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Author: admin | 01.09.2013 | Category: Treatment For Ear Ringing

A cold or some other upper respiratory infection can cause the eustachian tubes to swell, blocking the normal drainage from the middle ear.
Fluid from the middle ear drains through the incision into the ear canal and is suctioned out by the doctor. An ear infection is an inflammation of the middle ear, usually caused by bacteria, that occurs when fluid builds up behind the eardrum. Doctors try to distinguish between the different forms of otitis because this affects treatment options. Kids eustachian tubes are shorter and more horizontal than those of adults, which allows bacteria and viruses to find their way into the middle ear more easily. An ear infection usually is caused by bacteria and often begins after a child has a sore throat, cold, or other upper respiratory infection.
Ear infections also occur more commonly in boys than girls, in kids whose families have a history of ear infections, and during the winter season when upper respiratory tract infections or colds are frequent. Otitis media with effusion (OME) sometimes happens after an ear infection has run its course and fluid stays trapped behind the eardrum. Chronic otitis media with effusion (COME) happens when fluid remains in the middle ear for a long time or returns over and over again, even though there is no infection. Houses and Homes free Coloring Pages Clicking on any of the links or banner images will take you to a preview. My Little Pony: Friendship Is Magic is an animated television series produced by Hasbro Studios. Welcome to our Child Development site.This site is designed for new parents, parents to be, or single parents who want a little more information in raising happy productive children.
Acute otitis media (AOM) is characterized by infection and inflammation of the middle ear space (the space behind the eardrum). Chronic otitis media with effusion (COME) is characterized by fluid in the middle ear space in the absence of signs and symptoms of acute inflammation, lasting for at least 3 months.
Acute otitis media (AOM) is generally characterized by the rapid onset of signs and symptoms of infection of the middle ear (fever, ear pain, pulling at ears, irritability) frequently in the setting of a cold.
For AOM, looking at the ear drum (otoscopy) usually reveals an opaque or red ear drum that does not freely move with insufflation (blowing air into the ear canal).
A vaccine was introduced in the United States in 2000 against one of the most common bacteria to cause AOM, Streptococcus pneumoniae. One of the tests that may be recommended for a child with COME is an audiogram or hearing test. Antihistamines and steroids have not been shown to be effective in treatment of acute or chronic otitis media and can have significant side-effects in children. There is some data to suggest that complimentary and alternative medicine (CAM) may be successful in some cases of acute otitis media such as osteopathic manipulation but more studies are needed to better assess the outcomes. Although the insertion of ear tubes is an extremely common and safe procedure with minimal complications, as with any surgery, complications may occur. Overall trends for treatment of both AOM and COME have been to try to avoid antibiotics in otherwise healthy children age 2 years and older, without other risks factors for eustachian tube dysfunction, who have only mild symptoms due to the high spontaneous resolution rates. Healthwise, Healthwise for every health decision, and the Healthwise logo are trademarks of Healthwise, Incorporated.
If the upper respiratory infection is bacterial, these same bacteria may spread to the middle ear; if the upper respiratory infection is caused by a virus, such as a cold, bacteria may be drawn to the microbe-friendly environment and move into the middle ear as a secondary infection. A child with OME may have no symptoms, but a doctor will be able to see the fluid behind the eardrum with a special instrument.
COME makes it harder for children to fight new infections and also can affect their hearing.
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The effusion may be thin (serous) or thick (mucoid), but usually not frankly purulent (containing bacteria). Some children are particularly susceptible to ear infections because of genetic, environmental or lifestyle factors, such as attending day care, secondhand tobacco smoke, or taking a bottle to bed. Rates of meningitis (infection of the lining of the brain), a serious complication of infection by this bacteria, and which was the most common cause of acquired deafness, have dramatically reduced since widespread use of the vaccine.
This test is conducted by an audiologist or hearing specialist in a sound booth with headphones. Newer data suggests that children older than 2 years of age with mild symptoms may be initially observed without treatment and that a high percentage of these patients will have spontaneous resolution. If a child has been prescribed multiple courses of antibiotics for ear infections or there are concerns of possible hearing loss and language delay due to fluid build-up behind the ear drum, a child’s pediatrician may recommend evaluation by an otolaryngologist.


