Chronic otitis media is a common middle ear disorder among children. It typically refers to the presence of fluid behind the eardrum for three months or longer. This condition may cause hearing loss and other severe symptoms.

If left untreated, it may lead to more severe complications such as scarring of the eardrum or hearing loss.

What Causes Chronic Otitis Media?

Chronic otitis media happens when there is inflammation and fluid buildup in the middle ear. There are several factors that can lead to this condition. One of the most common causes is frequent ear infections that do not clear up adequately.

Other causes may be related to allergies, adenoid problems, or a cleft palate.

Symptoms of Chronic Otitis Media in Children

The symptoms of chronic otitis media vary based on the severity of the condition. In mild cases, the symptoms may not be noticeable.

In more severe cases, children may experience ear pain or a dull ache in the ear, hearing loss, ear drainage, and difficulty sleeping. Some children may also experience vertigo, or a feeling of dizziness.

Diagnosing Chronic Otitis Media

To diagnose chronic otitis media, a doctor will examine the ear using a speculum and an otoscope. During the examination, the doctor will look for fluid buildup, redness, or irritation in the ear canal.

If the doctor suspects that there may be a more significant problem, a CT scan or MRI may be ordered to assess the severity of the condition.

Treatment for Chronic Otitis Media

Treatment for chronic otitis media typically begins with medication. Antibiotics may be prescribed to fight an underlying infection.

If the fluid does not drain, a myringotomy may be performed, which involves making a small incision in the eardrum to allow the fluid to drain out of the ear. Tympanostomy tubes may also be inserted into the eardrum to allow for drainage and ventilation.

Understanding Tympanoplasty

If chronic otitis media is left untreated and leads to more severe complications such as a perforated eardrum, hearing loss, or scarring of the eardrum, a tympanoplasty may be necessary.

Related Article Insurance Coverage for Tympanoplasty in Children

A tympanoplasty is a surgical procedure that repairs the eardrum and middle ear bones.

What Happens During a Tympanoplasty Procedure?

A tympanoplasty typically takes one to two hours and is performed under general anesthesia. The surgeon begins the procedure by making an incision behind the ear to access the eardrum.

The surgeon then removes any scar tissue and carefully repositions the bones in the middle ear. A graft is then placed over the hole that was created by the perforation and held in place with a small sponge or packing material. In some cases, a small tube may be inserted into the ear to help with drainage and ventilation.

After the procedure, the ear is usually covered with a sterile dressing.

Recovering from a Tympanoplasty Procedure

Recovery from a tympanoplasty varies from child to child. In most cases, children can go home the same day as the procedure. The child will need to take antibiotics and pain medication and may feel slight discomfort or mild pain in the ear.

It is essential for children to avoid blowing their nose or getting water in their ears for several weeks after surgery. Most children experience a full recovery within four to eight weeks after the procedure.

Risks of Tympanoplasty

As with any surgical procedure, there are risks involved with tympanoplasty. The most common risk is infection, which is why it is vital for children to take antibiotics after the surgery.

Other risks may include bleeding, hearing loss, or a prolonged recovery time.

Conclusion

If your child has chronic otitis media that isn’t responding to medication, or has developed more severe complications such as a perforated eardrum or hearing loss, tympanoplasty may be necessary.

It is essential to speak with your doctor to determine the best course of treatment for your child.