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Otitis Media Treatment - Middle Ear Infection Treatment

Middle ear infections are just painful - they can result in permanent hearing loss if not treated in time. Contact the best ENT doctors at Pristyn Care for advanced treatment of otitis media for long term recovery.

Middle ear infections are just painful - they can result in permanent hearing ... Read More

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    Dr. Nikhil Jain (R59On9aojl)

    Dr. Nikhil Jain

    MBBS, DNB-ENT
    12 Yrs.Exp.

    4.8/5

    15 Years Experience

    location icon Delhi
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    9513-012-507
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    Dr. Neha B Lund (KLood9WpKW)

    Dr. Neha B Lund

    MBBS, DNB- DNB- OTO RHINO LARYNGOLOGY
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    15 Years Experience

    location icon No 1/8/208, Golden Hawk Building, PG Road, Jogani, Ramgopalpet, Hyderabad, Telangana 500003
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    Dr. Saloni Spandan Rajyaguru (4fb10gawZv)

    Dr. Saloni Spandan Rajya...

    MBBS, DLO, DNB
    14 Yrs.Exp.

    4.5/5

    16 Years Experience

    location icon Pristyn Care Clinic, Adarsh Nagar Rd, Mumbai
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    9513-012-507
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    Dr. Manu Bharath (mVLXZCP7uM)

    Dr. Manu Bharath

    MBBS, MS - ENT
    13 Yrs.Exp.

    4.7/5

    15 Years Experience

    location icon Marigold Square, ITI Layout, Bangalore
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    9513-012-507

Pristyn Care - Best ENT clinics for otitis media treatment in India

Pristyn care is one of the best and largest surgery care providers in India. It has tie-ups with some of the best ENT clinics all over India to help provide advanced ear, nose, and throat treatments to all patients at affordable prices. Additionally, Pristyn Care has a team of expert ENT specialists who provide advanced treatment for a variety of problems like otitis media, nasal polyps, turbinate hypertrophy, etc., without any complications or breathing problems for the patient.

Pristyn Care also provides other auxiliary services to the patient, such as complete insurance and hospital documentation support, easy payment plans like no-cost EMI, etc. It also provides cab facility to the patient for pick up and drop off from the clinic on the day of surgery and complimentary meals during hospitalization.

• Disease name

Otitis Media

• Surgery name

Myringotomy

• Duration

30 - 40 minutes

• Treated by

ENT Surgeon (Otolaryngologists)

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How is otitis media treated?

Otitis media – also called middle ear infection – is the inflammation or infection of the middle ear that can occur in conjunction with common cold, sore throat, respiratory infection, eardrum perforation, etc. It is generally more common in children as compared to adults, however, it is equally dangerous to both.

Before treatment, the patient should undergo a thorough diagnosis. Diagnosis for otitis media entails physical examination using an otoscope, followed by hearing tests like audiometry, tympanometry, tuning fork test, etc. Depending on the results of the diagnostic tests, the ENT doctor will determine the best course of treatment.

The choice of treatment for middle ear infection depends on the patient’s age and health condition, severity of the condition, previous treatments, etc. Generally for mild to moderate cases, conservative treatment through watchful waiting and medications (ear drops, oral antibiotics) is preferred. 

If the patient has an infectious discharge trapped behind the eardrum that has potential for causing further complications or if the medical treatment is not working, surgical intervention becomes necessary. Surgical intervention for otitis media entails:

  • Myringotomy: During this procedure, the surgeon creates an incision to drain the discharge and then closes the incision and packs the ear canal with dressing and bandages to let the patient heal. It is usually performed when one-time drainage is sufficient to treat the patient, for e.g. blood collection in the middle/inner ear canal after a trauma, etc.
  • Myringotomy with tympanostomy: A tympanostomy is often combined with a myringotomy for severe chronic inner/middle ear infections where repetitive drainage is required. During the surgery, ear tubes are placed through the eardrum to allow for continuous drainage over a long period of time. There are different types of tympanostomy tubes such as T-tubes, grommet tubes, etc., based on their length, flexibility, etc. The type of tube to be inserted is selected by the ENT specialist based on the patient’s symptoms, age, and requirements.

Are you going through any of these symptoms?

How to prepare for otitis media treatment?

