Bilateral tubo-otitis in children

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Treatment of tubo-otitis in children

Tubootitis can develop in a child at a very early age. This disease is often the initial stage of otitis media. The infection affects the Eustachian tube, so you can hear an alternative name for this disease - eustachitis.

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If treatment is started in a timely manner, it is possible to avoid the spread of infection to distant parts of the hearing organs. To prevent its occurrence and the development of complications, the causes of the disease, the mechanism of its spread and methods of prevention should be considered.

Causes and symptoms of the disease

Tubootitis occurs in children much more often than in adults. This is due to the fact that the Eustachian tube at an early age has fundamental differences that make it easier for infections to enter the ear. During this period, it is distinguished by its small size in length, but at the same time its lumen is somewhat wider.

In adults, partial protection from microbes is possible due to the bending of the auditory tube canal, while in children it remains straight.

Many factors can lead to the development of the disease. The most common causes of eustachitis are:

  • infectious diseases and colds;
  • viruses;
  • water entering the tube through the nasopharynx;
  • soft tissue damage;
  • allergic reaction;
  • hypothermia;
  • incorrect execution of the nose blowing procedure;
  • exposure to pressure changes in the hearing organs;
  • congenital and acquired pathologies;
  • adenoids;
  • deviated nasal septum.

When the infection spreads or when both ears are simultaneously irritated, bilateral tubo-otitis often develops. Since the child’s Eustachian tube has the specific structure described above, access to microorganisms remains free. That is why it is important to begin treating the disease at the first symptoms, before it spreads to the second ear.

With tubo-otitis, the auditory tube becomes inflamed, its mucous membrane swells, which leads to an increase in the volume of the walls. As a result, the channel narrows, disrupting the functioning of the system. If the disease is not treated, air exchange in the middle ear stops, and the fluid secreted in the cavity has nowhere to go. This leads to the development of infection in other parts of the hearing organs.

The disease can be detected in a child based on the following symptoms:

  • chills and fever;
  • weakness;
  • elevated temperature;
  • decreased hearing acuity;
  • headache;
  • discomfort when swallowing;
  • noise in ears;
  • feeling of stuffiness;
  • ear pain and discomfort;
  • swelling of the outer ear.

When the left and right ears are simultaneously affected, bilateral tubo-otitis develops. There are also acute and chronic forms of this disease in children. Sometimes a small blistering rash appears on the surface of the auricle; this may be a signal that eustachitis is of an allergic nature.

Diagnosis and treatment

Only an ENT specialist can reliably identify unilateral or bilateral eustachitis. Before starting treatment, the doctor is required to perform an otoscopy. Upon examination, a retraction of the tympanic membrane and a decrease in the light reflex are revealed.

How exactly to treat tubo-otitis in children depends on the cause that provoked it. For the allergic form, it is necessary to take antihistamines. If affected by an infection or virus, appropriate treatment with antibiotics is prescribed. It is also necessary to take care of strengthening the immune system. To alleviate the condition and relieve swelling, use vasoconstrictor nasal drops.

Treatment of tubo-otitis in a child is carried out under the supervision of a pediatrician. Additionally, the doctor may prescribe physical therapy, in particular, pneumomassage of the eardrum, UHF and blowing.

Sometimes treatment with folk remedies helps. To relieve swelling, inflammation, pain and eliminate infection, the following can be used:

Prevention measures

To prevent tubo-otitis in children, you need to take care of your child’s health in advance. This is especially true in cases where there is a hereditary tendency to ear diseases, anatomical pathologies or weakened immunity.

The following recommendations are worth highlighting as preventive measures:

  • Teach your child to blow his nose correctly, as excessive force can lead to inflammation of the auditory tube.
  • Hypothermia should not be allowed, but over-insulating the child can have the opposite effect.
  • When you have a cold, it is important to get rid of the causative infection as soon as possible, before it spreads to neighboring organs.
  • During a period of increased morbidity, it makes sense to limit the contact of young children with each other and temporarily avoid going to crowded places.
  • It is necessary to focus on nutrition, that is, enrich the diet with vitamins and exclude potential allergens from it.
  • Teach your child to wash their hands before eating and not to put foreign objects in their mouth or ears.
  • If there are pathologies of the ear-nose-throat system, you should get rid of the anomaly, if possible.
  • Avoid getting water into your ears, especially dirty and cold water, especially when diving.

It is very important to start strengthening the baby’s body from an early age. At the same time, perform hardening correctly and do not overdo it, otherwise strengthening procedures may cause the development of inflammation.

Timely detection and treatment of tubo-otitis can eliminate the problem as soon as possible. In addition, this reduces the risk of complications and the disease becoming chronic. To improve your child’s health, you should follow recommendations regarding prevention and support your immune system in every possible way during the period of colds.

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Features of tubootitis in children and its treatment

Tubootitis is an inflammation of the mucous membrane of the Eustachian (auditory) tube and the tympanic cavity.

The mechanism of development and causes of the disease in adults and children are almost the same, but children more often suffer from tubo-otitis. This is due to the fact that the Eustachian tube in a child is shorter than in an adult and less curved, which allows infection to penetrate into it more easily.

