• tcmwell.com

Early symptoms of children with secretory otitis media

Updated: Friday, Jan 22,2010, 1:47:16 PM
  • A
  • A
  • A
Share this URL

Secretory otitis media in children more common, because: (1) position of the eustachian tube in children with low, flat, the lumen is short, thick, lying Breast easy to cough, so that the milk being diverted to the middle ear; (2) the eustachian tube cartilage Department of relatively soft and not self-opening; (3) development of the middle ear immune system has not yet perfected; (4) tonsil infection edema, hyperplasia, easy to plug the pharyngeal opening of eustachian tube; (5), adenoid in vivo retention of bacteria and viruses, can be directly or indirectly caused by middle ear infections; (6), hypoplastic mastoid air room, the air reserve is inadequate; (7), two children under the age often interstitial or organization within the bud, showing valve-like obstruction Eustachian tube; (8) children susceptible to nasal and upper respiratory tract, affecting eustachian tube function; (9) central nervous system is in the developmental stages of children, regulating function of poor, low immunity, susceptible to respiratory diseases.

The incidence of secretory otitis media due mainly to eustachian tube dysfunction, infections and allergic and immune responses caused by. The middle ear through the eustachian tube is the nasopharynx with the outside world the only channel with adjustable drum interior pressure, maintaining a balance with the outside air pressure, clean defense and anti-noise performance. These physiological functions are dependent on a clear opening when the eustachian tube 1 per minute, every 5 minutes during sleep, opening up a time to complete. Such as 1 hour without swallowing movements or the eustachian tube closed 1 hour will occur within the middle ear 15 to 20 mm Hg negative pressure. As the Eustachian tube itself or the surrounding organs of the disease, its regulatory function occurs barriers, the middle ear cavity formed after the gas is absorbed negative pressure, middle ear mucosa in the vein dilation, increased permeability of the wall, serum leakage or seepage pointed out that accumulate in the middle ear, namely, the formation of secretory otitis media.

Often in patients with secretory otitis media after a cold combined incidence of upper respiratory tract infection, local checks more than a tympanic membrane hyperemia, ground-glass opacity was like, loss of normal luster. After the tympanic membrane tympanic effusion Changchengnongxing yellow, orange and red, amber, milky white or gray. Tympanic membrane with liquid fluid can be seen for a long time plane, concave upward, and sometimes visible bubbles. Tympanic membrane fluid for a long time outside the sudden, limited mobility, tympanic membrane puncture can be removed from the liquid. Not difficult to diagnose older children, sick children often do not have complained, with the following performance, can help diagnose. (1) can not accurately tell or indicate the source of the sound, when are called upon to always turn the wrong direction when the head; (2) to general conversation often no response, must be loud, or they break the shoulders and back after attention; (3) conversations with others, often ask "what" and the need to repeat it; (4) in a noisy environment, even can not hear the contents of the speech of others; (5) often occurs not listen, do not pay attention or ignore the behavior of others; ( 6) watching television often sit near, or to increase the television volume; (7) prefer to act alone, unwilling to take part in collective activities; (8) can not correct according to the oral instruction of several links 11 do it, or the implementation of when she hesitated; (9) the process of speaking or reading a gradual increase in tone. Acoustic impedance to check the diagnosis of secretory otitis media in children has a significant value.

Treatment of secretory otitis media following principles: clear middle ear effusion, eustachian tube function recovery, removing the cause lesions, attach importance to allergic and immune responses to therapy, relapse prevention.

Tags: otitis media secretory

Post A Comment