If you are undergoing surgery for otitis media treatment, you should prepare to avoid complications during or after the surgery. The surgery may be performed under general anesthesia or conscious sedation, so you shouldn’t eat or drink anything after midnight on the day before the surgery.

You also won’t be able to drive immediately after the surgery, so you should arrange for someone to drive you home after the surgery. Additionally, you should talk to your doctor regarding your medical history, allergies, etc., so they can prepare accordingly to avoid future complications.

When is otitis media treatment required?

Otitis media can result in permanent hearing damage and other related complications, if not treated in time. Therefore, if you have ear pain or inflammation, you should consult your ENT doctor for treatment.

Otitis media treatment and surgery are considered if the patient has:

  • Ear pain and inflammation
  • Loss of appetite
  • General irritability
  • Disturbed sleep cycle
  • Fever
  • Drainage from ear
  • Difficulty hearing and maintaining balance

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What to expect after otitis media treatment?

Mild and acute ear infections generally clear up with antibiotics within 3-5 days, but the patient should complete their antibiotics course to prevent recurrence of the infection. However, for chronic ear infections, surgery becomes necessary which has a longer recovery period. With myringotomy, complete healing usually occurs within 4-5 weeks. However, with tympanostomy, ear tubes generally remain in the ear for around 6-12 months, after which they fall out on their own.

How to prevent recurrence of otitis media?

You can prevent the occurrence and recurrence of otitis media by following the given preventive tips:

  • You should not smoke and avoid exposure to smoke as much as possible as smoke from cigarettes, even second-hand, can increase the risk of ear infections.
  • Always carry your allergy medications and avoid exposure to your allergens as much as possible. Allergies can result in inflammation of the ear canal, along with mucus drainage that can block the eustachian tube and make ear infections more likely. 
  • Make sure you avoid exposure to viruses and bacteria that can lead to common cold, flu, etc.
  • Follow a healthy diet to strengthen your immune system.
  • Adenoid enlargement is also often associated with ear infections, so if you have adenoiditis, you should seek treatment for that.
  • Keep up with your and your child’s vaccinations, especially in their formative years.

What happens if otitis media is not treated on time?

If not treated in time, otitis media can lead to long-term complications such as:

  • Infection in other parts of the head like sinuses, brain, etc.
  • Permanent hearing loss
  • Delayed or distorted speech and language development in children
  • Eardrum perforation due to persistent increased ear pressure

Which home remedies can help treat middle ear infections?

Some common home remedies that can help treat and prevent ear infections are:

  • Over-the-counter ear drops, pain and fever medications like acetaminophen, ibuprofen, NSAIDs, etc. can provide symptomatic relief to the patient.
  • Ear massage using a warm compress for around 20 minutes 5-6 times a day helps reduce inflammation in the infected ear.
  • Proper sleep and rest boost the immune system and help it fight off the infection more easily.
  • Saltwater gargles help soothe the throat and ease symptoms of the infections.
  • Hydrogen peroxide has proven to be very effective in fighting off ear infections. Just place a few drops of hydrogen peroxide in your ear for a few minutes and then drain it out. Be careful not to put too much peroxide and to not let it sit too long.
  • If you are prone to allergic reactions, manage your allergy and control all contact with your allergens.
  • Do not insert a Q-tip in your ear whether to clean it or to remove infectious drainage.

Frequently Asked Questions

Can otitis media resolve on its own without treatment?

Yes most ear infections resolve on their own within 3-5 days without any treatment. However, symptomatic relief through NSAIDs is recommended if the patient has severe pain, fever, etc.

How long does medical treatment for ear infections last?

Generally, antibiotics course is continued for 1-2 weeks to prevent the recurrence of infections. However, if there is no improvement even after 2 weeks of therapy, other treatment options are considered.

What are the risk factors associated with otitis media occurrence?

Otitis media usually occurs in children (especially premature babies), people with a weakened immune system, craniofacial abnormalities, family history, severe allergies, etc.

What are the most common complications of untreated otitis media?

According to various research studies, mastoiditis, facial palsy, and labyrinthitis are the most common consequence of spread of ear infection due to improper management.

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Medically Reviewed By
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Dr. Nikhil Jain
12 Years Experience Overall
Last Updated : November 23, 2024