How to treat non-suppurative otitis media? You should know the treatment principles

Among the types of otitis media, non-suppurative is also very common. It is usually acute and common in children. Patients will experience a foreign body sensation in the ear, hearing loss, and tinnitus. When treating it, the cause of the disease must be found first and then symptomatic treatment must be given.

1. Treatment principles

1. Etiological treatment: control the source of infection and remove obstructive lesions.

2. Unblock drainage, improve Eustachian tube function, and remove fluid in the middle ear.

2. Principles of Medication

1. Find out the cause of the disease in time and actively treat it.

2. Use antihistamines and hormone drugs to help keep the Eustachian tube open.

3. Topical 1% ephedrine, nasal drops, to facilitate patency of the Eustachian tube.

4. Use antibiotics to prevent and treat infection. Eustachian tube insufflation: suitable for people without acute upper respiratory tract infection. The tympanic membrane is punctured and fluid is extracted, and hormone solution can be injected. Myringotomy, thick exudate that is difficult to puncture and extract. A ventilation and drainage tube was placed in the tympanic membrane. Mastoid and tympanic exploration was performed when necessary.

3. Diagnostic Basis

1. It is mostly caused by upper respiratory tract infection, Eustachian tube dysfunction, middle ear barotrauma, middle ear viral infection and allergic reaction, etc., and is more common in children.

2. The main symptoms are stuffy ears, a feeling of blockage, increased spontaneous sound, hearing loss and tinnitus.

3. In the early stage, the tympanic membrane is sunken and loses its luster. When fluid accumulates in the tympanic cavity, the tympanic membrane becomes light yellow and has fluid levels or blisters.

4. Hearing examination usually shows conductive hearing loss and sometimes mixed hearing loss.

5. Acoustic impedance check: The acoustic compliance is low and the curve is low-peak negative pressure type B.

6. Tympanic membrane puncture can remove the accumulated fluid.