Can hearing loss be restored due to otitis media?

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Otitis media is the most important cause of hearing loss in children. According to conservative estimates by British otologists, the incidence rate of acute otitis media in children is 2% to 10%, and 20% of them may suffer from a second episode of otitis media. The incidence of chronic otitis media is 1%. It can be seen that there are more children suffering from otitis media.


Can hearing loss be restored due to otitis media?
The incidence of otitis media is gradually showing a trend of getting younger. Generally speaking, the younger the age of onset, the more likely hearing loss will occur. In many cases, hearing loss is irreversible, so timely intervention is needed at an early stage. A large number of studies have shown that about 80% of children have suffered from secretory otitis media, most of which develop between 6 months and 4 years old. 50% of children develop the disease at 1 year old and under, and 60% develop under 2 years of age. , some children can recover on their own within 3 months, but only 30-40% of children will have recurrent secretory otitis media, and 5-10% of children will have symptoms that last for more than a year.


1. For hearing loss caused by secretory otitis media, most hearing can be completely restored within a few weeks after conservative treatment. However, you need to pay attention during the treatment process. If the inflammation is controlled, but the middle ear effusion does not subside after several weeks, timely treatment is required, such as Eustachian tube inflation, tympanic membrane puncture, etc., to suck out the fluid in time to avoid ossicular chain adhesion, which may lead to permanent Sexual hearing loss.
2. Acute suppurative otitis media is treated with timely anti-inflammatory treatment. If the inflammation subsides and the tympanic membrane is not perforated, or the perforation is treated with anti-inflammatory treatment and the perforation heals, most hearing can be completely restored. If the eardrum perforation does not heal, permanent conductive deafness can occur.

3. Repeated episodes of chronic otitis media may damage the ossicular chain, leading to the gradual worsening of conductive deafness and even neurological deafness. If complications such as suppurative labyrinthitis occur, total deafness in one ear will occur.


During an attack of otitis media, there is usually a feeling of stuffiness, or inflammatory secretions blocking the ear canal, or even inflammation entering the middle ear and inner ear and damaging the auditory nerve, which will lead to Hearing loss. Whether it will recover or active treatment is needed to observe the prognosis. The more timely the intervention, the greater the likelihood of hearing recovery. If hearing loss persists after recovery from otitis media, prompt intervention is required.


What to do if hearing loss is caused by otitis media?
Otitis media can be treated with antibiotics, and most of them can temporarily control the inflammation. However, due to the remaining tympanic membrane perforation, the condition recurs, and some cause granulation hyperplasia. Therefore, antibiotics alone cannot fundamentally treat chronic otitis media. The toxins released by the bacteria destroy nerve cells in the inner ear, causing the sensory nerves toSexual deafness, due to perforation of the tympanic membrane and destruction of the ossicles, the patient's hearing is significantly reduced, and progressively worsens with repeated episodes of inflammation. Even if you do not want to improve hearing through surgery, in order to prevent further hearing loss, it is still recommended that patients with otitis media undergo surgery as soon as possible. Patients who rarely have pus discharge should have their tympanic membrane perforation repaired as soon as possible.

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