Pediatric acute otitis media is an acute inflammation of the middle ear mucosa. Recovery time is related to the progression of the disease and usually improves significantly after 10-15 days of treatment. Most pediatric acute otitis media are associated with bacterial infections, and a few are viral infections that can be transformed into secretory otitis media after antibiotic treatment. Children often present with symptoms such as head shaking, crying and ear pain, which can lead to hearing loss in severe cases. Clinically, the infection can be controlled by intravenous infusion of antibiotics, such as ceftriaxone, cefotaxime sodium, tinidazole and other drugs, and can be treated locally with ear drops of of ofloxacin and sodium bicarbonate. Usually, the child can gradually recover after 10-15 days of standard treatment. However, if acute otitis media in children is not treated in a timely manner, chronic otitis media will gradually develop, thus making treatment more difficult. Therefore, parents should consult the ENT department of their local hospital as soon as they notice any ear abnormalities in their children. In addition, parents should be aware that children should be fed in their arms for 6 months and avoid sedation and exposure to secondhand smoke from 6 to 12 months to prevent acute otitis media.