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Author: admin, 09.08.2014. Category: Ring In The Ears

Licence fees: A licence fee will be charged for any media (low or high resolution) used in your project. If ear infections go untreated the infection (similar to pus) in the middle ear space can grow and grow until it bursts the eardrum, resulting in a draining ear. Cholesteatoma and ear tubes: When a child has had tubes inserted, a small cut is made in the eardrum for the tube to fit into.
Cholesteatoma prevention: The secondary effects of ear infection, including infection spreading into the mastoid (the bump behind your ear) and the development of cholesteatoma was once a leading cause of death in children. How our ears work: In order to understand what a conductive hearing loss is, it is important to know a little about how we hear. Experience a bit of hearing loss: Plug your ears with your index fingers to experience a conductive hearing loss. You understand better if you can watch people as they speak, but this is hard as people turn their heads, move around, cover their faces with their hands, etc. A child experiencing frequent ear infections will have hearing loss that can change from day to day. My thanks to Judith Blumsack, PhD, who collaborated with me during the development of this information.  Information in this article is not intended as medical advice.
The 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. If too much fluid or pressure builds up inside your child’s middle ear, her eardrum can actually burst (shown here).
With babies or children who are too young to tell you what hurts, ear infections can be sneaky. While the immune system fights the infection, there are things you can do to fight your child’s pain. Ear infections often go away on their own, so don’t be surprised if your doctor suggests a "wait and see" approach. If your child’s ear infections keep coming back, they can scar his eardrums and lead to hearing loss, speech problems, or even meningitis.
For stubborn ear infections that just won’t go away, doctors sometimes insert small tubes through the eardrums. Sometimes 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.
The biggest cause of middle ear infections is the common cold, so avoiding cold viruses is good for ears, too.
Like colds, allergies can also irritate the Eustachian tubes and contribute to middle ear infections. It is intended for general informational purposes only and does not address individual circumstances.
Close-up of the ear of a 14-month- old boy suffering from otitis media with a perforated eardrum. Typically, it is a growth in the middle ear,  in just one ear but it is possible for it to affect both ears.
The reason for this developmental abnormality is unknown however it is not believed to run in families (not a genetic disorder). This hole can be very ragged, with uneven edges that make it hard for the eardrum to heal smoothly. Today’s modern medicine can identify cholesteatoma growths and treat them early thereby preventing the most serious hearing loss and other complications, but it is still necessary for the family or individual to seek treatment. Since the source of the problem in many cases is Eustachian tube dysfunction (ears don’t ‘pop’) in about ? – ? of cases the cholesteatoma comes back and additional surgery is needed. A conductive hearing loss happens when sound cannot successfully get from the air, through the outer and middle ear, to be able to be processed by the inner ear and then recognized by the brain.
The picture of the parts of the ear will help you understand the chain of events that happens when we hear sound.
There are many problems that can interfere with sound reaching the inner ear and cause a conductive hearing loss.
The hearing loss can range from 15 dB up to 60 dB and typically affects low pitch sounds more than high pitch sounds, although all hearing is likely to be affected. When you pay more attention, the effort spent listening takes away from ‘instant understanding’ meaning figuring out what was said takes a bit more effort too, along with the effort to listen.
Those who have active ear infection along with a cholesteatoma are likely to have some conductive hearing loss that is always there and more hearing loss that fluctuates as their ear problems get better or worse over time. A special teacher can make sure the classroom teacher understands how unilateral hearing loss affects classroom understanding and can identify the need for a classroom listening device, like a classroom amplification system or a personal FM system.  Your child will benefit from understanding the types of situations that are most challenging and hearing tactics or self-advocacy strategies he can use to ensure that he is able to get the same access to teacher instruction and peer communication as his classmates.
This is basically just a tiny flashlight with a magnifying lens for the doctor to look through. This makes the perfect breeding ground for bacteria and viruses, which can cause infections. Your child may be especially uncomfortable lying down, so he might have a hard time sleeping.


