is generally thinner and has no odor, while the pus of the bone ulcer type and cholesteatoma type is not much, but it is thicker, mostly pure pus, and accompanied by a foul odor.

2. Deafness

The severity of the disease varies. If it occurs in only one ear, it may be easily overlooked. This type of deafness is often proportional to the progression of the disease, that is, the more severe the lesion, the more severe the deafness. It is usually conductive hearing loss.

3. Tinnitus

Some patients may experience tinnitus.

4. Others

In addition to the above symptoms, if dizziness, vomiting, facial paralysis, severe headache, chills, high fever and other symptoms occur, it indicates that the patient may have complications and should seek medical attention immediately and actively take proactive and effective treatment.

treat:

The treatment principles of this disease are to eliminate the cause, control the infection, clear the lesions, clear the drainage, and restore hearing as much as possible.

1. Treatment of the cause

Cure acute otitis media promptly and actively treat upper respiratory tract infections.

2. Local treatment

(1) During the dormant period, local medication is mainly used. Local medication can be selected according to the different lesions. Usually, hydrogen peroxide is used to wash the ears, and then antibiotic aqueous solution or a mixture of antibiotics and glucocorticoids is dripped into the ears.

(2) During the active phase, the focus is on clearing the lesions, preventing complications, and trying to preserve hearing-related structures. Local medication, observation and surgical treatment can be adopted according to the condition.