{"id":377,"date":"2024-12-30T17:31:04","date_gmt":"2024-12-30T14:31:04","guid":{"rendered":"https:\/\/drsabancelebi.com\/?p=377"},"modified":"2026-01-30T18:10:19","modified_gmt":"2026-01-30T15:10:19","slug":"middle-ear-infections-chronic","status":"publish","type":"post","link":"https:\/\/drsabancelebi.com\/en\/middle-ear-infections-chronic\/","title":{"rendered":"Middle Ear Infections (Chronic)"},"content":{"rendered":"<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_73 counter-flat ez-toc-counter ez-toc-grey ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Table of Contents<\/p>\n<span class=\"ez-toc-title-toggle\"><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"#\" data-href=\"https:\/\/drsabancelebi.com\/en\/middle-ear-infections-chronic\/#WHAT_IS_MIDDLE_EAR_INFECTION\" title=\"WHAT IS MIDDLE EAR INFECTION?\">WHAT IS MIDDLE EAR INFECTION?<\/a><\/li><li class='ez-toc-page-1'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"#\" data-href=\"https:\/\/drsabancelebi.com\/en\/middle-ear-infections-chronic\/#What_are_the_types_of_chronic_middle_ear_inflammation\" title=\"What are the types of chronic middle ear inflammation?\">What are the types of chronic middle ear inflammation?<\/a><\/li><\/ul><\/nav><\/div>\n<h2><span class=\"ez-toc-section\" id=\"WHAT_IS_MIDDLE_EAR_INFECTION\"><\/span>WHAT IS MIDDLE EAR INFECTION?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>The eardrum is located at the end of the external auditory canal and separates the middle ear from the external ear. Sound waves traveling along the external auditory canal vibrate the eardrum, and these vibrations are transmitted to the hammer and then to the anvil and stirrup bones in contact with the eardrum, facilitating the transmission of sound to the inner ear. The middle ear consists of the Eustachian tube, which connects the middle ear to the nasopharynx behind the nose and ensures the equalization of middle ear pressure with external atmospheric pressure, and the air cells located within the mastoid bone behind the ear, which are connected to the middle ear. These structures, along with other anatomical components of the middle ear, form the other anatomical structures of the middle ear.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"What_are_the_types_of_chronic_middle_ear_inflammation\"><\/span>What are the types of chronic middle ear inflammation?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>There are various types of chronic middle ear inflammations. In practice, two most frequently encountered conditions are present.<\/p>\n<p>The most commonly encountered chronic middle ear diseases are perforations of the eardrum caused by acute middle ear inflammations, traumas, or ear surgeries that do not heal spontaneously or with simple interventions. Through these perforations, water can enter the middle ear, or infections can enter the middle ear from the sinuses, nose, or Eustachian tube, leading to occasional inflammatory secretions in the ear. Recurrent infections can cause hearing loss to progressively worsen over time. This group represents chronic middle ear problems that are more frequently encountered in clinical practice and are relatively easier to treat, with more successful functional outcomes.<\/p>\n<p>The second significant chronic middle ear disease is usually observed due to the dysfunction of the Eustachian tube from childhood onwards. The disease begins with the collapse of the eardrum towards the middle ear due to negative pressure resulting from impaired ventilation of the middle ear. Following the retraction and adhesion of the eardrum, the skin of the external auditory canal progresses towards the middle ear and, over time, into the mastoid bone adjacent to it, leading to the formation of an inflammatory mass called cholesteatoma. The cholesteatoma mass, which contains cells shed from the epithelium of the external auditory canal and bacteria proliferating in this environment, causes bone erosion and inflammation in the surrounding bones due to pressure and inflammatory effects. Consequently, it can spread to adjacent organs, resulting in serious complications.<\/p>\n<p>Typically, there is a history of long-standing and worsening hearing loss and intermittent foul-smelling ear discharge. Patients may present to the hospital with acute hearing loss, dizziness, facial paralysis related to the ear, or serious complications caused by the spread of inflammation into the brain, such as meningitis or brain abscesses.<\/p>\n<p>In the surgical treatment of chronic middle ear inflammation with cholesteatoma, the primary goal is to prevent further inflammation. The hearing function outcomes in these patients are generally not as distressing as those in the first group.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>WHAT IS MIDDLE EAR INFECTION? The eardrum is located at the end of the external auditory canal and separates the middle ear from the external ear. Sound waves traveling along the external auditory canal vibrate the eardrum, and these vibrations are transmitted to the hammer and then to the anvil and stirrup bones in contact [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":537,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[7],"tags":[],"class_list":["post-377","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-blog"],"_links":{"self":[{"href":"https:\/\/drsabancelebi.com\/en\/wp-json\/wp\/v2\/posts\/377","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/drsabancelebi.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/drsabancelebi.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/drsabancelebi.com\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/drsabancelebi.com\/en\/wp-json\/wp\/v2\/comments?post=377"}],"version-history":[{"count":3,"href":"https:\/\/drsabancelebi.com\/en\/wp-json\/wp\/v2\/posts\/377\/revisions"}],"predecessor-version":[{"id":536,"href":"https:\/\/drsabancelebi.com\/en\/wp-json\/wp\/v2\/posts\/377\/revisions\/536"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/drsabancelebi.com\/en\/wp-json\/wp\/v2\/media\/537"}],"wp:attachment":[{"href":"https:\/\/drsabancelebi.com\/en\/wp-json\/wp\/v2\/media?parent=377"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/drsabancelebi.com\/en\/wp-json\/wp\/v2\/categories?post=377"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/drsabancelebi.com\/en\/wp-json\/wp\/v2\/tags?post=377"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}