Causes

The direct causative agents of the disease are streptococci, pneumococci, staphylococci and other pathogenic microorganisms that enter the mucous membrane of the Eustachian tube from the upper respiratory tract and cause its inflammation.

In addition, inflammation may have an allergic origin. Factors contributing to the development of the disease are:

  1. Flu and ARVI.
  2. Acute infectious diseases, the course of which is accompanied by catarrh of the respiratory tract.
  3. Allergy.
  4. Chronic diseases of the nasal cavity and paranasal sinuses.
  5. Enlarged nasopharyngeal tonsils (adenoids).
  6. Tumors of the nasopharynx.
  7. Sudden changes in atmospheric pressure (for example, during takeoff and landing of an airplane).
  8. Excessive nose blowing.

Symptoms

The clinical manifestations of the disease depend on its form. Symptoms of acute tubo-otitis in children:

  • Noise in ears.
  • Sensation of fluid in the ear, which overflows when turning the head.
  • The development of autophony, when the sound of one’s own voice is heard in the ears.
  • The child has poor hearing (in children, both ears are often affected and bilateral tubo-otitis develops).
  • Cases of otitis media are becoming more frequent.
  • Body temperature usually remains normal (in young children it may rise to 38 degrees).
  • A characteristic manifestation of acute tubo-otitis is that after swallowing movements and after yawning, the symptoms of the disease are alleviated.

Symptoms of chronic tubo-otitis:

  • Persistent, progressive hearing loss.
  • The appearance of a feeling of congestion and noise in the ears due to sudden changes in pressure.
  • With a long course of the disease, thinning of the mucous membranes of the Eustachian tube occurs, as well as deformation of the eardrum.

Diagnostics

The diagnosis of tubo-otitis is made based on medical history, clinical signs of the disease, and otoscopy results. In addition, the function of the auditory tube is examined.

Diagnosis of the disease also includes identifying the type of tubootitis (allergic or infectious). For these purposes, nasal swabs are taken from a small patient. You should know that infectious tubo-otitis is treated faster than allergic tubo-otitis.

Otoscopy makes it possible to establish the diagnosis of tubo-otitis

Treatment

Treatment of the disease is carried out under the supervision of an ENT doctor. First of all, it is necessary to eliminate the factors causing obstruction of the Eustachian tube. To relieve swelling of the ear mucosa, vasoconstrictor nasal drops are prescribed. Antihistamines (Claritin, Erius and a number of others) also help relieve swelling.

To prevent infection from entering the auditory tube through the nasopharynx, the child is taught to blow his nose correctly. It is possible to carry out the procedure of blowing the Eustachian tubes according to Politzer. Treatment of tubo-otitis also includes physiotherapeutic measures.

Acute tubo-otitis in a child, with proper treatment, goes away completely within a few days. Therapy for chronic tubo-otitis should be aimed at eliminating pathologies of the nasopharynx that contribute to the exacerbation of the disease.

Prevention

In order to minimize the risk of developing tubo-otitis in a child, you must follow the following recommendations:

  1. If possible, breastfeed your baby for as long as possible (at least up to a year).
  2. When feeding, in order to avoid liquid being thrown into the ear canal, you need to keep the baby in a semi-upright position.
  3. If a child has a stuffy nose and cannot blow his nose on his own, it is necessary to remove fluid from the nasal cavity with an aspirator.
  4. Treat adenoids in a timely manner.
  5. Avoid frequent and uncontrolled use of antibiotics.
  6. Engage in hardening of the child to strengthen the immune system.

It should be remembered that self-medication is unacceptable! At the slightest suspicion of the development of ear diseases, the child must be shown to a specialist who will make an accurate diagnosis and prescribe appropriate treatment.

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Tubootitis in children

Many parents ask the question of what tubo-otitis in children is and how to treat it, as well as whether there are any peculiarities in the course of this disease in a child and how to diagnose it in time. This question arises for good reason - tubo-otitis in a child can be practically asymptomatic and it is not easy to detect it at the initial stage. Therefore, it is so important to understand when there is a risk of developing this disease, and what preventive measures can be taken to prevent it.

Where does it come from

The Eustachian tube is a small and very narrow canal (about 2 mm wide) connecting the nasopharynx and the middle ear cavity. Its walls are lined with a delicate mucous membrane. When it becomes inflamed under the influence of external or internal factors, the disease tubo-otitis is diagnosed in a child or adult. The inflammatory process can be acute or chronic.

Eustachitis occurs more often in children than in adults. Especially if the child attends school or kindergarten. Typically, fungi, viruses and other pathogenic microorganisms penetrate into the cavity of the auditory tube from the nasopharynx. Much less often - through holes in the eardrum during inflammatory processes in the outer ear or its mechanical damage. In systemic diseases, the infection can enter through the blood or lymph.

Tubootitis in children often accompanies diseases such as:

  • ARVI and influenza;
  • measles, chickenpox, rubella;
  • purulent sore throat;
  • sinusitis and sinusitis;
  • pharyngitis, etc.

