Otitis media with effusion treatment延伸文章資訊，搜尋引擎最佳文章推薦
1. Otitis Media with Effusion: Causes, Symptoms, and Diagnosis
TreatmentOtitisMediawithEffusionMedicallyreviewedbyKarenGill,M.D.—WrittenbyRachelNall,MSN,CRNA—UpdatedonSeptember17,2018CausesSymptomsDiagnosisTreatmentPreventionComplicationsOutlookWhatisotitismediawitheffusion?Theeustachiantubedrainsfluidfromyourearstothebackofyourthroat.Ifitclogs,otitismediawitheffusion(OME)canoccur.IfyouhaveOME,themiddlepartofyourearfillswithfluid,whichcanincreasetheriskofearinfection.OMEisverycommon.AccordingtotheAgencyofHealthcareResearchandQuality,about90percentofchildrenwillhaveOMEatleastoncebytheageof10.WhatcausesOME?ChildrenaremorelikelytoexperienceOMEduetotheshapeoftheireustachiantubes.Theirtubesareshorterandhavesmalleropenings.Thisincreasestheriskofcloggingandinfection.Children’seustachiantubesarealsoorientedmorehorizontallythaninadults.Thismakesitmoredifficultforfluidtodrainfromthemiddleear.Andchildrenhavemorefrequentcoldsandotherviralillnessesthatcansetthemupformorefluidinthemiddleearandmoreearinfections.OMEisn’tanearinfection,buttheycanberelated.Forexample,anearinfectioncanaffecthowwellfluidflowsthroughthemiddleear.Evenaftertheinfectionisgone,fluidmayremain.Also,ablockedtubeandexcessfluidcanprovidetheidealenvironmentforbacteriatogrow.Thiscanleadtoanearinfection.Allergies,airirritants,andrespiratoryinfectionscanallcauseOME.Changesinairpressurecanclosetheeustachiantubeandaffectfluidflow.Thesecausesmightbeduetoflyinginanairplaneorbydrinkingwhilelyingdown.AcommonmisconceptionisthatwaterintheearcancauseOME.Thisisuntrue.WhatarethesymptomsofOME?OMEisn’ttheresultofaninfection.Symptomsareoftenmildorminimal,andcanvarybasedonachild’sage.ButnotallchildrenwithOMEhavesymptomsoractorfeelsick.OnecommonsymptomofOMEishearingproblems.Inyoungerchildren,behaviorchangescanbeasymptomofhearingproblems.Forexample,achildmayturnthetelevisionuplouderthanusual.Theymayalsotugorpullontheirears.OlderchildrenandadultswhohaveOMEoftendescribesoundasmuffled.Andtheymayhavethefeelingthattheearisfulloffluid.HowisOMEdiagnosed?Adoctorwillexaminetheearusinganotoscope,whichisa
2. Otitis media with effusion: MedlinePlus Medical Encyclopedia
OME and ear infections are connected in two ways: After most ear infections have been treated, fluid (an effusion) remains in the middle ear for a ...YouAreHere:Home→MedicalEncyclopedia→OtitismediawitheffusionURLofthispage://medlineplus.gov/ency/article/007010.htmOtitismediawitheffusionOtitismediawitheffusion(OME) isthickorstickyfluidbehindtheeardruminthemiddleear.Itoccurswithoutanearinfection.CausesTheEustachiantubeconnectstheinsideoftheeartothebackofthethroat.Thistubehelpsdrainfluidtopreventitfrombuildingupintheear.Thefluiddrainsfromthetubeandisswallowed.OMEandearinfectionsareconnectedintwoways:Aftermostearinfectionshavebeentreated,fluid(aneffusion)remainsinthemiddleearforafewdaysorweeks.WhentheEustachiantubeispartiallyblocked,fluidbuildsupinthemiddleear.Bacteriainsidetheearbecometrappedandbegintogrow.Thismayleadtoanearinfection.ThefollowingcancauseswellingoftheEustachiantubeliningthatleadstoincreasedfluid:AllergiesIrritants(particularlycigarettesmoke)RespiratoryinfectionsThefollowingcancausetheEustachiantubetocloseorbecomeblocked:DrinkingwhilelyingonyourbackSuddenincreasesinairpressure(suchasdescendinginanairplaneoronamountainroad)Gettingwaterinababy'searswillnotleadtoablockedtube.OMEismostcommoninwinterorearlyspring,butitcanoccuratanytimeofyear.Itcanaffectpeopleofanyage.Itoccursmostofteninchildrenunderage2,butisrareinnewborns.YoungerchildrengetOMEmoreoftenthanolderchildrenoradultsforseveralreasons:Thetubeisshorter,morehorizontal,andstraighter,makingiteasierforbacteriatoenter.Thetubeisfloppier,withatinieropeningthat'seasytoblock.Youngchildrengetmorecoldsbecauseittakestimefortheimmunesystemtobeabletorecognizeandwardoffcoldviruses.ThefluidinOMEisoftenthinandwatery.Inthepast,itwasthoughtthatthefluidgotthickerthelongeritwaspresentintheear.("Glueear"isacommonnamegiventoOMEwiththickfluid.)However,fluidthicknessisnowthoughttobe relatedtotheearitself,ratherthantohowlongthefluidispresent.SymptomsUnlikechildrenwithanearinfection,childrenwithOMEdonotactsick.OMEoftendoesnoth
3. Acute otitis media in adults
In the majority of cases, OME resolves without treatment within 12 weeks. In a small percentage of cases, the effusion persists and requires ...
