| Description |
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Since adhesive otitis media is usually the result of several previous episodes of otitis media, any of the mucosal or ossicular changes that occur in chronic otitis media ma also be present, e.g. tympanosclerosis, cholesterol granuloma, and/or ossicular erosion.
The primary aim of management should be to prevent the formation of fibrous adhesions during episodes of suppurative ear disease and recurrent mucoid otitis media in childhood.
Because the fibrous adhesions that produce this condition are the direct consequence of inflammatory damage to the mucoperiosteum of the middle ear, all middle ear infections shout be treated aggressively with full courses of the appropriate antibiotics and persistent mucoid effusions should be drained.
The surgical treatment of severe cases of end-stage adhesive otitis media is generally unrewarding, and the use of a hearing aid in those patients with extensive ossicular fixation remains the most practical form of therapy. |