The Eustachian tube can also become inflamed if the child blows his nose incorrectly - if the child blows air through two nostrils at once. Bilateral eustachitis often develops in children who swim or often bathe in open water - fungi and microbes from the water enter the oral cavity, and then through the nasopharynx into the ears.

Congenital or acquired curvature of the nasal septum can put pressure on the walls of the ear canal and provoke an inflammatory process. It also causes incomplete clearing of mucus from the nose during a runny nose, during which microbes accumulate and actively multiply.

Another common reason for the development of tubo-otitis is allergic reactions, which are accompanied by swelling. When swelling occurs, the thin Eustachian tube partially or completely closes, and air from outside begins to press on the eardrum, causing constant tension, which can cause pain and provoke inflammation.

In addition, the Eustachian tube in a child is almost half as long as in an adult and is almost straight, so it is much easier for infections to penetrate deeper.

But in general, the causes of bilateral tubo-otitis in children and adults are practically the same. The only difference is that in a child it develops much faster, and if untreated it can lead to more serious complications.

Childhood symptoms

The first symptom of tubo-otitis in adults is tinnitus. The child may not pay attention to this or may not understand how to explain this phenomenon to his parents. The second important symptom is a decrease in the hearing threshold, which an adult notices almost immediately, but a child does not. Also, tubo-otitis is often accompanied by a feeling of stuffiness, dizziness, and discharge from the ear.

Therefore, if a child has a severe runny nose, is sick or has recently had one of the diseases listed above, which can cause tubo-otitis in children, parents need to be especially careful.

It is necessary to show the child to the doctor, even if he does not complain of ear pain, but the following changes are noticed in his behavior:

  • increased excitability or drowsiness;
  • he often scratches or touches his ears with his hands;
  • small rashes appeared on the auricle;
  • greenish or yellowish fluid oozes from the ear;
  • the child constantly asks again;
  • stops responding to calls and his name;
  • shakes the head or tilts it to the side.

It must be remembered that an increase in body temperature at the initial stage of the disease does not always occur. The presence of one or two of the symptoms listed above is already quite a sufficient reason to contact a medical facility. If, after an examination, the doctor diagnoses tubo-otitis in a child, treatment must begin immediately and strictly follow all instructions.

Bilateral tubo-otitis occurs quite rarely in children. It usually develops in the absence of treatment when the infection is transferred from one ear to the other.

The only way out in this case is active treatment with antimicrobial drugs, since bilateral inflammation is very painful and can cause meningitis.

Features of treatment

At an early stage of the disease, treatment of tubo-otitis in children is usually carried out without the use of antibiotics. Anti-inflammatory drugs and vasoconstrictor drops, which help increase the lumen and quickly relieve swelling, are quite capable of coping with it. Such proven folk remedies as warming with a blue lamp, paraffin therapy, instillation of tinctures of eucalyptus, celandine, and calendula help well.

But traditional methods of treatment can only be used with the permission of a doctor. In the event that pus has accumulated behind the eardrum, the child has an elevated body temperature or the integrity of the eardrum is compromised, such procedures are strictly contraindicated. Moreover, they can cause burns, severe pain, and heating contributes to the spread of infection.

If the disease has progressed to purulent otitis media of the middle ear, the child may need to be admitted to a hospital and be treated with antibacterial drugs. When there is a lot of pus, and it causes inflammation and severe protrusion of the eardrum, the doctor may decide to puncture it. This allows you to quickly relieve pain and speed up the healing process.

Many parents refuse this manipulation, believing that it will worsen their hearing. But this is absolutely not true. The procedure is performed under local anesthesia and is very quick.

The eardrum heals completely in 3-4 days and the puncture does not affect hearing acuity in any way. But if under the pressure of pus there is not a perforation, but a rupture of the membrane, then it will be possible to restore hearing only with the help of a complex operation.

At the recovery stage, physiotherapeutic procedures are often included. This can be ultrasound, electrophoresis, pneumomassage of the Eustachian tube, ultraviolet irradiation. Correctly selected vitamin therapy also helps to recover faster.

It is very important to protect your ears from hypothermia and overheating. You need to make sure that no water gets into them. And it is imperative to complete the entire course of treatment in order to avoid possible relapses.

Disease prevention

The main preventive measure for any ear diseases, including tubo-otitis, is proper and regular child care. In addition, you need to know and follow simple but very effective rules that prevent the development of inflammatory processes in the ears:

  1. Do not allow your child to go outside without a hat that completely covers the ears in cold, damp, windy weather.
  2. Never use cotton swabs, hairpins or other sharp objects to clean the external auditory canal.
  3. When swimming, especially in open water, make sure that no water gets into the child’s mouth, and after water procedures, be sure to remove water from the ears with a cotton or gauze swab.
  4. For any colds and viral diseases accompanied by a runny nose, it is necessary to put drops in the nose, do inhalations and teach the baby to blow his nose correctly.
  5. Always have antihistamines on hand if your child is prone to severe allergic reactions.

And most importantly, at the first signs of tubo-otitis in a child, be sure to consult a doctor and under no circumstances prescribe treatment on your own. Improper treatment can lead to such serious consequences as purulent otitis media, rupture of the eardrum, hearing loss and even complete deafness.