4. otitis-media-with-effusion
Acute otitis media in children: Treatment ...
5. Otitis Media: Diagnosis and Treatment
High-dose amoxicillin (80 to 90 mg per kg per day in two divided doses) is the first choice for initial antibiotic therapy in children with AOM. Children with middle ear effusion and anatomic damage or evidence of hearing loss or language delay should be referred to an otolaryngologist. AOM = acute otitis media.Advertisement<< PreviousarticleNextarticle >>Oct1,2013Issue OtitisMedia:DiagnosisandTreatment Amorerecentarticleonotitismediaisavailable.Thisisacorrectedversionofthearticlethatappearedinprint.KATHRYNM.HARMES,MD;R.ALEXANDERBLACKWOOD,MD,PhD;HEATHERL.BURROWS,MD,PhD;JAMESM.COOKE,MD;R.VANHARRISON,PhD;andPETERP.PASSAMANI,MDUniversityofMichiganMedicalSchool,AnnArbor,MichiganAmFamPhysician. 2013 Oct 1;88(7):435-440. Relatededitorials:ShouldChildrenwithAcuteOtitisMediaRoutinelyBeTreatedwithAntibiotics?Yes:RoutineTreatmentMakesSenseforSymptomatic,Emotional,andEconomicReasonsandNo:MostChildrenOlderThanTwoYearsDoNotRequireAntibiotics Patientinformation:Ahandoutonotitismediaisavailableathttps://familydoctor.org/familydoctor/en/diseases-conditions/ear-infections/treatment.html.ThisclinicalcontentconformstoAAFPcriteriaforcontinuingmedicaleducation(CME).SeetheCMEQuiz.Authordisclosure:Norelevantfinancialaffiliations.AbstractEtiologyandRiskFactorsDiagnosisManagementofAcuteOtitisMediaManagementofOMETympanostomyTubePlacementSpecialPopulationsReferencesArticleSectionsAbstractEtiologyandRiskFactorsDiagnosisManagementofAcuteOtitisMediaManagementofOMETympanostomyTubePlacementSpecialPopulationsReferencesAcuteotitismediaisdiagnosedinpatientswithacuteonset,presenceofmiddleeareffusion,physicalevidenceofmiddleearinflammation,andsymptomssuchaspain,irritability,orfever.Acuteotitismediaisusuallyacomplicationofeustachiantubedysfunctionthatoccursduringaviralupperrespiratorytractinfection.Streptococcuspneumoniae,Haemophilusinfluenzae,andMoraxellacatarrhalisarethemostcommonorganismsisolatedfrommiddleearfluid.Managementofacuteotitismediashouldbeginwithadequateanalgesia.Antibiotictherapycanbedef
