Öroninflammationer (Otitis Media)

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Middle Ear Infection or Inflammation

(Otitis Media)

Medical Author:

David Perlstein, MD, MBA, FAAP

Medical Editor:
William C. Shiel Jr., MD, FACP, FACR

William C. Shiel Jr., MD, FACP, FACR

William C. Shiel Jr., MD, FACP, FACR

Dr. Shiel received a Bachelor of Science degree with honors from the University of Notre Dame. There he was involved in research in radiation biology and received the Huisking Scholarship. After graduating from St. Louis University School of Medicine, he completed his Internal Medicine residency and Rheumatology fellowship at the University of California, Irvine. He is board-certified in Internal Medicine and Rheumatology.

Medical Editor:
Charles Patrick Davis, MD, PhD

Charles Patrick Davis, MD, PhD

Charles Patrick Davis, MD, PhD

Dr. Charles ”Pat” Davis, MD, PhD, is a board certified Emergency Medicine doctor who currently practices as a consultant and staff member for hospitals. He has a PhD in Microbiology (UT at Austin), and the MD (Univ. Texas Medical Branch, Galveston). He is a Clinical Professor (retired) in the Division of Emergency Medicine, UT Health Science Center at San Antonio, and has been the Chief of Emergency Medicine at UT Medical Branch and at UTHSCSA with over 250 publications.

Ear infection or inflammation (otitis media) facts

  • Otitis media (ear infection or inflammation) is the most common childhood condition for which antibiotics are prescribed.
  • Otitis media features fever, ear pain, and a feeling of fullness in the ear; as well as fussiness and feeding problems in young children.
  • Otitis media is usually an infection and/or inflammation of the middle ear.
  • Ear infection or inflammation causes fluid buildup in the middle ear.
  • A cold or other respiratory infection can lead to ear infections or inflammation.
  • Exposure to other children's colds as often occurs in daycare centers, raises the risk of contracting otitis media (ear infection or inflammation).
  • Bottlefeeding increases the risk of ear infection or inflammation in babies.
  • Middle ear pus causes pain and temporary hearing loss.
  • Rupture of the eardrum allows the pus and fluid to drain into the ear canal.
  • Otitis media (ear infection or inflammation) is treated with observation, antibiotics, or ear tubes.

What is otitis media (middle ear infection or inflammation)?

Otitis media is inflammation of the middle ear; however, many doctors consider otitis media to be either inflammation or infection of the middle ear. "Otitis" means inflammation of the ear, and "media" means middle. This inflammation often begins with infections that cause sore throats, colds or other respiratory problems, and spreads to the middle ear. Infections can be caused by viruses or bacteria, and can be acute or chronic.

Acute otitis media is usually of rapid onset and short duration. Acute otitis media is typically associated with fluid accumulation in the middle ear together with signs or symptoms of ear infection; a bulging eardrum usually accompanied by pain, or a perforated eardrum, often with drainage of purulent material (pus, also termed suppurative otitis media). Fever can be present.

Chronic otitis media is a persistent inflammation of the middle ear, typically for a minimum of 3 months. This is in distinction to an acute ear infection (acute otitis media) that usually lasts only several weeks. Following an acute infection, fluid (an effusion) may remain behind the ear drum (tympanic membrane) for up to three months before resolving. Chronic otitis media may develop after a prolonged period of time with fluid (effusion) or negative pressure behind the eardrum (tympanic membrane). Chronic otitis media can cause ongoing damage to the middle ear and eardrum, and there may be continuing drainage through a hole in the eardrum. Chronic otitis media often starts painlessly without fever. Ear pressure or popping can be persistent for months. Sometimes a subtle loss of hearing can be due to chronic otitis media.

Picture of the Ear Anatomy

Picture of the Ear Anatomy

Medically Reviewed by a Doctor on 11/2/2015

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Otitis Media – Effective TreatmentsQuestion: What treatments have been effective for your otitis media?
Ear Infection (Otitis Media) – SymptomsQuestion: What were the symptoms associated with an ear infection in you or your child?
Ear Infection (Otitis Media) – Surgery ExperienceQuestion: Did you or your child have surgery to treat chronic ear infections? Please describe your experience.
Ear Infection – Risk FactorsQuestion: What risk factors do you or your child have for ear infections? How have they effected the frequency of your or your child’s ear infections?
Ear Infection – Home RemediesQuestion: What home remedies have you found effective in treating middle ear infections?
Ear Infection – PreventionQuestion: What steps do you take to prevent middle ear infections?

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