Question
Chronic intermittent otitis media over the years has led to a perforated eardrum, decreased hearing, onset in childhood, and episodes that come and go. Flare-ups are more common when overheated.
Answer
Chronic otitis media infections are slow to recur but can be highly destructive, potentially causing permanent damage. Early detection and treatment are crucial. It is recommended to keep the ears dry and clean, using cotton swabs to remove earwax. Chronic otitis media often originates from untreated ear infections in childhood, which may include incomplete elimination of infection, residual organisms in the ear, or difficulty in completely eradicating the infection, leaving susceptible areas. Chronic infections continuously produce pus, eventually leading to a perforated eardrum and potentially damaging or destroying the middle ear ossicles. Another form of chronic otitis media is cholesteatoma, which may lead to facial paralysis or even brain infection.
Guidance
- When bathing or swimming, if water enters the ear, it may promote bacterial growth. If water has entered, use a cotton swab to clean it, but do not go too deep.
- Individuals with a history of otitis media are prone to recurrence. They should avoid catching a cold and seek qualified medical treatment if they develop an infection or otitis media.
- If someone smokes, paints, or burns incense at home, maintain good air circulation to prevent irritation and swelling of the upper respiratory mucosa.
Lifestyle Care
It is advisable to visit a hospital where the doctor will clean the affected ear and provide the patient with antibacterial medications (pills or drops). This treatment aims to reduce infection, keep the ear dry, and prevent residual earwax. The entire process lasts about three months. The doctor may use an ear