6. Otitis Media With Effusion: Comparative Effectiveness of ...
Though not in widespread use, the technique of autoinflation has been used as a treatment for OME. The goal of autoinflation is to use either a ...SkiptomaincontentHome»Products»OtitisMediaWithEffusion:ComparativeEffectivenessofTreatments»OtitisMediaWithEffusion:ComparativeEffectivenessofTreatmentsOnJuly30,2012,amendmentsweremadetothisprotocol.Toviewtheseamendments,pleaseseethesectiontitled“SummaryofProtocolAmendments.”BackgroundandObjectivesfortheSystematicReviewOtitismediawitheffusion(OME)isdefinedasacollectionoffluidinthemiddleearwithoutsignsorsymptomsofearinfection.1IttypicallyariseswhentheEustachiantubesarenotfunctioningnormally.Whenthishappens,pressurechangesoccurinthemiddleearandfluidcanaccumulate.OMEisoneofthemostcommonlyoccurringchildhoodillnessesintheUnitedStateswithmorethan2.2milliondiagnosedcaseseachyearatanestimatedannualcostof4billiondollars.2Asmanyas90percentofchildren(80%ofindividualears)willhaveatleastoneepisodeofOMEbyage10,withthemajorityofcasesoccurringbetweentheagesof6monthsand4years.2,3ManyepisodesofOMEresolvespontaneouslywithin3months,but30to40percentofchildrenhaverecurrentepisodesand5to10percentofcaseslastmorethan1year.1,4,5Additionally,somesubpopulationsofchildrenaredisproportionatelyaffectedbyOME.Thosewithcleftpalate,Downsyndrome,andothercraniofacialanomaliesareathighriskforanatomiccausesofOMEinadditiontoworsenedfunctionoftheEustachiantube.6IndividualsofAmericanIndian,Alaskan,andAsianbackgroundsarebelievedtobeatgreaterrisk,7asarechildrenwithadenoidhyperplasia.Inaddition,childrenwithexistinghearinglosswillbeaffectedmoredramaticallybythesecondaryconductivehearinglossthatoccurswithOME.ThereareseveralpredisposingenvironmentalfactorsthatareassociatedwithanincreasedriskofdevelopingOME.3Theseincludeexposuretosecondhandsmoke,attendingchildcare,andhavingenvironmentallyinducedallergies.Althoughrare,OMEalsooccursinadults,usuallydevelopingafterasevereupperrespiratoryinfectionsuchassinusitis,severeallergies,orrapidchangeinairpressure(barotrauma)afterapla
7. Otitis Media (with Effusion)
If bacteria grow in the middle ear fluid, an effusion can turn into a middle ear infection (acute otitis media). This will usually increase pressure ...EspañolVisitTheSymptomCheckerReadMoreDepressioninChildrenandTeensReadMoreBMICalculatorConditionOtitisMedia(withEffusion)SharePrintTableofContents1.Overview2.Symptoms3.Causes4.Diagnosis5.Prevention6.Treatment7.EverydayLife8.Questions9.ResourcesOverviewWhatisotitismediawitheffusion?Otitismediaisa generic termthatreferstoan inflammation ofthemiddleear.Themiddleearisthespacebehindtheeardrum.Otitismediawith effusion meansthereisfluid(effusion)inthemiddleear,withoutaninfection.Fluidinthemiddleearcanhavefewsymptoms,especiallyifitdevelopsslowly.Italmostalwaysgoesawayonitsowninafewweekstoafewmonths.So,thiskindofearproblemdoesn’tusuallyneedtobetreatedwithantibiotics.Yourdoctormaydecidetotreatitifitcausesapainful infection orifthefluiddoesn’tgoaway.Otitismediawitheffusionismostcommoninyoungchildren,age2andunder.Butitcanaffectpeopleofanyage.SymptomsChildrenwhohaveotitismediawitheffusionmaynothaveanysymptoms.Usuallytheydon’tactsick.Theycouldexperiencethefollowing:Afeelingoffullnessintheear.Muffledhearing.Fluidthatdrainsfromtheears(ifthe eardrum hasruptured).Somepaininsidetheear(ifyourchildistooyoungtospeakandtellyouhisorherearhurts,heorshemaytugattheearoften).Ifyourchild’sotitismediawitheffusiondevelopsintoaninfection,heorshemayhaveothersymptoms.Theseinclude:Painintheear(cryingorpullingattheearforveryyoungchildren).Fever.Irritability.Listlessness.Troublehearing.Notfeelinglikeeatingorsleeping.Causes&RiskFactorsTheEustachiantubeconnectsthemiddleearwiththebackofthethroat.Normally,thistubeletsfluiddrainoutofthemiddleear.ButsometimestheEustachiantubeswells.Itcanbecomepartiallyorcompletelyblocked.Thiscancausefluidtobuildupinthemiddleear.ThefollowingmaycausetheEustachiantubetoswell:Allergies.Irritants,suchascigarettesmoke.Respiratoryinfections.Enlargedadenoids(glandsneartheear).Drinkingwhilelyingontheback(bottle-fedbabies).Asuddenincrea
