""Exudative otitis' common in children, if left unattended, it interferes with language development."

Oct 07, 2024

''Exudative otitis' common in children, if left unattended, it interferes with language development.'
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When a child suddenly touches, lints, or pus flows out of the ear, acute otitis media (耳炎, pus-filled disease) can be suspected, and treatment is performed at the hospital. However, in the case of exudative otitis media, diagnosis is often not made well because there are no symptoms, and if treatment is not performed, language development is hindered or structural abnormalities in the eardrum occur.

Professor Shin Seung-ho of the otolaryngology department at Ewha Womans University Seoul Hospital said, `Exudative otitis usually improves, but some high-risk groups do not heal well and become chronic, causing structural abnormalities in the eardrum. In this case, parents' attention is needed because it can become a chronic middle ear disease."

Otitis is a disease that causes inflammation of the middle ear 耳 from the eardrum to the cochlea of the ear, and is classified into 'acute otitis' and 'chronic otitis' depending on the time of occurrence, and is divided into 'pure otitis' in which sit-in secretions accumulate depending on inflammatory substances in the middle lumen, and 'exudate otitis' with serous secretions.



Acute otitis media is especially common in children under the age of 10 who do not fully develop 耳管, especially between the ages of 6 months and 3 years old, and it is known that about 70% of children suffer from acute otitis media at least once by the age of 3.

Professor Shin explained why acute otitis media is common in children, saying, "The eustachioid tube, which connects the nasopharyngeal cavity and the middle ear, is shorter and horizontally located than adults, making it easier for nasal bacteria to enter the middle ear and cause otitis."



He continued "Acute otitis media frequently occurs during virus-induced upper respiratory tract infections. If you go to childcare facilities such as daycare centers and kindergartens, you are more likely to catch a cold often, and as a result, acute otitis media often occurs or exudative otitis media often persists."

If a child listens to TV loudly, keeps asking back or talking late without symptoms such as ear pain or fever, he or she needs to visit a medical institution for diagnosis and examination. If a child is diagnosed with exudative otitis media, he or she may be given antibiotics and should watch often while not catching a cold. If you have chronic sinusitis (concentration), chronic sinusitis must be treated to treat otitis media.



The most common exudative otitis in children under the age of 3 is the loss of hearing due to exudate in the middle ear, and you should take a hearing test. If bilateral exudative otitis persists for more than three months, structural abnormalities of eardrums occur, or frequent acute otitis media occur, it is recommended to remove stagnant exudates from the eardrum and insert a ventilation tube to ventilate the inside of the middle ear.

Professor Shin said "Surgical treatment may be more beneficial to the child than long-term antibiotic treatment for osmotic otitis that does not get better."You need to look at your child's response to sound once more and pay attention to it so that treatment can be made at an appropriate time to prepare for complications of otitis media and language development delays" he advised.

''Exudative otitis' common in children, if left unattended, it interferes with language development.'
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