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Inflammation of the middle ear is one of the most common diseases in childhood. Dogan Hospital Otorhinolaryngology Specialist Op. Dr. Contact nuran directly "Acute middle ear inflammation in the most intense age range of 6-11 months in infants restlessness, breast milk sucking, fever, nasal congestion and ears discharge in the ear necessarily requires examination of the ear nose and throat." He warns families.
: - Causes acute middle ear inflammation?
Kiss. Dr. Contact nuran directly In general, it is a bacterial infection that develops as a result of inflammation and congestion of the mucosa covering the entire upper respiratory tract, eustachian tube and middle ear cavity starting from the nasal cavity.
: - Why is it more common in children?
Kiss. Dr. Contact nuran directly The frequent occurrence of upper respiratory tract infections due to the immature immature system at an early age is the short, wide and horizontal structure of the eustachian tube, the passage of milk to the middle ear in infants fed in the horizontal position is the cause of frequent irritation and nasal flesh.
: - What are the symptoms?
Kiss. Dr. Contact nuran directly Ear pain, ear discharge, fever, restlessness, loss of appetite, vomiting are among the main causes of otitis media.
: - When should I consult a doctor?
Kiss. Dr. Contact nuran directly Acute middle ear inflammation is most intense in the age range of 6-11 months in infants restlessness, breast milk sucking, fever, nasal congestion and ear discharge in the final stage of the ear necessarily requires examination of the nose and throat. In addition to the above symptoms, children after 3 years of age may describe ear pain.
: - How is the diagnosis made?
Kiss. Dr. Contact nuran directly Otoscopic examination is the basis for diagnosis. Sometimes otoscopic examination may not be very easy and possible in infants. This is why it is always useful to be supported by an objective method, the tympanometer. The tympanometer is an objective and quantitative diagnostic method that provides insight into the movement of the eardrum and middle ear function.
: - How is it treated?
Kiss. Dr. Contact nuran directly According to the literature, 85% of acute middle ear infections can heal with symptomatic treatment without the use of antibiotics. However, according to the literature, the natural course of the disease can be shortened with early and adequate antibiotic treatment and the risk of complications can be reduced. Especially in our country where the health system is extremely inadequate and patient follow-up is very limited in practice, antibiotic-free middle ear treatment may increase the complications that may occur. Optimal treatment is to cultivate myringotomy and detect microorganism. However, since it is not possible to get a routine culture, empirical antimicrobial treatment and symptomatic treatment are appropriate in the treatment of middle ear infection.
: - What are the points that families should pay attention during and after the illness?
Kiss. Dr. Contact nuran directly When the present findings emerge, it is necessary to consult a specialist physician and to continue medical treatment regularly. One of the most important points in the treatment of acute middle ear is to take the patient to the control. Follow-up is essential for the efficacy of treatment. At the same time, control is the only way to eliminate complications.
: - What are the prevention ways?
Kiss. Dr. Contact nuran directly Most importantly, we must eliminate preventable risk factors. These;
• We should not smoke with children (away from passive smoking)
• Early nesting and discovery in early periods (presence of frequent upper respiratory tract infection history from other children in this setting)
• Promoting the use of breast milk
• Frequent hand washing
• Protection with extra clothing in winter,
• Avoiding or treating allergies
• In the presence of nasal flesh (adenoid vejeteryon) necessary treatment and so on.