Author: Anna Alexandrova

Symptoms and treatment of tubootitis

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    Modern methods of treating tubootitis in children

    Tubootitis is an inflammatory disease of the Eustachian tube, accompanied by severe pain and can lead to serious consequences. Children are susceptible to pathology due to the underdevelopment of the hearing system, unformed or weakened immunity, and frequent respiratory diseases. The treatment is complex, including drug therapy, physiotherapy and hygiene.

    Characteristic features of the disease

    The Eustachian tube is the connection between the middle ear and the environment. It has a small hole opening into the nasopharynx. The mucus that forms in the nasal and maxillary sinuses during ARVI or influenza easily penetrates the tube, settles on its walls and causes inflammation. At the initial stage, the disease is called eustachitis. It does not pose a health threat, but it is difficult to diagnose due to the lack of symptoms. Then pathological changes occur, the first signs of inflammation appear. At this stage, the disease becomes called tubo-otitis or salpingo-otitis.

    The danger is the rapid development of the disease, rapid hearing loss and the impact of infection on other organs of the child. The baby’s immunity is not able to overcome the disease on its own, which causes complications in the form of hearing loss, perforation of the eardrum, and infection of the body. Children over 7 years of age tolerate salpingootitis more easily, but only with competent and timely medical care.

    what is the reason

    Tubootitis in children develops for several reasons:

    • infectious diseases of the nasopharynx (sore throat, sinusitis, rhinitis);
    • allergic reactions;
    • chronic runny nose;
    • sudden changes in atmospheric pressure;
    • frequent and improper nose blowing;
    • improper ear care;
    • pathology of the ears or nasopharynx.

    In children, bilateral tubo-otitis is more common, affecting both ears. This is explained by the anatomical features of the Eustachian tube and low immunity.

    Symptoms and signs of salpingootitis

    Tubootitis is divided into two types:

    1. Acute form – lasts up to 3 weeks from the onset of the disease. It is characterized by vivid symptoms and a low likelihood of developing complications.
    2. The chronic form is the main complication of the acute form in the absence of treatment for 3 or more weeks. It is characterized by unexpressed symptoms, persistent hearing loss, a high likelihood of hearing loss and other negative consequences.

    Acute symptoms

    Acute eustachitis is manifested by symptoms:

    • stuffiness in the ear or ears, foreign body sensation;
    • hearing your own voice in your head;
    • extraneous noises in the head;
    • pain in the ear and head;
    • gurgling or overflow of water in the ear;
    • hearing loss.

    Against the background of pathology, signs of neurasthenia develop: tearfulness, poor sleep, unreasonable screaming, refusal to eat. The younger the child, the more severely he suffers the acute form of tubootitis. In rare cases, the disease is asymptomatic, or the symptoms are mild and the patient’s behavior practically does not change. Parents can diagnose salpingootitis by decreased hearing acuity.

    Chronic form

    Chronic tubo-otitis in a child develops against the background of an untreated acute form of eustachitis. Characterized by frequent exacerbations and rapid hearing loss. If treatment of acute tubo-otitis allows hearing to return, then in the chronic form the child begins to hear worse after each relapse.

    Other symptoms include:

    • ear congestion that becomes permanent;
    • frequent headaches for no apparent reason;
    • discomfort in the ear area after suffering from respiratory diseases.

    The prognosis for the chronic form is unfavorable. With each relapse, atrophy of the mucous membranes of the Eustachian tube increases. This leads to partial or complete hearing loss.

    Chronic salpingo-otitis leads to thinning of the walls of the eardrum, impairing the sound perception of the outside world. Even partial hearing loss inhibits the mental and physical development of a child.

    The transition of the inflammatory process to the middle ear leads to infection of the body. Eustachitis often causes the development of meningitis in children.

    Drug treatment: list of drugs

    An otolaryngologist should prescribe treatment after a thorough diagnosis.

    Drug therapy is aimed at relieving the symptoms of the inflammatory process and the infectious focus. For this purpose, drugs from several groups are used:

    • Antibiotics. In children, treatment of tubo-otitis is carried out with the use of antibiotics to stop the source of infection. The doctor prescribes the drug "Otofa" or "Tsipromed" for instillation into the ears. Amoxicillin and Azithromycin are used for oral administration. In the advanced stage, intramuscular injections of Cefazolin are prescribed.
    • Antihistamines. Prescribed to children with allergic reactions are Tavegil, Suprastin, Erius, Zodak.
    • Vasoconstrictor nasal drops. To relieve nasal congestion, Otrivin and Naphthyzin are prescribed.
    • Immunomodulatory drugs. Necessary to improve the body's protective functions. The child is prescribed Bronchovax, Immunorix, Amiksin.
    • Glucocorticosteroids. Their action is aimed at eliminating the inflammatory process. Of the modern drugs, Nasonex is suitable for children.

    Physiotherapy: what procedures are recommended for children

    The attending physician may prescribe physiotherapy to relieve inflammation. But not all manipulations are allowed for children. The prescription depends on the patient’s age and stage of the disease. An effective and safe method is to blow through the ear canal. It allows you to normalize the pressure in the Eustachian tube, which is important for maintaining hearing and releasing accumulated mucus.

