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Home > West Medicine > ENT & Ophthalmology > ENT
H66.000

Acute Suppurative Otitis Media

耳鼻喉科

Common symptoms

耳痛、驻站医、耳聋、发炎、拒食、耳鸣、鼓膜充血、鼓膜发红,耳后红肿、外耳道狭窄

The pathology of disease

Acute suppurative otitis media is acute bacterial infection of the middle ear with pus, common in children, presenting with otalgia, fever, a bulging erythematous tympanic membrane, and conductive hearing loss; may perforate with otorrhea. Treatment: pain control (paracetamol/ibuprofen); oral antibiotics (amoxicillin first-line) for severe/bilateral/under-2 or if not improving; observe for 48-72 h in mild older children; myringotomy/grommet if recurrent/complicated.

Common Symptoms

Otalgia; fever; bulging erythematous TM; conductive loss; child; otorrhea if perforated

Causes and Pathogenesis

Eustachian-tube dysfunction traps fluid, infected by respiratory bacteria (S. pneumoniae/H. influenzae).

Treatment

Pain control; amoxicillin for severe/bilateral/under-2; observe mild 48-72 h; myringotomy if complicated

Preventive Measures

Pneumococcal/Hib vaccine; treat rhinitis; avoid bottle-propping.

Department to Visit

It is recommended to visit the Otolaryngology/Pediatrics department; an appointment can be booked on this platform before the visit.

Warm reminder: The above information is for health science reference only and cannot replace professional medical diagnosis. If you have related symptoms, please seek medical attention at a regular hospital promptly.