If you can’t keep your child away from whatever’s bothering him, consider having him tested to identify the triggers. It is not a substitute for professional medical advice, diagnosis or treatment and should not be relied on to make decisions about your health. This growth can be present behind the eardrum at birth or it can develop later, sometimes as a complication of middle ear infections.
Ear infections that can cause conductive hearing loss and ear drainage are very common, especially in young children. Sometimes there are parts of the eardrum tissue that do not heal cleanly and these bits extend into the middle ear space, resulting in the risk for skin tissue to begin to grow in the middle ear, layer upon layer to develop a cholesteatoma. Children who get ear tubes early and  subsequent tubes inserted without delay when needed, are much less likely to develop a cholesteatoma.
It may be necessary, after surgery, for the ear to be cleaned as needed by a health care professional.
For example, if a person has a build-up of earwax in the ear channel that is enough to interfere with the sound reaching the eardrum, that person would have a conductive hearing loss. Even though you experience a hearing loss, you would likely ‘pass’ a typical hearing screening at a school or doctor’s office. This inconsistency in the ability to hear makes listening extra challenging and can contribute to children learning to ‘tune out’ when there is noise or someone is speaking at a distance. In fact, 2 out of 3 times, when kids get colds, they also wind up with infections in their ears. 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.
Your doctor may look inside your child’s ear with an otoscope, which can blow a puff of air to make his eardrum vibrate. 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. Never ignore professional medical advice in seeking treatment because of something you have read on the WebMD Site. It is caused by either a viral or bacterial infection extending up the eustachian tube (the passage connecting the back of the nose to the ear). When children go to the doctor with draining ears, it is up to the physician to rule out that a rare and serious cholesteatoma is not the cause. When the throat is a bit swollen such as when you get a cold, the Eustachian tube doesn’t open as often as it should.
When a person has had multiple burst eardrums the eardrum may end up with weak spots where these holes have healed.
At roughly the center of the pinna is a channel (called the ear canal) into which the sound travels on its way to what is called the eardrum (also known as the tympanic membrane). If you hold down the tabs of your ears with your index fingers to close off your ear canals you will have caused a conductive hearing loss. With your ears plugged and your back turned, listen to someone talking from across the room with some noise like the TV on. The main reasons are that their immune systems are immature and that their little ears don’t drain as well as adults’ ears do. Babies may push their bottles away because pressure in their ears makes it hurt to swallow. Non-prescription painkillers and fever reducers, such as ibuprofen and acetaminophen, are also an option. Their immune systems are immature, and their little ears don't drain as well as adults’ ears do. This causes fluid to collect in the middle ear causing earache, deafness, tinnitis and fever. Sometimes a cholesteatoma is right behind the eardrum or has grown through the eardrum and the physician can easily see it. When the Eustachian tube cannot open, the eardrum is pulled inward into the middle ear space as the pressure increases.
The eardrum vibrates when sound strikes it, causing a chain of extremely tiny bones (called ossicles) that are located on the other side of the eardrum to vibrate. A person born with a malformed ear in which the entrance to ear canal is closed off (atresia, microtia), would have a conductive hearing loss because the malformation would prevent sound from entering the ear normally. There are different options for hearing aids for people with conductive hearing loss and your audiologist can help you decide if a regular hearing aid, bone conduction hearing aid, or a bone-anchored hearing device would be most appropriate. Children are most successful when families are fully involved in advocating for their child’s needs with the school team and supporting his success at home. The good news is that the pain may suddenly disappear because the hole lets the pressure go. Swimmer’s EarIt's an infection in the outer ear that usually happens when the ear stays wet long enough to breed germs. In this case the eardrum (tympanum) has burst resulting in a discharge of pus (yellow liquid).


It can also develop in the space in the upper part of the middle ear where the ossicles are, making it impossible to see. A weak spot on the eardrum is likely to retract farther, developing a pouch or sac that can enclose in upon itself and become the start of a cholesteatoma.
If the ossicles are malformed or damaged, such as what can happen if there is a cholesteatoma,  they wouldn’t transmit sound well from the middle ear to the inner ear causing a conductive hearing loss.
Children with unilateral hearing loss are at 10 times the risk for problems in school (learning, social, behavior) compared to their classmates without hearing loss. But even if your kid hasn’t been swimming, a scratch from something like a cotton swab (or who knows what they stick in there?) can cause trouble. Treatment is with analgesic drugs to relieve the pain, and antibiotic drugs to treat the infection.
If it grows large it can even dissolve through the bone separating the middle ear space and the brain.
In those cases, the only symptom may be increasing hearing loss as the ossicles are dissolved by the cholesteatoma (see conductive hearing loss, below). The vibration of the last ossicle in the chain causes a small membranous section of the bony inner ear (called the cochlea) to also vibrate.  This vibration causes vibration of fluid that is inside the inner ear, and the vibration stimulates delicate cells inside the cochlea to respond and in turn send a message to the brain that a sound has occurred. This article is specifically about two other causes of a conductive hearing loss: cholesteatoma and chronic middle ear infections. This surprises most people because they assume that if one ear hears normally that there will be no problem. Serious potential complications of cholesteatoma include hearing loss, brain abscess, dizziness, facial paralysis, meningitis, and spreading of the cyst into the brain. Sometimes this fluid becomes infected by bacteria that have traveled from the throat up the Eustachian tube to the middle ear space. If a problem interferes with the sound vibrations reaching the inner ear, we say that there is a conductive hearing loss. Once the eardrum returns to a more normal position, even if there is fluid behind it, the earache gets better. Depending on the extent of the problem, a person with a conductive hearing loss might have difficulty hearing only soft sounds or the person have difficulty hearing typical conversation. You can hear but it is much harder to understand what is said where there is any background noise and it is very easy to miss subtle communication, like quiet comments or the sounds we make to let someone know that we are paying attention to what they are saying. How Doctors Diagnose Ear InfectionsThe only way to know for sure if your child has one is for a doctor to look inside her ear with a tool called an otoscope, a tiny flashlight with a magnifying lens.
It isn’t surprising that some children think others are talking about them because they can tell there is a conversation but cannot clearly understand what it is about. Fluid in the EarIf the Eustachian tube gets blocked, fluid builds up inside your child’s middle ear.
Bursting an EardrumIf too much fluid or pressure builds up inside the middle ear, the eardrum can actually burst (shown here).
Unless it happens a lot, your child’s hearing should be fine.  Ear Infection SymptomsThe main warning sign is sharp pain. Home CareWhile the immune system fights the ear infection, you can ease any pain your child feels.
Non-prescription painkillers and fever-reducers, such as acetaminophen and ibuprofen, are also an option. AntibioticsEar infections often go away on their own, so don’t be surprised if your doctor suggests a "wait and see" approach. ComplicationsIf 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 kids who get a lot of ear infections, doctors sometimes put 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 that connect her middle ear to her throat -- which then causes infections.
Tips to Prevent InfectionsThe biggest cause of middle ear infections is the common cold, so avoid cold viruses as much as you can. Also, keep your child away from secondhand smoke, get her a flu shot every year, and breastfeed your baby for at least 6 months to boost her immune system. Allergies and Ear InfectionsLike colds, allergies can also irritate the Eustachian tube and lead to middle ear infections. If you can’t keep your child away from whatever’s bothering him, consider an allergy test to figure out his triggers.




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