    Children are allowed to undergo ultrasound and ultraviolet radiation if the patient’s age is more than 8 years. Before treating a child with physiotherapy, it is necessary to study contraindications taking into account existing diseases.

    Proper ear care and prevention

    Bilateral tubo-otitis often occurs due to “dirty” ears and poor hygiene. Excessive wax leads to infection of the outer ear, the formation of purulent exudate and infection of the middle ear. To exclude inflammation, parents must follow the rules for caring for the child’s ear cavity:

    1. Do not use sharp objects for cleaning.
    2. The cotton swab should have a limiter; for infants it is recommended to use a cotton swab.
    3. Cleaning is carried out 2-3 times a week, not more often.

    Salpingootitis becomes a complication of respiratory diseases. To prevent the disease, it is necessary to harden the child, carry out routine vaccinations, and avoid visiting public places during a flu epidemic.

    Tubootitis (eustachitis, salpingootitis) refers to inflammatory diseases of the ear cavity. It occurs frequently in children and leads to persistent hearing loss and infection of the body. Treatment is carried out using antibiotics to quickly stop the source of infection and reduce symptoms.

    Source: http://lor-expert.ru/ears/tubootit-u-rebenka.html

    Symptoms and methods of treating tubootitis in a child

    Tubootitis in children (eustachitis) is a chronic or acute inflammatory process, the main localization of which occurs in the Eustachian tube (auditory tube). With this disease, ventilation in the ear canal significantly deteriorates, which leads to hearing loss in the child. Often, tubo-otitis does not act as an independent disease, but as a harbinger of catarrhal otitis. Doctors say there is a direct connection between eustachitis and various pathologies in the tympanic cavity.

    How to treat the disease correctly? First of all, bilateral tubo-otitis requires professional disinfection of the mucous part of the ear canal. Next, the doctor conducts an examination to select a treatment method for the child.

    Causes of the disease

    Actual blockage of the auditory tube may occur as a result of blockage of the nasopharyngeal orifice. The catalyst for the process can be polyps or hypertrophy of the lower shell. Classic eustachitis requires that treatment be started immediately. Otherwise, there is a high probability of it turning into purulent or otitis media. The result of the development of the disease is complete or partial hearing loss. Another reason may be anatomical disorders and diseases such as:

    If we are talking about the disease bilateral tubo-otitis caused by a natural pathogen, then it is caused by various microorganisms. Most often, these are pneumococci and streptococci. Bilateral eustachitis is often provoked by an allergic reaction of the body. With this development of events, further treatment is carried out under the supervision of an allergist and otolaryngologist.

    Symptoms of the disease

    The patient experiences swelling and thickening that appears on the mucosal surface and leads to narrowing of the Eustachian tube and a decrease in pressure. As a result, the eardrum is retracted into the tympanic cavity. The patient feels constant ear congestion. Parents should immediately consult a doctor to prevent further development of the disease and avoid complete deafness.

    Often this disease is an invariable companion of the flu. The patient may experience nasal congestion and resonance in the ears. Sometimes they are accompanied by heaviness in the head area.

    In minors, the ear canal differs in its geometry. The absence of any bends makes the child's ear prone to such diseases. That is why parents should closely monitor the baby’s well-being. Self-diagnosis of the disease is extremely difficult at home, but there are several ways to identify it. When sneezing or yawning, the child may notice the disappearance of congestion in the ear canal.

    Treatment of the disease

    To reduce swelling of the ear canal, the baby may be prescribed vasoconstrictor drops.

    Often the course of therapy is supplemented with antihistamines. If necessary, an otolaryngologist can prescribe blowing of the auditory tube, as well as a number of physiotherapeutic procedures. The success of the course of treatment largely depends on a correct and timely diagnosis. If you strictly follow all the doctor’s recommendations, the disease can be defeated in 1-2 weeks without the appearance of various complications.

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    Treatment and symptoms of tubo-otitis in a child

    Tubootitis is a disease characterized by inflammation of the lining of the Eustachian tube. This disease is one of the most common among children today. To avoid sad consequences and serious complications, you need to start treatment for tubo-otitis as soon as possible. In our article we will look at how tubo-otitis occurs in a child, as well as the symptoms and treatment of tubo-otitis in children.

    general information

    This diagnosis is made if the child has inflammation of the mucous membrane of the Eustachian tube. It should be noted that the symptoms of the disease manifest themselves equally in children, adults and the elderly.

    According to statistics, bilateral tubo-otitis in children occurs much more often between the ages of 5 and 10 years. Tubootitis is especially dangerous in a child under one year of age. At this age, the length of the Eustachian tube is about two centimeters. We can conclude that in this case the disease progresses much faster and can cause serious complications, including hearing loss.

    Causes

    This disease can occur in a child for various reasons. Basically, tubo-otitis occurs due to pressure differences in the middle ear cavity. The disease can also be caused by various microorganisms: staphylococci, streptococci or pneumococci. Less commonly, the cause is an allergic reaction of the body. Also, tubo-otitis in children can occur for the following reasons:

    • improper release of nasal passages from mucus;
    • sudden changes in pressure;
    • inflammation of the adenoids;
    • infectious or inflammatory diseases of the ENT organs;
    • uncontrolled use of antibacterial drugs.

