Hearing loss in chronic otitis media journal,dokter tinus uitzending gemist 2014 xl,tenis deportivos mercadolibre colombia fincas - PDF Books

Author: admin, 30.12.2014
Chronic otitis media describes some long-term problems with the middle ear, such as a hole (perforation) in the eardrum that does not heal or a middle ear infection (otitis media) that doesn't improve or keeps returning. The middle ear is a small bony chamber with three tiny bones – the malleus, incus and stapes – covered by the eardrum (tympanic membrane). Non-infected chronic otitis media – There is a hole in the eardrum but no infection or fluid in the middle ear. Suppurative (filled with pus) chronic otitis media – This happens when there is a hole in the eardrum and an infection in the middle ear.
Chronic otitis media with cholesteatoma – A persistent hole in the eardrum sometimes can lead to a cholesteatoma, a growth (tumor) in the middle ear made of skin cells and debris. Problems with the middle ear, such as fluid in the middle ear, a hole in the eardrum, or injury to the small, middle ear bones, can cause hearing loss.
A person can have chronic otitis media caused by a persistent hole in the eardrum for years with no symptoms or only mild hearing loss. The doctor will ask about a history of ear infections, treatments used, and any previous ear surgery. In some cases, the primary care doctor may refer you or your child to an otolaryngologist, a doctor who specializes in treating disorders of the ears, nose and throat.
One of the best ways to prevent chronic otitis media is to have any ear infection treated promptly. After an infection clears up, a perforated eardrum may need to be repaired to prevent another infection. Suppurative chronic otitis media usually is treated with antibiotics taken by mouth and antibiotic eardrops. When a chronic ear infection spreads beyond the middle ear to the mastoid bone (the portion of bone behind the middle ear), a serious infection called mastoiditis can occur. Call your doctor immediately if you or your child develops a cloudy or foul-smelling discharge from one or both ears or has difficulty hearing. Disclaimer: This content should not be considered complete and should not be used in place of a call or visit to a health professional. The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records.
Hearing loss is a symptom of a variety of conditions affecting the hearing organ or its nerve connection to the brain. Conductive hearing loss is caused when something interferes with the transmission of sound from the ear canal to the cochlea. Conductive hearing loss can be due to problems in the ear canal, ear drum (tympanic membrane) or the middle ear bones (ossicles). Rarely children may be born with poorly formed middle ear bones, or these structures can be damaged through ear infection.
Conductive hearing loss in adults is less common, but may be due to problems with the bones of hearing or occasionally glue ear. Sensorineural hearing loss is due to loss of sound sensing cells in the cochlea (These are called hair cells) or damage to the nerves that take hearing signals to the brain.
Children can also suffer from sensorineural hearing loss, and for some children this is an inherited disorder that may even be present at birth. Finally it is worth remembering that hearing loss can be due to a mixture of conductive and sensorineural causes.
Most adults first start to notice difficulty in following conversation when there is background noise or when more than one person is talking. In children, parents find that they might be inattentive, or ignore instructions or appear naughty. Action On Hearing Loss, formerly The Royal National Institute for the Deaf (RNID), offers an Online Hearing Test. In most circumstances you should see your doctor, who will be able to examine you for wax impaction and look for signs of ear disease.


