Doctor insights on:
Chronic Tubotympanic Suppurative Otitis Media
I have Otitis Media with Perferation. And I'm on the third day of Amoxi 875. There's quite a bit of discharge, yellow pus. Should I see an ENT?
Collection of purulent fluid behind tympanic membrane- many times secondary to nasal congestion/ viral uri- that can cause bulging of tympanic membrane, pain, redness or distortion of typical anatomic landmarks of membrane, poor mobility of membrane ultimately, tm can perforate or rupture with subsequent drainage of fluid into the ear canal. May take months for fluid from ...Read more
Depends: If you have a perforation with drainage, sometimes just local antibiotic drops will resolve the problem. If the drainage has a foul smell, you may have a cyst of skin called a cholesteatoma and that requires surgical removal. Csom is a generic term. Therefore, ask your otologist exactly what the problem is and why he/she thinks surgery is necessary. ...Read more
See an ENT: If the child is having ear infections back to back for more than 2 months, or not clearing up in between antibiotics, it may be time for an ear, nose, and throat consultation. A change of antibiotics might be needed, or if that doesn't clear the infection, he may need pe tubes to allow the fluid to drain properly. Talk with your doctor to find out if this is needed. ...Read more
Acute vs. Chronic: Acute otitis media is an acute illness with findings of inflammation of the mucosa of the middle ear as well as middle ear fluid. Chronic otitis media is diagnosed when there is a tympanic membrane perforation in the setting of chronic or recurrent ear infections, i.e. chronic purulent ear drainage despite appropriate antibiotic treatment. ...Read moreSee 1 more doctor answer
Myringotomy tubes: Myringomtomy tubes are tiny tubes placed surgically in the ear drum to prevent recollection of fluid in the middle ear space, thus reducing the need for oral antibiotics. Most varieties will fall out on their own after a few months to a couple of years, but other types are intended to be permanent. ...Read moreSee 1 more doctor answer
ENT evaluation: You need to find an ENT you trust and follow his or her directions to the letter. Chronic sinus disease is difficult to treat and often combines multiple therapies including antibiotics and antibiotic nasal washes, steroids and/or steroid nasal sprays and sometimes surgical intervention. It does not turn around in 3-4 days . Usually takes 6-8 weeks of therapy to adequately treat. ...Read moreSee 1 more doctor answer
ENT evaluation: You need to find an ENT you trust and follow his or her directions to the letter. Chronic sinus disease is difficult to treat and often combines multiple therapies including antibiotics and antibiotic nasal washes, steroids and/or steroid nasal sprays and sometimes surgical intervention. It does not turn around in 3-4 days . Usually takes 6-8 weeks of therapy to adequately treat. ...Read moreSee 2 more doctor answers
Hi i am a student of 23.i did ear operation twice.doctor confirmed it is chronic suppurative otitis media.i afraid that it will come back again?
My 2yo girl has:*otitis media chronic serous+impacted crewmen and she didn't hear well please advice?
REMOVE the wax: Impacted cerumen refers to 'ear canals full of wax'. Severe ear wax build-up is best removed by an ear-nose-throat (e.N.T.) doctor using special instruments (suction and microscope). Removal of wax is the first step to improving hearing. The next step is to treat serous otitis (fluid behind the ear drum) w/antibiotics or just 'watchful waiting'. Close follow-up is necessary to preserve hearing. ...Read moreSee 1 more doctor answer
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