Recent Advances in Otitis Media (2024)

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Otolaryngology -- Head and Neck Surgery

Panel 4: Recent Advances in Otitis Media in Molecular Biology, Biochemistry, Genetics, and Animal Models

2013 •

Ann Hermansson

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Mouse models for human otitis media

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Qing Zheng

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Panel 3: Genetics and Precision Medicine of Otitis Media

Objective The objective is to perform a comprehensive review of the literature up to 2015 on the genetics and precision medicine relevant to otitis media. Data Sources PubMed database of the National Library of Medicine. Review Methods Two subpanels were formed comprising experts in the genetics and precision medicine of otitis media. Each of the panels reviewed the literature in their respective fields and wrote draft reviews. The reviews were shared with all panel members, and a merged draft was created. The entire panel met at the 18th International Symposium on Recent Advances in Otitis Media in June 2015 and discussed the review and refined the content. A final draft was made, circulated, and approved by the panel members. Conclusion Many genes relevant to otitis media have been identified in the last 4 years in advancing our knowledge regarding the predisposition of the middle ear mucosa to commensals and pathogens. Advances include mutant animal models and clinical studies. M...

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New paradigms in the pathogenesis of otitis media in children.

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Livjot Sachdeva

Acute otitis media (AOM) is a multifactorial disease with a significant socioeconomic impact. The pathogenesis of AOM is attributed to a variety of well-established internal and extrinsic factors. Recent evidence strongly points to bacterial biofilm formation as an important contributor to this disease entity. The nasopharynx is a likely reservoir for infection with subsequent seeding of pathogens to the middle ear via planktonic shedding. Various modalities have been used to directly detect biofilm formation in the middle ear mucosa of children with AOM. Further insights into this disease may lead to new strategies for prevention and treatment.

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Korean journal of audiology

Development of animal models of otitis media

2013 •

Byung-don Lee

Otitis media is defined as inflammation of the middle ear, including the auditory ossicles and the Eustachian tube. Otitis media is a major health problem in many societies. The causes of otitis media includes infection and anatomic/physiologic, host, and environmental factors. In general, otitis media is a childhood disease, and anatomic and physiologic changes have great effects on its development. Thus, in vitro or human experimental studies of otitis media are difficult. Several experimental animal models have been introduced to investigate the pathogenesis and treatment of otitis media. However, none are ideal. The aim of this review is to provide a brief overview of the current status of animal models of otitis media with effusion, acute otitis media, and cholesteatoma. This review will assist determination of the most appropriate animal models of otitis media.

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International Journal of Infectious Diseases

Role of innate immunity in the pathogenesis of otitis media

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Kalai Mathee

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Annals of Otology, Rhinology & Laryngology

1. Definitions, Terminology, and Classification of Otitis Media

2002 •

Pearay Ogra

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International Journal of Pediatric Otorhinolaryngology

Epidemiology, natural history, and risk factors: Panel report from the Ninth International Research Conference on Otitis Media

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Howard Hoffman

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International Journal Of Community Medicine And Public Health

Otitis media causes and management

Lujain Hefni

Otitis media is a major cause of health care visits across the world, and its complications are significant causes of preventable hearing loss, predominantly in the developing world. They are a group of inflammatory and complex infective conditions that affect the middle ear. They have several different subtypes, and affects primarily children from 3 to 7 years of age. When not treated properly, they can lead to many complications including permanent hearing loss. In this article we will discuss updates on recent scientific developments in the field of otitis media clinical management and research. We conducted this review using a comprehensive search of MEDLINE, PubMed and EMBASE from January 1979 to March 2017. The following search terms were used: otitis media, middle ear infections, pediatric infections, causes of otitis media, treatment otitis media, and prevention of otitis media. Otitis media is one of the most common pathologies in the pediatric age group making it one the m...

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OTITIS MEDIA

IJAR Indexing

Acute otitis media and otitis media with effusion are common childhood disorders, a source of significant morbidity, and a leading cause of antibiotic prescription in primary health care. Although effective treatments are available, some shortcomings remain, and thus better treatments would be welcome. Recent discoveries within the field of otitis media research relating to its etiology and pathogenesis have led to further investigation aimed at developing novel treatments. This article provides a review of the latest evidence relating to the understanding of acute otitis media and otitis media with effusion, current treatment strategies, their limitations, new areas of research, and novel strategies for treatment.Middle ear infection (otitis media)

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Recent Advances in Otitis Media (2024)

FAQs

What is the current treatment of otitis media? ›

Most patients can be treated effectively with an analgesic such as a nonsteroidal antiinflammatory medication or acetaminophen. Choice of initial antibiotic — Our choice for first-line therapy is amoxicillin-clavulanate. In most adults, the dose is amoxicillin 875 mg with clavulanate 125 mg orally twice daily.

