Recent Advances in Otitis Media (2024)

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

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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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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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Development of animal models of otitis media

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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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1. Definitions, Terminology, and Classification of Otitis Media

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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 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 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 effective treatment for otitis media? ›

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.

Will otitis media ever go away? ›

Middle ear infections often go away on their own within 2 or 3 days, even without any specific treatment. Often, there's fluid in the middle ear even after an infection clears up. If it's there for longer than than 3 months, more treatment might be needed.

How do you fix chronic otitis media? ›

The main form of treatment for chronic otitis media is antibiotics. Antibiotic ear drops are usually prescribed, although some patients may be given a regimen of oral antibiotics. In more advanced cases, surgery may be recommended to: Repair a damaged eardrum and/or hearing bones.

Is otitis media reversible? ›

Otitis media (middle ear infection) is common, especially in children. It often starts with a cold, and will usually go away by itself without antibiotics. It can cause ear pain, reduced hearing and fever. You may see fluid leaking if the ear drum bursts.

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 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 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.

How does ENT drain fluid from the ear? ›

A myringotomy is a surgery performed on your tympanic membrane (eardrum). A tiny incision is created in your eardrum to allow fluid to drain from your middle ear. Myringotomy is most often recommended to treat otitis media with effusion (fluid in the ear). On average, myringotomy recovery takes about four weeks.

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.

How do you get rid of otitis media fast? ›

Antibiotics are a medicine prescribed by your doctor. If you're dealing with an ear infection caused by bacteria, you'll likely need antibiotics. They are the best way of quickly getting rid of a bacterial infection and preventing it from spreading to other parts of the body.

What is the number one cause of otitis media? ›

Bacteria and viruses cause ear infections. Often, ear infections begin after a cold or another upper respiratory infection. The germs travel into your middle ear through the eustachian tube. Once inside, the virus or bacteria can cause your eustachian tubes to swell.

How do you get rid of otitis media? ›

Treatment
  1. A wait-and-see approach. Symptoms of ear infections usually improve within the first couple of days, and most infections clear up on their own within one to two weeks without any treatment. ...
  2. Managing pain. ...
  3. Antibiotic therapy. ...
  4. Ear tubes. ...
  5. Treatment for chronic suppurative otitis media. ...
  6. Monitoring.

What are the five complication of otitis media? ›

Otitis media (OM) is the most common illness of childhood, and its management is a controversial topic. Serious complications of acute otitis media (AOM) include meningitis, brain abscesses, epidural abscesses, mastoiditis, permanent sensorineural hearing loss, and death.

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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