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Otitis media is a group of inflammatory diseases of the middle ear. [2] One of the two main types is acute otitis media (AOM), [3] an infection of rapid onset that usually presents with ear pain. [1] In young children this may result in pulling at the ear, increased crying, and poor sleep. [1] Decreased eating and a fever may also be present. [1]
Other symptoms in adults include pain and drainage from ear or problems with hearing. [8] Symptoms in children can include excessive crying, touching at ears, drainage, and fever. [8] Treatment can range from increasing fluids and over-the-counter medicine to manage symptoms to antibiotics prescribed by medical providers. [9]
The hallmark of malignant otitis externa (MOE) is unrelenting pain that interferes with sleep and persists even after swelling of the external ear canal may have resolved with topical antibiotic treatment. [23] It can also cause skull base osteomyelitis (SBO), manifested by multiple cranial nerve palsies, described below under the "Treatment ...
The cause is often not clear. It may be due to a virus, but it can also arise from bacterial infection, head injury, extreme stress, an allergy, or as a reaction to medication. 30% of affected people had a common cold prior to developing the disease. [1] Either bacterial or viral labyrinthitis can cause a permanent hearing loss in rare cases. [7]
A common cause of primary otalgia is ear infection called otitis media, meaning an infection behind the eardrum. [3] The peak age for children to get acute otitis media is ages 6–24 months. One review paper wrote that 83% of children had at least one episode of acute otitis media by 3 years of age. [10]
Antipyrine and benzocaine ear drops is a medication for the treatment of ear pain caused by otitis media. It combines antipyrine , an NSAID , and benzocaine , a local anaesthetic in order to treat ear pain, alongside hydroxyquinoline sulfate, an antiseptic and preservative.
[2] [3] Mastoiditis is usually caused by untreated acute otitis media (middle ear infection) and used to be a leading cause of child mortality. With the development of antibiotics, however, mastoiditis has become quite rare in developed countries where surgical treatment is now much less frequent and more conservative, unlike former times. [2]
Benign paroxysmal positional vertigo (BPPV) - This is the most common cause of vertigo in adults, but it is rarer in children. Unlike BPVC, BPPV is provoked by changes in the head position. [4] Otitis media and Vestibular neuritis - Unlike BPVC, these conditions are both associated with ear pain or fullness, and the vertigo is not episodic. [3]