Question

Prolonged chronic otitis media has led to a perforated eardrum and symptoms of hearing loss. It started in childhood, with episodes of improvement and deterioration, and is prone to recurrence when feeling unwell. How should this situation be handled?

Answer

Infections from chronic otitis media can slowly recur and are highly destructive, potentially causing permanent damage. Therefore, early detection and treatment are crucial. It is advised to keep the ears dry and clean, using cotton swabs to remove earwax. Chronic otitis media often originates from untreated ear infections during childhood. These infections may not have been completely eliminated, leaving residual bacteria in the ear or areas that are prone to infection. Chronic infections continuously produce pus, eventually leading to a perforated eardrum and possibly damaging or destroying the small bones of the middle ear. Additionally, a chronic otitis media condition known as cholesteatoma can lead to facial paralysis or brain infection. Guidance:

  1. When bathing or swimming, if water enters the ear, it may breed bacteria. If water has entered, clean with a cotton swab, but do not go too deep.
  2. Those who have had otitis media are prone to recurrence. Avoid catching a cold, and seek treatment from a qualified doctor if infected with a cold or otitis media.
  3. If someone smokes, paints, or burns incense at home, maintain good air circulation to prevent upper respiratory mucosa from being stimulated and causing swelling. Lifestyle Care: Visit the hospital for medical treatment where the doctor will clean the ear and provide antibacterial medication (