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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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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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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Role of innate immunity in the pathogenesis of otitis media

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Kalai Mathee

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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 current treatment of otitis media? ›

Management of acute otitis media should begin with adequate analgesia. Antibiotic therapy can be deferred in children two years or older with mild symptoms. High-dose amoxicillin (80 to 90 mg per kg per day) is the antibiotic of choice for treating acute otitis media in patients who are not allergic to penicillin.

What are the new approaches and technologies to improve accuracy of acute otitis media diagnosis? ›

In some cases they are very interesting and can be considered promising options for improving AOM diagnosis. Among technologies with the most advanced development, are light-field otoscopy (LFO), optical coherence tomography (OCT), low-coherence interferometry (LCI), and Raman spectroscopy (RS).

What is the present illness of otitis media? ›

Ear infections (acute otitis media) occur when a virus or bacteria infects the space behind your child's eardrum. Symptoms include ear pain that may cause your infant or toddler to be especially fussy or irritable. Often, ear infections clear on their own.

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.

Can otitis media be healed? ›

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.

What is the strongest natural antibiotic for ear infection? ›

Garlic. Garlic has potent antimicrobial and pain relieving properties that make highly effective as a home remedy for ear infections. There are several different ways you can employ garlic as a natural earache remedy.

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 choice 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.

Is there a cure for chronic otitis media? ›

The only treatment for chronic otitis media and cholesteatoma is a surgery called tympanoplasty with mastoidectomy. There are no medicines that will cure these diseases.

How does ENT treat otitis media? ›

A middle ear infection may be treated with the following: Antibiotics, taken by mouth or as ear drops. Medication for pain. Decongestants, antihistamines, or nasal steroids.

What is the drug of choice 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.

What bug causes otitis media? ›

Predominant bacteria that cause otitis media are Streptococcus pneumoniae, Moraxella catarrhalis, and non‐typeable Haemophilus influenzae.

What are the red flags of otitis media? ›

In older children and adults, AOM usually presents with earache. Younger children may hold or rub their ear or may have non-specific symptoms such as fever, crying, poor feeding, restlessness, cough, or rhinorrhoea. On examination the tympanic membrane is distinctly red, yellow, or cloudy, and may be bulging.

How to get rid of fluid behind the eardrum in adults? ›

Saltwater Gargle. Gargling with saltwater is another home remedy that can help reduce swelling in the Eustachian tube and promote fluid drainage from the middle ear. The saltwater solution creates an inhospitable environment for bacteria, helping to reduce the risk of infection.

What is the other investigation for otitis media? ›

Otitis media is diagnosed clinically via objective findings on physical exam (otoscopy) combined with the patient's history and presenting signs and symptoms. Several diagnostic tools are available such as a pneumatic otoscope, tympanometry, and acoustic reflectometry, to aid in the diagnosis of otitis media.

What is the number one cause of otitis media? ›

Predominant bacteria that cause otitis media are Streptococcus pneumoniae, Moraxella catarrhalis, and non‐typeable Haemophilus influenzae.

What is the best medication for otitis media? ›

Medical therapy for acute otitis media
  • High-dose oral amoxicillin-clavulanate (80-90 mg/kg/day of amoxicillin component, 6.4 mg/kg/day of clavulanate component)
  • Oral cefuroxime axetil (suspension, 30 mg/kg/day in divided doses; tablet, 250 mg twice daily)
Jun 7, 2023

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