Otitis

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Related to secretory otitis media: Serous Otitis Media

otitis

[ō′tīd·əs]
(medicine)
Inflammation of the ear.

Otitis

 

inflammation of the external, middle, or internal ear.

Otitis externa affects the skin of the auricle and external auditory meatus and proceeds with the formation of furuncles and eczema, as in other skin inflammations.

Otitis media may be acute or chronic. The acute form results from the penetration of microbes into the middle ear from the nose and nasopharynx in influenza and other infectious diseases. It occurs more often in children than in adults, because children are more susceptible to colds and adenoids. The symptoms are shooting pains in the ear, loss of hearing, elevated temperature, and suppurative discharges from the ear that often appear in the first day and sometimes even the first hours of the disease. In infants, acute otitis media causes restlessness and insomnia. The baby cries, turns its head, holds the affected ear with its hand, and refuses the breast because pain in the ear intensifies with swallowing. The inflammation is treated by tamponade with an alcoholic solution of boric acid or some other antiseptic; in some cases the tympanic membrane is punctured by paracentesis. In most cases, recovery is possible with prompt treatment. However, if the body is debilitated and other conditions are unfavorable, the disease may become chronic, in which case pus is discharged from the ear, and hearing is permanently impaired. Inflammation of the internal ear and meningitis—inflammation of the brain membranes—are possible complications.

Inflammation of the internal ear—labyrinthitis, or otitis interna—arises not only with otitis media but often in children with epidemic cerebrospinal meningitis. When labyrinthitis is diffuse, all or almost all the endings of the acoustic nerve in the internal ear die, and complete or almost complete deafness results. With localized labyrinthitis hearing is partly preserved. Labyrinthitis is treated with antibiotics and surgery of the temporal bone.

REFERENCE

Temkin, Ia. S. Ostryi otit i ego oslozhneniia, 2nd ed. Moscow, 1955.

L. V. NEIMAN

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Comparison of the incidence of cholesteatoma surgery before and after using ventilation tubes for secretory otitis media.
Secretory otitis media recurred in 31% of children who used the active spray, compared with 56% of those who used the placebo spray.
There were fewer children in the treated group with secretory otitis media at the last visit (ARR=9%; 95% CI, 6.
Prospective epidemiological study of secretory otitis media in children not attending kindergarten: a prevalence study.
Several different factors can cause the tympanic membrane to assume a blue color, including a true hemotympanum, an idiopathic hemotympanum secondary to a cholesterol granuloma, long-standing secretory otitis media, a dehiscent high-riding jugular bulb, and occasionally a chemodectoma.
Since large adenoids are frequently found in children with chronic secretory otitis media and their removal seemed to help the resolution of the condition, this seemed logical.
In fact, silent otitis media might represent a transition phase between secretory otitis media and chronic otitis media.
The intraluminal obstructive pathogenic concept of eustachian tube in secretory otitis media.
Prevalence of secretory otitis media in seven to eight year old school children.