It is one of the common diseases in childhood. It occurs when fluid accumulates in the middle ear cavity behind the eardrum. Fever, earache and redness of the eardrum, which are seen in otitis media, are not observed in patients. Generally, patients experience restlessness and a mild degree of hearing loss.
WHY DOES CHILDREN HAVE FLUID COLLECTION IN THE MIDDLE EAR
The most important reason is that children's head anatomy and physiology are more prone to infections than adults. is that it is. Children in kindergarten and nursery environments, those with allergies, and children from smoking families are at greater risk. In children with enlarged adenoids, it is a risk factor for fluid accumulation in the ear because the adenoid acts as a reservoir and hiding place for microorganisms. It is prone to cause more problems. In children, the eustachian tube is located in a horizontal position, so infectious agents pass through the eustachian tube to the middle ear more easily. When the Eustachian tube stops working and acts as a carrier for infection, the air pressure in the middle ear decreases and a vacuum is created. The eardrum begins to collapse towards the middle ear. Over time, the fluid thickens and reaches the consistency of glue, preventing the membrane and ossicles from vibrating, resulting in moderate hearing loss. If the problem persists for months, the gum-like fluid in the middle ear causes adhesions. The eardrum begins to collapse towards the middle ear, causing melting and rupture of the ear ossicles. Many patients who have ear surgery in adulthood are those who had fluid accumulation in the middle ear in childhood and did not receive appropriate treatment.
There is no connection between water leaking into the ear during bathing and fluid collection in the middle ear
HOW TO DIAGNOSE
It can be clearly identified through an examination by an Ear, Nose and Throat doctor and ear tests. diagnosis is made. On examination, the eardrum is seen to have lost its bright color and bulged outwards. If the condition persists for a long time, the eardrum begins to collapse. In the hearing and pressure tests, there is a negative sign in the middle ear. Pressure is observed, reflexes are absent and conductive hearing loss is observed.
HOW IS FLUID COLLECTION IN THE EAR TREATED
Fluid accumulation in the middle ear is a disease that can be cured with treatment.
HOW IS FLUID COLLECTION IN THE EAR TREATED? p> Sometimes, during the follow-up of the disease, improvement can occur even without medication. If the complaints do not improve within a few weeks when fluid collection first begins, treatment with medications should be tried. Commonly used medications are antibiotics, decongestants, antihistamines, steroids and vaccines. If the results of the examination and examination performed by the Ear Nose and Throat doctor suggest that there is a long-term problem, the treatment option should be surgery before it is too late. WHAT IS EAR TUBE INSERT During the surgery, the eardrum is scratched and the fluid is drained. And so that the hole created does not close immediately, a tube must be placed to help carry air to the middle ear. The purpose of placing a tube in the eardrum is to break the vicious circle by allowing the middle ear to ventilate. If the patient has adenoids, the adenoids also need to be removed surgically. THINGS TO BE DONE AFTER THE SURGERY By inserting a tube into the eardrum into the middle ear. A passageway from outside is opened. If water gets into the ear canal, it is possible for the water to pass into the middle ear and cause inflammation in the middle ear. Water leakage should be prevented with earplugs or Vaseline cotton, and the head should not be submerged when entering the pool or the sea. Tubes should be examined every 3 months for follow-up. Since the tubes are foreign objects, they will usually be expelled by the body. After the tubes are removed, the hole in the eardrum closes spontaneously in a short time. Rarely, the hole in the eardrum may not heal after the tube is removed. In this case, it may be necessary to close the hole surgically. In patients whose eustachian tube obstruction persists for a long time, it is necessary to use special tubes that do not discharge for a long time. In general, tubes are not allowed to remain for more than 2 years. Tubes that remain in place for a long time, tubes that do not discharge themselves, and tubes that cause inflammation in the middle ear can be removed during an ENT examination. – The main reason is usually the enlargement of the adenoid. – The patient with tube insertion Water should not be leaked into the ears. – It is important to monitor the ear tubes every 3 months. – If the tubes are removed before the problem preventing the eustachian tube in the nasal cavity from ventilating is corrected, they may need to be replaced.
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