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Otitis Media

What is Otitis Media". Otitis Media" means inflammation of the middle earDifferent types:Acute: presence of fluid, pus, redness of eardrum and possible feverChronic: fluid lasting 6 weeks or moreMay or may not be infectedDifferent types = different treatmentTypically when a physician says ear infection, actually means acute otitis media".

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Otitis Media

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    1. Otitis Media Kirsten M. Marconi, Au.D., CCC-A Educational Audiologist Louisville, Marlington, Minerva, Plain Local, Sandy Valley

    2. What is “Otitis Media” “Otitis Media” means inflammation of the middle ear Different types: Acute: presence of fluid, pus, redness of eardrum and possible fever Chronic: fluid lasting 6 weeks or more May or may not be infected Different types = different treatment Typically when a physician says ear infection, actually means “acute otitis media”

    3. Facts about Otitis Media One of the most commonly diagnosed childhood illnesses in US By age of 3, 4 out of 5 children will have at least 1 episode of otitis media Most likely to occur in first 2-4 years of life

    4. Causes Young children: Eustachian tube is shorter and somewhat flat Direct route for bacteria and viruses Eustachian tube is narrow and stiff Easier to get blocked Adenoids Gland-like structure at back/top of throat near opening of eustachian tube. If enlarged, can interfere with eustachian tube functioning. Immune system not fully developed Age 7

    5. Middle Ear Space

    6. Other causes Exposure to cigarette smoke Bottle feeding (bottle at night, nap time) Day care (kid-to-kid) Ear infections aren’t contagious Cold/virus that developed into an ear infection is contagious

    7. Signs and symptoms Earache Tugging at ears Loss of appetite Trouble sleeping Fever Drainage (rupture) Nausea Vomiting Dizziness

    8. Why worry about it? Hearing difficulties Speech delays Children speak what they hear

    9. Hearing loss Temporary Conductive Signs Asks for repetition Turns up tv, radio Not responding Appear inattentive at school Nothing Note from SLP, Ed Aud regarding a “flat tympanogram” or failed hearing screening.

    10. Tympanograms “Normal” “Flat”

    11. What next? Referral to physician If chronic, referral to specialist ENT Ear, Nose, and Throat physician

    12. Treatment options Different depending on physician “Wait and see” Antibiotics (IF infected) PE tubes Slit in eardrum Drain fluid in ear Place tube in ear (usually bilaterally) Tube ventilates and equalizes pressure in middle ear, and subsequently will normalize hearing (IF hearing was normal in the first place) In place anywhere from 6-18 months, usually fall out on their own.

    13. Pressure Equalization Tubes

    14. FOLLOW UP! Tubes won’t work if they aren’t open!

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