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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Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery

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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Frontiers in Pediatrics

New paradigms in the pathogenesis of otitis media in children.

2013 •

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

2014 •

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

2010 •

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 new research in otitis media? ›

Ototopical administration of a drug called vinpocetine that was repurposed has been tested in mice and shown to reduce inflammation and mucus production in the middle ear during otitis media.

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? ›

Acute otitis media is a bacterial or viral infection of the middle ear, usually accompanying an upper respiratory infection. Symptoms include otalgia, often with systemic symptoms (eg, fever, nausea, vomiting, diarrhea), especially in the very young. Diagnosis is based on otoscopy.

What is the best treatment 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 can I improve my otitis media? ›

Treatment may include:
  1. Antibiotic medication by mouth or ear drops.
  2. Medication (for pain and fever)
  3. Observation.
  4. A combination of the above.

Will otitis media ever go away? ›

It causes inflammation (redness and swelling) and a build-up of fluid behind the eardrum. Anyone can develop a middle ear infection, but they're most common in young children. You do not always need to see a GP as most ear infections get better on their own within 3 to 5 days.

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 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.

How does ENT treat otitis media? ›

Treatment is with analgesics and sometimes antibiotics. Although acute otitis media can occur at any age, it is most common between ages 3 months and 3 years.

How to clear fluid behind eardrum? ›

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 bug is most common in otitis media? ›

The most common bacterial organisms causing otitis media are Streptococcus pneumoniae, followed by non-typeable Haemophilus influenzae (NTHi) and Moraxella catarrhalis. Following the introduction of the conjugate pneumococcal vaccines, the pneumococcal organisms have evolved to non-vaccine serotypes.

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.

What is the prognosis for otitis media? ›

Without treatment, acute otitis media (AOM) will usually resolve between 7 and 14 days. 80% of children with AOM will experience symptomatic relief without treatment within 2-3 days.

What is the best anti inflammatory for otitis media? ›

The most common medications used to treat the pain caused by acute otitis media include oral paracetamol, ibuprofen or opioids, as well as antipyrine and benzocaine eardrops. Paracetamol is usually preferred, as it is associated with fewer side effects; however, ibuprofen is considered to be a suitable alternative.

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.

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 are the five complication of otitis media? ›

Serious complications of acute otitis media (AOM) include meningitis, brain abscesses, epidural abscesses, mastoiditis, permanent sensorineural hearing loss, and death.

Which 3 organisms are most common for causing otitis media? ›

Abstract. The bacterial etiology of acute otitis media (AOM) in children is well known; Streptococcus pneumoniae, Haemophilus influenzae and Moraxella catarrhalis account for up to 80% of the cases.

What are the 4 types of otitis media? ›

AOM, acute otitis media; CSOM, chronic suppurative otitis media; OME, otitis media with effusion. Ear pain is the most consistent symptom of AOM, but only 50–60% of children with AOM complain of ear pain90,91.

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