Otitis media is also known as an infection of the middle ear. When fluid is involved, it becomes known as serous otitis media, also known as otitis media with effusion or fluid in the ears. This situation occurs after an ear infection. Fluid and mucus collect inside the ear, causing muffled hearing, along with a feeling of fullness in the ears. Serous otitis media usually resolves on its own within one to three months, however, if it continues past this time, treatment may be necessary.
What causes serous otitis media?
Serous otitis media starts out as a typical ear infection. Once it has cleared, fluid and mucus often build-up, but that fluid can easily be drained through the Eustachian tubes. When there is a Eustachian tube dysfunction, fluid collects in the middle ear. Serous otitis media is most common in children; this is because the Eustachian tube in children is shorter than in adults.
Serous otitis media is also more common in those with allergies, those who have been sick with a respiratory tract infection, and those who are exposed to certain toxins in their environment such as cigarette smoke.
Treatment for serous otitis media
For an ear infection (otitis media), antibiotics are often prescribed. However, because serous otitis media occurs after an ear infection, antibiotics often aren’t needed again, unless your doctor recommends them.
When fluid in the ears is a recurrent issue, tiny tubes can be placed in the eardrums in order to keep them open to drain fluid. These small, plastic or metal tubes are placed in an outpatient procedure. These tubes allow the built-up fluid to come out. They fall out on their own after about 6-9 months. After this, the holes made during the procedure often close up and heal on their own; if they don’t, they can be surgically closed.
In children, their adenoids will first be checked to see if they are causing any blockage. Enlarged adenoids can block the auditory tubes. If the adenoids are found to be the culprit, they can be removed.
If you suspect yourself or your child has serious otitis media, schedule a consultation to go over symptoms and discuss treatment options.