In cases where the hearing loss is due to a problem with the ossicles (eg otosclerosis) surgical hearing restoration is usually possible.
With modern surgery and high technology devices ENT surgeons are able to offer even the most severely deaf patients useful hearing.
Whether hearing loss from ear infections remains permanently or temporarily depends on each child. Ear infections are commonly referred to as otitis media; they are a commonly occurring medical problem of the ear in children.
The American Speech-language-hearing Association says that the duration of hearing loss varies from according to the frequency of ear infections. The best way in which you can prevent hearing loss occurring from ear infections is by seeking medical attention at the first sigh of an infection. Though all possible measures have been taken to ensure accuracy, reliability, timeliness and authenticity of the information; Onlymyhealth assumes no liability for the same. Sound is passed from the eardrum through the middle ear bones to the inner ear, where the nerve impulses for hearing are created. In rare situations, infections in the middle ear can spread deeper inside the inner ear, causing a sensorineural hearing loss and dizziness.
The doctor also will want to know about any medications being taken to treat an ear problem, including the type, dose, and length of treatment.
To confirm the diagnosis, he or she will look inside the ear with a special light called an otoscope and may take a sample of drainage fluid to be examined in a laboratory. If the otolaryngologist suspects mastoiditis or a cholesteatoma, additional tests may be needed. Antibiotic treatment of the infection causing the chronic otitis media may be enough to stop the ear from draining. A child with chronic Eustachian tube problems may need special tubes (tympanostomy tubes) inserted into his or her eardrums to prevent repeated ear infections by allowing air to flow normally in the middle ear. However, in some cases, the hole is left open because it can act like a tympanostomy tube to allow air to flow through the middle ear and possibly prevent more infections.
Antibiotics given intravenously (into a vein) often can clear up this infection, but surgery may be necessary. Also, seek emergency care for fever, swelling, tenderness or redness behind the ear, persistent or severe ear pain, dizziness, headache, confusion, or facial weakness. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. It may be caused by problems affecting the transmission of sound through the eardrum and bones of hearing (called ossicles) to the cochlea (the organ of hearing), or it may be due to problems in the cochlea and the auditory nerve that connects the cochlea to the brain (Figure 1). Sensorineural hearing loss is caused when there is a problem with the cochlea, or the nerve connection from the cochlea to the brain. Heavy wax accumulation in the ear canal can also cause a mild degree of conductive hearing impairment. Often their friends will complain that they don’t listen or that they turn the television volume up too loud. Listening to the television at high volumes is common and some times the child’s teachers will complain. A variety of tests are available, and special test techniques can be used to assess children, even when they are newborns. Treatment depends on the severity of the hearing loss and whether it is conductive or sensorineural. This may involve using metal or plastic implants or reusing your existing ossicles to restore the hearing mechanism. There is a hearing restoration solution available for almost everyone who is hearing impaired. The ugly truth is that ear infections can indeed cause long-term hearing problems in children.


Ear infections are caused by a build-up of fluid, which further leads to inflammation of the middle ear. While it is fairly uncommon for children with ear infections to have temporary hearing loss, those kids who frequent absent themselves from school because of an ear infection tend to experience permanent deafness. If you begin an antibiotics course immediately, you will be closer to completely preventing hearing loss from developing in the child. If you have or suspect having any medical condition, kindly contact your professional health care provider. The middle ear is connected to the back of the nose and throat by the Eustachian tube, a narrow passage that helps to control the air flow and pressure inside the middle ear.
Rare, but serious, complications include brain infections, such as an abscess or meningitis.
When the middle ear is infected, fluid will drain from the ear and hearing loss can worsen. These could include X-rays, a computed tomography (CT) scan, or a magnetic resonance imaging (MRI) scan.
Sometimes, despite appropriate antibiotics, the infection continues, and surgery may be needed to remove the infected tissue and repair the eardrum perforation and any injury to the tiny bones in the ear. Surgery usually is necessary to correct a persistent eardrum perforation or to remove a cholesteatoma. Sensorineural loss can also be due to excessive noise exposure in both work situations (industrial noise damage) or through excessively loud music exposure (recreational noise damage). In conductive hearing loss there may be an infection of other disease process that needs to be treated. The technology in hearing aids is always improving to make them more discrete and offer better sound quality. The build-up of fluids prevents small bones present in the middle ear prevents the production of sound vibrations, which ultimately causes hearing loss. If the ear infections occur more frequently than normal, the doctor will recommend insertion of an ear tube. The middle ear can become inflamed or infected when the Eustachian tube becomes blocked, for example, when someone has a cold or allergies. Cholesteatomas can cause hearing loss and are prone to get infected, which can cause ear drainage.
A chronic infection and a cholesteatoma also can cause injury to the facial nerves and facial paralysis. If there is any concern that hearing may have been affected, it can be evaluated by a test called an audiogram. Other causes of sensori neural hearing loss include some prescribed medication, and some infections.
It is important to note that children who have ear infections tend to develop speech and language problems as well.
Therefore, only a doctor can really tell if your child will have a temporary or permanent loss of hearing.
Cholesteatomas will grow large enough to erode the middle ear structures and the mastoid bone behind the middle ear. Whether full hearing returns depends on the extent of damage and how well the ear heals after surgery. Other conditions may affect the ossicles, for instance the stapes bone can become attached to the surrounding bone which stops it transmitting sound.
For some patients with specific types of hearing loss a surgically implanted hearing device may be advised.



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