Proper management of otitis media

Otitis media includes secretory otitis media, suppurative otitis media, middle ear cholesteatoma, etc. It is necessary to find out the cause of the disease and categorize it first, and then treat it, and the common treatments include medication and surgery. 1. Secretory otitis media: special ephedrine solution can be used to keep the nasal cavity and the Eustachian tube usually, at the same time, nasal spray glucocorticosteroid substances, such as budesonide, mometasone furoate nasal spray, etc., with the use of mucus drainage agents, such as eucalyptus pinnipin, oleander drops. If the treatment effect is not obvious, tympanocentesis and fluid extraction, tympanotomy, tympanic tube placement and pharyngotracheal balloon dilatation are needed. 2. Acute suppurative otitis media: the main thing is to control the infection as soon as possible, including systemic treatment and local treatment, systemic treatment is mainly for the use of antibiotics to control the infection as soon as possible, generally use such as penicillin, cephalosporin, etc.. Tympanic membrane perforation before the available special phenol glycerin ear drops, there is no alleviation, line tympanic membrane puncture fluid extraction. After the tympanic membrane perforation should be cleaned, local application of antibiotics, such as ofloxacin ear drops. 3. Chronic suppurative otitis media: severe congestion of the tympanic mucosa can be seen in the active stage, the cause should be removed, the infection should be controlled, the drainage should be opened and the hearing should be improved, antibiotic solution mixed with glucocorticosteroid should be used for ear drops, for example, some hospitals will make their own levofloxacin and dexamethasone ear drops to reduce inflammation, and tympanoplasty is feasible after the inflammation is under control. 4. Middle ear cholesteatoma: it should be treated by surgery as soon as possible, and it can be divided into tympanoplasty and mastoidectomy according to whether it involves the mastoid process or not. Patients with otitis media should consult the doctor in time, standardize the medication and treatment after the doctor’s clear diagnosis, usually pay attention to the care of daily life, pay attention to ear cleaning, avoid sewage into the ear, strengthen physical exercise, enhance physical fitness.