Acute otitis media is a common and prevalent disease in children. If left untreated, it can lead to perforation of the eardrum and pus, which can affect hearing, seriously interfere with the child’s learning and life, and even lead to serious complications of meningitis, which can endanger the child’s life. Therefore, when a child suffers from acute otitis media, we should pay enough attention to it and treat it in a timely manner. So, how should we treat children with otitis media? First, we need to talk about the causes of acute otitis media in children. The most common cause of acute otitis media in children is an acute upper respiratory tract infection that is not treated in a timely manner or is not treated thoroughly, while incorrect nose blowing and incorrect breastfeeding posture are important factors that lead to otitis media. Therefore, we should prevent from these aspects. When otitis media occurs in children, we should actively anti-inflammatory treatment, for the common causative bacteria of otitis media, mostly use penicillin class and head one or two generation antibiotics, and should pay attention to the ear local medication. The treatment of acute otitis media without tympanic membrane penetration must be a full course of treatment, usually requiring 7 to 10 days. For children with recurrent symptoms during treatment, attention should be paid to avoiding triggers, and if necessary, bacterial cultures and drug sensitivity tests should be taken from the pus in the child’s ear canal in order to select sensitive drugs for treatment. As the saying goes, prevention is better than cure. Parents should pay more attention to the causes of acute otitis media attacks in their children and start from there to prevent infection.