    Tubootitis in children can occur due to congenital pathology of the structure of the ENT organs. This happens quite rarely; approximately 2% of patients with tubootitis had this pathology.

    The famous pediatrician Komarovsky claims that inflammation of the Eustachian tube in a child as an independent disease is quite rare. Most often, the disease occurs due to secondary infection.

    Symptoms of the disease

    Signs of the disease can be different, primarily depending on the form of the disease. If we are talking about an acute form of inflammation, the child complains of changes in well-being:

    • body temperature fluctuates at low-grade levels;
    • there is a noise in the ears that resembles the sound of water;
    • in some cases, ear pain bothers you;
    • hearing loss;
    • When saliva is swallowed, normal hearing is temporarily restored.

    In the chronic form, tinnitus and significant hearing loss are disturbing. The risk of developing otitis media with colds increases significantly.

    Risk group

    According to statistics, children belonging to the following categories are most susceptible to this disease:

    • Children who visit crowded places. These include kindergartens, schools and other preschool institutions.
    • If a child has an immunodeficiency since early childhood.
    • Children who experience ear pain with almost every cold.
    • If the parents or other close relatives of the child had any pathologies of the ENT organs.
    • A sharp change of residence with the opposite climate.

    Forms of the disease

    As mentioned above, tubo-otitis in children can occur in acute or chronic form. In the acute form of inflammation of the Eustachian tube, any consequences can be avoided, provided that treatment is carried out in a timely manner. It should be noted that in the acute form, health is restored within two days. The child's hearing returns to normal within two weeks.

    As mentioned above, there are two forms of the disease: acute and chronic. In case of improper treatment, which often happens during self-medication, the acute form becomes chronic. In this case, the Eustachian tube becomes inflamed when the opportunity arises, that is, as a complication after infectious or inflammatory diseases. In this case, the child’s hearing gradually decreases. To prevent the chronic form of tubo-otitis, experts advise promptly contacting a medical facility if you suspect this disease.

    Depending on the location of the inflammation, tubo-otitis occurs:

    1. Right-sided - the inflammatory process in the auditory tube occurs in the right ear.
    2. Left-sided - the inflammatory process in the auditory tube occurs in the left ear.
    3. Bilateral - bilateral tubo-otitis in a child occurs if the inflammatory process of the Eustachian tube is observed in both ears at once. This form is less common than others and is a complication of unilateral tubo-otitis.

    Based on the nature of inflammation, tubo-otitis is divided into the following forms:

    1. Catarrhal form. This form occurs as a result of a viral or infectious disease. The catarrhal form is characterized by a clear discharge from the ear.
    2. Purulent form. The purulent form of tubootitis is caused by various microorganisms: streptococci, staphylococci, pneumococci. In this form, fluid mixed with pus is released from the ear.
    3. Serous form. If the catarrhal form of tubootitis is not treated in a timely manner, a serous form occurs. Fluid from the middle ear enters the cavity of the Eustachian tube.

    Diagnostics

    To diagnose this disease in a child, the doctor draws up a clinical picture. He asks about when the first signs of tubo-otitis appeared, what worries the child, whether treatment was carried out at home, whether the child has previously suffered from tubo-otitis.

    Diagnosing this disease is not difficult. It is enough for an experienced otolaryngologist to know the symptoms that bother the child. The final diagnosis is confirmed after the doctor examines the ear canals using an otoscope.

    Treatment of tubootitis

    If this disease is detected in a timely manner, treatment of tubo-otitis in a child is carried out with the help of medications. In advanced forms of tubo-otitis, surgical intervention is often performed.

    Drug therapy is carried out to reduce swelling of the Eustachian tube. In this case, it is necessary to take antibiotics, antihistamines and vasoconstrictors. Usually the doctor prescribes the following medications:

    • Cipropharm. Cipropharm ear drops are antibacterial drugs. According to the instructions, this drug can be used from the age of 15, but otolaryngologists often prescribe this particular drug for young children, respectively, in a reduced dosage. According to the official annotation, treatment must be done twice a day, one drop into the affected ear.
    • Otipax. Otipax ear drops are approved for use in children from 1 year of age. In this case, the dosage is one drop in each ear canal. For children over 6 years of age, the dosage is increased to 2 drops 3 times a day in the affected ear.

    Please note that it is recommended to use ear drops before warming them to room temperature. The course of treatment with these drugs is determined by the attending physician. The dosage can also be adjusted depending on the form of the disease.

    • Azithromycin. This drug is by far the most popular in the treatment of ENT organs in children. Azithromycin is available in capsules. Children are recommended to drink a capsule with a dosage of 250 mg once a day. If we are talking about a small child who is not able to swallow the capsule on his own, in this case the capsule is cut into 2 parts and the powder is dissolved in clean boiled water. The course of treatment with this drug is prescribed exclusively by the attending physician.
    • Amoxicillin. This medication is prescribed to children with various ear diseases, including tubo-otitis. The dosage and course of treatment are prescribed by the attending physician depending on the form and severity of the disease.

