Otitis media; chronic

Alternative names:

chronic ear infection; chronic otitis media; ear infection, chronic; middle ear infection, chronic

Treatment:

Treatment is focused on relief of symptoms and cure of the infection.

Decongestants or antihistamines may be used to aid drainage through the eustachian tube. Antibiotics may be prescribed if the infection appears bacterial. Antibiotic treatment is usually long-term and may be oral or in the form of antibiotic ear drops.

Surgical removal of the adenoids may be necessary to allow the eustachian tube to open. Surgical opening of the eardrum (myringotomy) may be used to allow fluid to drain; this may or may not include placement of drainage tubes in the ear. Surgical repair of a ruptured eardrum may prevent recurrence of chronic ear infection.

Keep the ears clean and dry to prevent reinfection. This is particularly important if myringotomy has been performed.

Expectations (prognosis):

Chronic otitis usually responds to treatment, but treatment may be prolonged (over several months). The disorder is usually not a threat to life but may be uncomfortable and may result in serious complications.

Complications:

• permanent damage to the ear with partial or complete deafness
• mastoiditis
• cholesteatoma
• epidural abscess

Calling your health care provider:

Call for an appointment with your health care provider if you have signs of chronic otitis media (including an episode of acute otitis media that does not respond to treatment).

Call your health care provider if chronic otitis media does not respond to treatment, or if new symptoms develop during or after treatment of this disorder.