What is the present illness of otitis media? ›

This middle ear infection occurs abruptly causing swelling and redness. Fluid and mucus become trapped inside the ear, causing the child to have a fever and ear pain. Otitis media with effusion. Fluid (effusion) and mucus continue to accumulate in the middle ear after an initial infection subsides.

What is the best treatment for chronic otitis media? ›

Treating chronic otitis media

Most often, doctors choose a fluoroquinolone antibiotic solution, such as ciprofloxacin. For more severe infections, an oral antibiotic will be needed. Also, the doctor will suction out the middle-ear fluid that is draining.

What is the first choice to treat otitis media? ›

Treatment / Management

When a bacterial etiology is suspected, the antibiotic of choice is high-dose amoxicillin for ten days in both children and adult patients who are not allergic to penicillin. Amoxicillin has good efficacy in the treatment of otitis media due to its high concentration in the middle ear.

What is the best drug of choice for otitis media? ›

Amoxicillin is the first-line drug for otitis media. Effective second-line drugs for resistant beta-lactamase-producing bacterial strains include trimethoprim-sulfamethoxazole, erythromycin-sulfisoxazole, cefaclor, cefuroxime axetil and cefixime.

What is the second-line of treatment for otitis media? ›

Appropriate options for second-line therapy include high-dose amoxicillin/clavulanate (90 mg/kg/day based on the amoxicillin component) and ceftriaxone.

What is the number one cause of otitis media? ›

An ear infection is caused by a bacterium or virus in the middle ear. This infection often results from another illness — cold, flu or allergy — that causes congestion and swelling of the nasal passages, throat and eustachian tubes.

What bug is most common in otitis media? ›

Predominant bacteria that cause otitis media are Streptococcus pneumoniae, Moraxella catarrhalis, and non‐typeable Haemophilus influenzae.

What is a natural antibiotic for otitis media? ›

Oils. Be it garlic, tea tree or live — some people swear by putting oil in the ear to help with ear infections. Some natural oils may be touted for their antimicrobial properties — that means they're thought to have some ability to kill bacteria, viruses and fungi.

How does ENT drain fluid from the ear? ›

A myringotomy is a procedure to create a hole in the ear drum to allow fluid that is trapped in the middle ear to drain out. The fluid may be blood, pus and/or water. In many cases, a small tube is inserted into the hole in the ear drum to help maintain drainage.

How to get fluid out of inner ear? ›

Basic understanding of the ear structure and how fluid usually drains can be helpful. Effective home remedies for safe fluid drainage include jiggling the earlobe, using gravity, creating a vacuum, using a blow dryer, trying ear drops or sprays, trying more water, inhaling steam, and gargling with saltwater.

What happens if your ear infection won't go away with antibiotics? ›

If the infection does NOT go away, on its own or with treatment, the doctor may recommend ear tube surgery. In this procedure, a tiny tube is inserted into the eardrum to drain the fluid. The tube will usually fall out on its own. Ear infections are very treatable, but they may come back again.

What are the symptoms of a brain infection from an ear infection? ›

The deadliest complication of otitis media is a brain abscess, an accumulation of pus in the brain due to an infection. The most common symptoms are headache, fever, nausea, vomiting, neurologic deficits and altered consciousness.

What happens if otitis media is left untreated? ›

Otitis media will often resolve without any treatment. However, possible complications of untreated otitis media include a hole (perforation) of the eardrum, hearing loss, and mastoiditis (see the section below).

What is the antibiotic of choice for chronic otitis media? ›

Topical quinolones are the treatment of choice for chronic suppurative otitis media; they are equally or more effective as aminoglycosides and lack the risk of ototoxicity. Quinolones are effective in resolving otorrhoea and eliminating the microorganism.

How does ENT treat otitis media? ›

Most of the time, otitis media clears up with proper medication and home treatment. In many cases, however, further treatment may be recommended. An operation, called a myringotomy may be recommended. This involves a small surgical incision (opening) into the eardrum to promote drainage of fluid and to relieve pain.

What is the best antibiotic for ear infection? ›

Amoxicillin is a first-choice antibiotic for adults with otitis media. It's typically taken by mouth 2 to 3 times daily for 5 to 10 days. Your symptoms should start to improve within 3 days after starting it. Augmentin is a common alternative if amoxicillin isn't effective.

Can otitis media resolve without antibiotics? ›

Treatment for Acute Otitis Media (AOM)

Most cases of AOM clear up on their own within a week and do not require antibiotic treatment. (Antibiotics are necessary for children with special health concerns, and infants younger than 6 months.)

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