Pay attention to the treatment of otomastoiditis in children

I believe everyone has a certain understanding of otitis media. The occurrence of otitis media is closely related to unhygienic personal ear habits. In recent years, more and more reports have shown that the probability of children suffering from otitis media has increased, and otitis media and mastoiditis are a type of otitis media that children are very likely to suffer from. So how should we deal with this disease?

1. Treatment of otitis media and mastoiditis. The treatment of the acute phase is the same as that of acute suppurative otitis media. If there is no improvement after reasonable treatment for one month, or the high fever persists, there is redness and swelling behind the ear, the posterior wall of the external auditory canal collapses, and bone destruction is found in the mastoid X-ray, simple mastoid chiseling should be used for treatment.

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3. However, do not disturb the ossicles and tympanic cavity structure, do not peel off the skin of the external auditory canal, so as not to affect hearing and form ear canal fistula or stenosis. Do not damage the semicircular canals and mastoid segment of the facial nerve forward and downward. After the operation, the mastoid cavity should be a healthy and smooth bone cavity, with the front boundary being the entrance of the tympanic sinus and the posterior wall of the external auditory canal, the upper boundary being the meningeal plate, and the posterior boundary being the sigmoid sinus plate. If there is a suspected intracranial complication, the meningeal plate and sigmoid sinus should be chiseled open a little to explore for granulation and abscess.

4. After the operation, flush and stop bleeding, fill with iodoform gauze, suture the incision layer by layer, and leave the tail end of the gauze outside the cavity for easy removal. Remove the gauze 5 to 7 days after the operation, change the dressing 2 to 3 days after the operation, and continue systemic antibiotic treatment. After 1 to 2 months, the mastoid cavity will be filled with blood clots and granulation tissue, and the middle ear infection can be expected to be cured.