    It should be noted that antibacterial drugs help cure tubootitis in a child if the disease is caused by bacteria. We can conclude that in case of allergic inflammation of the Eustachian tube, taking antibiotics is practically useless.

    • Otrivin. According to the official instructions, for tubo-otitis it is recommended to instill 1 drop into each nasal passage less than 3 times a day.
    • Tizin xylo bio. Children's nasal drops are available in spray form. For ear diseases, including tubo-otitis, it is recommended to use this remedy in each nasal passage twice a day.
    • Zodak. For children, this drug is available in the form of drops. Depending on the age, individual characteristics of the child and the nature of the disease, the dosage and course of treatment are prescribed by the attending physician.

    It should be noted that antihistamines are prescribed to children for allergic tubo-otitis, but in some cases the drug is prescribed as a prophylaxis.

    Surgical intervention for tubo-otitis is used if the disease was detected in an advanced stage and drug therapy does not bring the desired effect.

    Disease prevention

    Of course, no one is immune from this disease: neither adults nor children. By following some simple rules, you can protect your child from this disease. Let's consider the main preventive measures:

    1. Teach children to blow their nose correctly. The correct technique for blowing your nose is to keep your mouth slightly open, close one nostril with your finger, then blow your nose, after which an identical manipulation is carried out with the second nostril.
    2. You should not self-medicate even with a common cold. At the first symptoms of a cold, infectious or inflammatory disease, consult your doctor in a timely manner.
    3. Dress your child according to the weather. Try to avoid hypothermia.
    4. In winter, purchase complex vitamins for your child according to age.

    It is undesirable for children who have a chronic form of tubo-otitis to travel by plane or climb high into the mountains. Sudden changes in pressure should also be avoided.

    Traditional treatment

    As mentioned above, self-medication of the disease is under no circumstances recommended. But in combination with basic drug treatment, many otolaryngologists recommend using folk remedies that effectively cope with the disease. Let's look at the most popular of them:

    • Chop the chamomile root with a knife, place it in a glass and pour boiling water over it. Cover with a lid and leave to brew for 3 hours, after which you need to take a small cotton wool and twist it into a flagellum. Next, dip in this infusion and insert into the sore ear. It is advisable to perform this procedure at night.
    • Cut dried chamomile flowers and rhizomes into small pieces. Pour a small amount of water into an enamel pan and put it on fire. As soon as the water boils, place the ingredients in the water and boil for 10 minutes. Then you need to turn off the heat and let the broth brew. As soon as the broth reaches room temperature, dip a cotton swab in this broth, twist the flagellum and insert it into the sore ear. The drink can also be consumed orally, this will contribute to a speedy recovery.
    • Place dried marshmallow root and mint leaves in a glass and pour boiling water over it. Let it brew for an hour. Dip a cotton wool flagellum in this infusion and insert it into the sore ear. This drink is also used internally to boost immunity.

    Please note that the names of medications and traditional medicine recipes are not a guide to self-treatment. All information in this article is presented for informational purposes only.

    Source: http://pulmono.ru/uho/otit/lechenie-i-simptomy-tubootita-u-rebenka

    Bilateral eustachitis in children

    Eustachitis is an inflammatory disease that occurs in the auditory (Eustachian) tube and is accompanied by hearing loss. With bilateral eustachitis, both the left and right ears are affected. Ventilation of the tympanic cavity deteriorates, which can lead to the development of otitis media. Additionally, damage to the ear mucosa is observed, which can increase in volume and completely block the cavity of the middle ear.

    Causes

    The causes of eustachitis are diseases of the nasopharynx, when inflammation spreads to the auditory tube. Growing adenoids also have a beneficial effect on the development of the inflammatory process and affect the middle ear area. Eustachitis can develop as a complication of the following diseases:

    • Pharyngitis;
    • Purulent sore throat;
    • Sinusitis;
    • Flu;
    • Chronic and acute rhinitis is considered the most dangerous cause. In this case, swelling of the nasal mucosa and auditory tubes occurs, which can lead to their obstruction. This significantly complicates the ability to equalize pressure in the area of ​​the eardrum and impairs the mobility of the auditory ossicles.
    • If the cause of the disease is vasomotor rhinitis, swelling is observed in the area of ​​the inferior nasal turbinates. Next there is a transition to the mouth of the auditory tube. Such eustachitis must be treated quickly and comprehensively.
    With a deviated nasal septum or tumor of the nasopharynx, as well as the continuous course of infectious diseases, chronic (bilateral) eustachitis may develop. One of the most common causes of the development of bilateral lesions is considered to be changes in atmospheric pressure.

    Symptoms of eustachitis

    Symptoms of eustachitis are most often associated primarily with hearing impairment. Additionally, the patient may complain of a feeling of fullness, noise and fluid in the ear, and sometimes purulent discharge occurs. There may be some improvement in swallowing, but then the symptoms return. The patient may also report that his perception of his own voice has increased.

    Congestion may be temporary and appear or occur depending on changes in atmospheric pressure. When pressing on the ear, painful sensations can sometimes occur, which go away on their own after some time. Sound transmission is disrupted mainly at low frequencies.

