Abstract
Objective To treat children with acute nonsuppurative otitis media induced by acute upper respiratory tract infection of varying severity and evaluate its therapeutic effects. Materials and Methods Patients from the emergency department with acute nonsuppurative otitis media were followed up between September 2015 and December 2018. A total of 420 patients were classified into grades I to III according to tympanic membrane intactness and systemic reactions and treated according to grading. Results Grade I patients showed no significant difference in the recovery of acute symptoms whether antibiotics are used or not. Grade II patients, after 3 months of follow-up, showed no tympanic membrane perforation, and 9 cases of binaural B-type children did not improve but were cured by operation. In grade III patients, after treatment for 4 hours in the experimental group 3, the earache subsided, 1 case had tympanic membrane perforation, and the patients recovered after 2 weeks (64/92) and after 3 months (28/92) of drug treatment. After treatment for 4 h in the control group 3, the earache eased, and 3 patients developed tympanic membrane perforation and were treated for 3 months. 4 binaural B-type children did not improve but recovered after surgical treatment. Conclusion Grade I patients could be closely followed up by clinical observation. For anti-inflammatory patients with grade II disease, treatment has therapeutic significance. For patients with grade III, some patients still have TMP, but the use of cephalosporin third-generation drugs plus an appropriate amount of hormone therapy is effective in reducing symptoms and tympanic local reactions.
Highlights
Acute otitis media (AOM) is one of the most common diseases in children in the otolaryngology department
AOM is an infection of the mucosa in the middle ear cavity caused by bacteria and/or viruses, directly entering the tympanum through the eustachian tube and is usually followed by a common cold [1]
Acute nonsuppurative otitis media refers to the tubal pharynx, mouth, and cartilage segments, inflammatory mucosal hyperemia, swelling, and congestion after acute upper respiratory tract infection and may be accompanied by bacteria or viruses via the eustachian tube, directly into the middle ear cavity, resulting in an inflammatory reaction in the middle ear mucosa
Summary
Acute nonsuppurative otitis media refers to the tubal pharynx, mouth, and cartilage segments, inflammatory mucosal hyperemia, swelling, and congestion after acute upper respiratory tract infection and may be accompanied by bacteria or viruses via the eustachian tube, directly into the middle ear cavity, resulting in an inflammatory reaction in the middle ear mucosa. The symptoms of acute nonsuppurative otitis media are mainly local symptoms, such as ear pain which is persistent and can be characterized by irritability, sometimes covering and pulling ears, most often affecting sleep. Those having an upper respiratory tract infection in the early stage can Neural Plasticity present with fever. Symptoms include enlarged and convex tympanic membrane hyperemia areas, disappearance of tympanic membrane sign, rupture of tension part, perforation, pus overflow, and sometimes redness behind the ears
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