Middle ear infections are common in children. 85 percent of children, until the age of three must have had once the middle ear inflammation. Due to frequent upper respiratory tract infections (catarrh, rhinitis, sinusitis), the eustachian tube, which serves as the trachea of the ear, deteriorates the ventilation function and the ear cannot be ventilated. Pain, restlessness symptoms appear.
The fact that the Eustachian tube is more horizontal and shorter in children than in adults limits its function. That is why children should not be fed in a supine position and should not be given milk with a bottle. Dr. Mehmet Ada said, besleme Feeding in a flat supine position facilitates the escape of the secretion, allergen or bacteria from the shorter and horizontal eustachian tube to the middle ear of the child with negative pressure created in the nasal passages. For this reason, keep children at 45 degrees inclination to eat. ”
Professor Dr. Mehmet Ada answered the mothers' most curious questions about middle ear infections:
How does middle ear inflammation occur?
The angle of the Eustachian tube, which allows air to enter the children's ears, is more horizontal and shorter than adults. With the development of the child, it reaches the age of 6-7 years and reaches 45 degrees of slope. Inflammation of the middle ear is more common in children until the age of three. Some children may be named as 'prone to middle ear inflammation'.
What are the reasons?
- Frequent upper respiratory infections
- Genetic causes
- Environmental factors (living in crowded families, smoking at home)
- Allergic diseases
- Immune system disorders
- Cleft lip and palate
Which germs cause this?
Streptococcus pneumonia, hemophilus influenza, moreksella cataralis are the most common inflammatory agents. Streptococcus pnomoniada, inflammation is very noisy, very painful, very severe, with general condition disorder occurs. Amoxicillin-containing antibiotics should be used in high doses. Other disease-causing microbes show resistance to antibiotics due to special secretions, amoxicillin does not affect because of those secretions.
What are the symptoms of sudden developing otitis media? What is the treatment?
- Feeling congestion in the ear
- Diarrhea in infants
Sudden inflammation of the ear inflammation in the severe type of treatment should start immediately. There are several options for treatment. Paracentesis is performed, scratch the eardrum and empty the inside or start antibiotic treatment. High doses of antibiotics may also be given. In paracentesis, a thin knife is scratched on the eardrum and inflammation in the middle ear is removed. The sample is taken from the inflamed fluid from inside and sent to culture. If there is a resistant germ according to him given antibiotics.
What is the treatment of frequent recurrent ear infections?
If the child has had a sudden ear infection in three months or four years in six months, we can talk about recurrent middle ear infections. The risk increases if the child has more than a certain number of acute middle ear infections. Antibiotic treatments are given during sudden middle ear infections. If it is a very repetitive child, it is necessary to place a tube in the middle eardrum and let the middle ear to breathe.
Does it cause hearing loss?
There's another group of patients with otitis media. They have no pain, only hearing loss. Serous inflammation of the middle ear is called. The biggest problem in society is that this group is not noticed. Mothers say their children don't hear and they turn up the TV too loud. Speech development, pronunciation and even mental development of children with hearing loss for a long time can be disrupted.
Is it risky to have frequent otitis media?
Children who have very frequent ear infections can remain fluid in the middle ear for 2-3 weeks, when the fluid stays thick for a long time. The ear fluid looks like a glue, disrupts communication in the middle ear, prevents the ossicles from moving, and even children often fall with dizziness. 20-40 percent of hearing loss.
What methods are used when surgery is needed?
Hearing loss and fluid lasts more than three months to six months can be decided to surgery. However, the decision of each subsequent ENT physician may have different criteria. The short-term tube remains 8-9 months and falls into the outer ear canal itself. The other is a T-shaped tube. Staying in the ear for a longer time, the child grows and develops if the ear is not in danger T tube physician, sleep or locally pull. This tube is made of silicone and has an ear rescuer. A tube with two to three millimeter lengths and one to two millimeter holes is placed inside the ear and the ear is vented.