8. Otitis Media with Effusion (OME)
In most cases the fluid in OME resolves on its own within 4 to 6 weeks, so acute treatment is not needed. Medications. In most cases, the middle ear fluid in OME is ...Skiptocontent OtitisMediawithEffusion(OME)ContactUs215-590-3440SecondOpinionsWhatisotitismediawitheffusion(OME)?Otitismediawitheffusion(OME)isacollectionofnon-infectedfluidinthemiddleearspace.Itisalsocalledserousorsecretoryotitismedia(SOM).Thisfluidmayaccumulateinthemiddleearasaresultofacold,sorethroatorupperrespiratoryinfection.OMEisusuallyself-limited,whichmeans,thefluidusuallyresolvesonitsownwithin4to6weeks.However,insomeinstancesthefluidmaypersistforalongerperiodoftimeandcauseatemporarydecreaseinhearingorthefluidmaybecomeinfected(acuteotitismedia).OMEismorecommoninchildrenbetween6monthsand3yearsofage,andaffectsmoreboysthangirls.Theconditionoccursmoreofteninthefallandwintermonthsandiscommonlyunderdiagnosedbecauseofitslackofacuteorobvioussymptoms(comparedtoacuteotitismedia(AOM).CausesOtitismediawitheffusionisusuallyaresultofpoorfunctionoftheeustachiantube,thecanalthatlinksthemiddleearwiththethroatarea.Theeustachiantubehelpstoequalizethepressurebetweentheairaroundyouandthemiddleear.Whenthistubeisnotworkingproperly,itpreventsnormaldrainageoffluidfromthemiddleear,causingabuildupoffluidbehindtheeardrum.Somereasonstheeustachiantubemaynotworkproperlyinclude:Animmatureeustachiantube,whichiscommoninyoungchildrenAninflammationoftheadenoidsAcoldorallergy,whichcanleadtoswellingandcongestionoftheliningofthenose,throatandeustachiantube(thisswellingpreventsthenormalflowofairandfluids)AmalformationoftheeustachiantubeWhileanychildmaydevelopOME,thefollowingaresomeofthefactorsthatmayincreaseyourchild'sriskofdevelopingOME:HavingacoldSpendingtimeinadaycaresettingBeingbottlefedwhilelyingonthebackBeingaroundsomeonewhosmokesAbsenceofbreastfeedingHistoryofearinfectionsCraniofacialabnormalities(e.g.cleftpalate)SignsandsymptomsWhilesignsofOMEcanvaryfromchildtochildandchangeinintensity,commonsymptomsinclude:Hearingdifficultie
9. Treatment Options in Otitis Media with Effusion
In spite of this there are no confirmed guidelines of treatment to overcome. Many treatment options are available medical as well as surgical.NCBISkiptomaincontentSkiptonavigationResourcesHowToAboutNCBIAccesskeysMyNCBISignintoNCBISignOutJournalListIndianJOtolaryngolHeadNeckSurgv.66(Suppl1);2014JanPMC3918321IndianJOtolaryngolHeadNeckSurg.2014Jan;66(Suppl1):191–197.Publishedonline2011Dec13.doi: 10.1007/s12070-011-0423-3PMCID:PMC3918321PMID:24533382TreatmentOptionsinOtitisMediawithEffusionIlaUpadhyaandJ.DatarIlaUpadhyaDepartmentofENT,NewCivilHospital,GovernmentMedicalCollege,Majuragate,Surat,3950002GujaratIndia803,AbhilashaApartment,OppositeMathraNagari,AdajanGam,Surat,3950009IndiaFindarticlesbyIlaUpadhyaJ.DatarDepartmentofENT,NewCivilHospital,GovernmentMedicalCollege,Majuragate,Surat,3950002GujaratIndiaFindarticlesbyJ.DatarAuthorinformationArticlenotesCopyrightandLicenseinformationDisclaimerDepartmentofENT,NewCivilHospital,GovernmentMedicalCollege,Majuragate,Surat,3950002GujaratIndia803,AbhilashaApartment,OppositeMathraNagari,AdajanGam,Surat,3950009IndiaIlaUpadhya,Phone:9825149402,Phone:9979146938Phone:(0261)2782939Phone:(0261)6550383,Email:moc.rotcod@aytida_ali.Correspondingauthor.Received2011Jul22;Accepted2011Nov24.Copyright©AssociationofOtolaryngologistsofIndia2011ThisarticlehasbeencitedbyotherarticlesinPMC.SecretaryOtitismediawitheffusion(OME)istheaccumulationofmucusinthemiddleearandsometimesinthemastoidaircellsystem.ThemainetiologicalfactorisalterationinmucociliarysystemofmiddleearsecondarytoETmalfunctionwhichmaybeprimaryorsecondary.OMEisthecauseofconcernduetoitsoccuranceinpaediatricagegroup,highestat2 yearsofage,presentingasimpairmentofhearingleadingtodelayedspeechandlanguagedevelopment,pooracademicperformanceandbehavioralproblems.Inspiteofthistherearenoconfirmedguidelinesoftreatmenttoovercome.Manytreatmentoptionsareavailablemedicalaswellassurgical.ProspectivestudyconductedtoevaluatevarioustreatmentoptionsrevealedthatautoinflationofETisthemainstayoftreatment.Ift