Do I need surgery for otitis media?

Apr 29, 2025 Source: Cainiu Health
Disease description:

My friend is 22 years old this year. He developed otitis media (middle ear infection) as a child due to swimming. We would like to know whether otitis media requires surgical treatment.

Doctor's answer (1)
Dr. Lu Cheng

In general, acute otitis media or secretory otitis media usually does not require surgical treatment. However, chronic suppurative otitis media may require surgical intervention.

Acute otitis media is often caused by bacterial or viral infections and commonly occurs in children. It mainly presents with symptoms such as ear pain, fever, and hearing loss. Most patients can achieve effective treatment through conservative measures, such as improving the environment, enhancing nutrition, using topical medications (e.g., ofloxacin ear drops), and oral medications (e.g., amoxicillin capsules), without requiring surgery.

Chronic otitis media refers to middle ear inflammation lasting longer than three months. It often presents with recurrent ear discharge, tympanic membrane perforation, hearing loss, and even cholesteatoma formation. Surgical procedures such as tympanoplasty or mastoidectomy may be required to improve hearing, restore function, and enhance the patient's quality of life.

It is important to note that the decision on whether otitis media requires surgery should be made by a qualified otolaryngologist based on detailed examination results and evaluation. Before deciding on surgery, the physician will comprehensively consider factors such as the patient's age, overall health, medical history, and current condition to ensure the most suitable treatment plan is selected for the individual patient.