    In the acute course of the disease, complaints of headache and ear congestion may occur. An increase in body temperature is rare; in general, the patient feels well. It is important to seek help from a doctor in a timely manner so that the acute stage does not turn into chronic. This way you can prevent the development of bilateral eustachitis.

    Symptoms of eustachitis are associated with limited mobility and retraction of the eardrum, which develops as a result of changes in pressure in the middle ear.

    Diagnosis

    First of all, the specialist conducts an oral survey, which allows you to identify the presence of characteristic symptoms. Otoscopy and audiometry are performed simultaneously. Bilateral eustachitis is diagnosed using a comprehensive examination, which includes:

    • Otoscopy procedure;
    • Hearing research;
    • Detection of patency of the auditory tube;
    • Rhinoscopy;
    • Bacteriological culture of a smear from the pharynx area.

    Basic treatment methods

    In order to understand how to treat eustachitis, the doctor must determine the stage and evaluate the clinical picture of the disease. Depending on this, a further treatment strategy is formed, which includes the prescription of the following groups of drugs:

    • Antibacterial drugs;
    • Immunomodulators to eliminate the underlying disease;
    • Preparations in the form of nasal drops or sprays that have a vasoconstrictor effect: Otrivin, Tizin, Nazik, Vibrocil;
    • Antihistamines to reduce swelling and itching;
    • Complex action drugs with mucolytic and antihistamine effects: Erespal.

    Bilateral eustachitis is treated by starting with eliminating the root cause: a stuffy nose. For this purpose, preparations for rinsing the nasal cavity are used: Dolphin, Aqua Maris, Marimer; Prescribe vasoconstrictors and glucorticoids to eliminate inflammation, as needed.

    After eliminating the swelling, the auditory tube is ventilated using the drug Hydrocortisone. The catheterization procedure is considered quite complex and must be performed by a competent, experienced specialist.

    Patients often ask the question: how to treat eustachitis comprehensively, using alternative methods of therapy? Pneumomassage of the eardrum, as well as physical therapy: laser and magnetic therapy, and the use of UHF, are considered an effective method of treating this disease. The use of electrical stimulation can significantly expand the ear canal.

    After completing the course of treatment, the patient is recommended to undergo additional examination, which allows us to identify the general condition of the tympanic cavity.

    Eustachitis in a child

    Having gained an idea of ​​what eustachitis is, let’s consider whether there are any fundamental differences in the course of this disease in childhood.

    Eustachitis in children can occur without fever or pain in the ear area. General health is assessed as normal, the child is active. The cause of the development of this disease in patients of a younger age category can be various infections: staphylococcal, streptococcal, pneumococcal in nature. The inflammatory process spreads from the nasopharynx to the tympanic cavity and becomes significantly more complicated when breathing becomes difficult.

    There are a number of diseases that not only provoke the development of eustachitis, but are also concomitant: scarlet fever, whooping cough, diphtheria, inflammation of the adenoids.

    Eustachitis in children is expressed in the form of the following symptoms:

    • Feelings of heaviness in the head and tinnitus;
    • The presence of fluid in the ear, which is clearly felt when the head is tilted;
    • One or both ears are blocked.

    To treat eustachitis in children, antibiotics, anti-inflammatory drugs, middle ear lavage and the use of vasoconstrictors are prescribed.

    If eustachitis is diagnosed in a child, he should be at rest and on bed rest. As a preventive measure, it is recommended to remove the adenoids (if their active growth is diagnosed).

    Forecast from specialists and methods of prevention

    Having information about what eustachitis is, the patient can promptly contact an otolaryngologist to prevent the development of unwanted complications. This disease is considered to be quite sluggish, which is not conducive to a quick visit to the doctor. With timely initiation of complex treatment, the prognosis for the patient is very favorable. An advanced disease can cause complications in the form of persistent hearing loss, suppuration of the Eustachian tube, and the development of adhesions in the middle ear.

    A severe runny nose can also provoke the development of bilateral eustachitis, so it is recommended to blow your nose correctly: with your mouth open, pinching both nostrils in turn. In order to prevent eustachitis in children and adults, experts recommend timely treatment of infectious, allergic and inflammatory diseases of the nasopharynx. You should also avoid sudden changes in pressure and refrain from sports such as diving and mountain climbing. It is also recommended to limit long flights on airplanes.

    Recommended reading

    Tuberculosis of the larynx and pharynx is a complication of the main type of tuberculosis - pulmonary. The disease develops due to infection of the patient.

    Otitis externa is a disease associated with the development of an inflammatory process in the external auditory canal. Pathology classification.

    Sore throat spreads through the oral-fecal and airborne routes. Most often, the virus affects children. Herpes sore throat occurs in children d.

    Frontal sinusitis is one of the types of sinusitis. Of all similar diseases, it takes longer and is more difficult to treat than others. Difficult to treat.

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    Don't self-medicate! Be sure to consult a doctor!

    Source: http://teamhelp.ru/otorinolaringologiya/dvustoronnij-evstakhiit-u-detej.html