Ear tubes are surgically inserted into the ear drum and can reduce a child’s risk for future ear infections and their associated problems. Occasionally, the tube will cause a small amount of scar tissue on the ear drum but this generally does not have any permanent effect on a child’s hearing.
Recent studies with long-term follow-up have not identified any significant permanent impact on speech or language development of children whether they were treated with early or delayed (greater than 9 months after initial diagnosis) placement of ear tubes.
It is intended for general informational purposes only and does not address individual circumstances. And the warm, moist environment makes it easy for bacteria and viruses to grow, causing an ear infection. The effusion may be related to an earlier episode of AOM or may have developed spontaneously. Less common conditions that may predispose children to eustachian tube dysfunction and subsequent recurrent AOM or COME include Down syndrome, cleft palate, or gastroesophageal reflux disease (GERD).
Although it is very uncommon for an ear infection to result in permanent hearing loss, recurrent AOM or COME may affect speech, hearing, balance, sleep and behavior. The audiologist will be able to determine the level in decibels at which speech can be heard for each ear. First line treatment for acute otitis media in patients younger than 2 years of age or those with significant symptoms (ear pain, fever ≥39?) includes antibiotics. This means a low dose of antibiotics is given every day during peak upper respiratory infection (URI)-season to try to prevent bacterial infection. Ear tubes are small tubes made out of plastic, metal or Teflon that are placed through the eardrum to allow air into the middle ear. In some instances, such as when more than one tube insertion is necessary, the ear, nose, and throat doctor will recommend removal of a child's adenoid tissue, located in the upper airway behind the nose, at the same time that the ear tubes are placed. In fact, 2 out of 3 times, when kids get colds, they also wind up with infections in their ears. It is not a substitute for professional medical advice, diagnosis or treatment and should not be relied on to make decisions about your health. Children with environmental or food allergies are more susceptible and there does appear to be a protective effect from exclusive breast-feeding for the first 6 months of life. Pain often goes away if this happens because there is no longer the build up of pressure behind the ear drum. This treatment is not felt to be effective for COME where fluid is already present in the middle ear space. The middle ear is the part of the ear located between the eardrum and hard bone surrounding the inner ear.
During the procedure, a small incision is made in the eardrum under a surgical microscope with a small knife.
Adenoid tissue is part of the immune system but may also be a reservoir of bacteria that spreads to the middle ear through the eustachian tube (the tube that connects the ears to the nose). The main reasons are that their immune systems are immature and that their little ears don’t drain as well as adults’ ears do. Never ignore professional medical advice in seeking treatment because of something you have read on the WebMD Site. If symptoms persist after several days of antibiotics, sometimes another antibiotic is needed. The tubes are temporary and can last from 6 months to several years, depending on what type of tube is used. After the hole is made, the fluid behind the eardrum is removed and the ear tube is then placed in the hole. Adenoids are not necessary, and patients aren’t any more susceptible to infections if adenoids are surgically removed.
During the procedure, any fluid behind the child’s ear drum is immediately drained, but the tubes also allow for continual drainage of fluid that is produced. Antibiotic eardrops may be administered after the ear tube is placed and may be necessary for a few days. Research has shown that removing adenoid tissue at the same time as inserting a second set of ear tubes can reduce the risk of recurrent ear infections and the need for repeat surgery. If the audiogram demonstrates a significant hearing loss due to fluid in the middle ear, and this is felt to be affecting a child’s speech and language development, further evaluation by an otolaryngologist (ear, nose, and throat specialist) may be recommended. This prevents future build-up of fluid behind the ear drum while the tube is in place, thereby reducing the chance of developing persistent ear infections or having hearing loss and language delay from chronic fluid build-up behind the ear drum. After surgery, the child will be taken to the recovery room where he or she will be closely monitored.


But even if your kid hasn’t been swimming, a scratch from something like a cotton swab (or who knows what kids stick in there?) can cause trouble.
Another advantage of ear tubes is that if a child does develop an ear infection with ear tubes, often antibiotic ear drops can be used as first-line treatment without having to resort to antibiotics by mouth. Conductive hearing losses due to middle ear fluid are generally correctable (by removing the fluid), whereas nerve hearing losses are often permanent and may require hearing aids for treatment. The ear drops can get directly to the infection without having to circulate through the body like oral (by mouth) antibiotics would. Also, because hearing loss caused by the presence of middle ear fluid is often resolved by surgery, some children complain that normal sounds seem too loud. In these instances, generally 2-3 years after the initial surgery, a separate trip to the operating room may be necessary to remove the ear tube and patch the ear drum. Diagnosing an Ear InfectionThe only way to know for sure if your child has an ear infection is for a doctor to check inside her ear with a device called an otoscope. This happens less than 5% of the time with the more common types of tubes used, and up to three times as often with long-acting tubes which are more commonly used in children with other risk factors predisposing them to prolonged eustachian tube dysfunction.
This is basically just a tiny flashlight with a magnifying lens for the doctor to look through. Some doctors also recommend covering the ears to avoid water exposure after ear tubes are placed. This can include cotton balls during bath time or ear plugs for swimming although studies have also shown that the risk of developing an ear infection with water exposure from baths or chlorinated pools is quite low. Inside Your EarThe Eustachian tube is a canal that connects your middle ear to your throat. Fluid in the EarIf the Eustachian tube gets blocked, fluid builds up inside your child’s middle ear. This makes the perfect breeding ground for bacteria and viruses, which can cause infections.
Your doctor may look inside your child’s ear with an otoscope, which can blow a puff of air to make his eardrum vibrate.
Bursting an EardrumIf too much fluid or pressure builds up inside your child’s middle ear, her eardrum can actually burst (shown here). The good news is that the pain may suddenly disappear because the hole lets the pressure go.
Your child may be especially uncomfortable lying down, so he might have a hard time sleeping. Babies may push their bottles away because pressure in their ears makes it hurt to swallow. Home Care for Ear InfectionsWhile the immune system fights the infection, there are things you can do to fight your child’s pain. Non-prescription painkillers and fever reducers, such as ibuprofen and acetaminophen, are also an option. Antibiotics for Ear InfectionsEar infections often go away on their own, so don’t be surprised if your doctor suggests a "wait and see" approach. Complications of Ear infectionsIf your child’s ear infections keep coming back, they can scar his eardrums and lead to hearing loss, speech problems, or even meningitis.
Ear TubesFor stubborn ear infections that just won’t go away, doctors sometimes insert small tubes through the eardrums. Tonsils Can Be the CauseSometimes a child’s tonsils get so swollen that they put pressure on the Eustachian tubes connecting her middle ear to her throat -- which then causes infections. Preventing Ear InfectionsThe biggest cause of middle ear infections is the common cold, so avoiding cold viruses is good for ears, too. Other ways to prevent ear infections include keeping your child away from secondhand smoke, getting annual flu shots, and breastfeeding your baby for at least 6 months to boost her immune system. Allergies and Ear InfectionsLike colds, allergies can also irritate the Eustachian tubes and contribute to middle ear infections.
If you can’t keep your child away from whatever’s bothering him, consider having him tested to identify the triggers.



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