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Ear infection - chronic - Overview

Alternative Names

Middle ear infection - chronic; Otitis media - chronic; Chronic otitis media; Chronic ear infection

Definition of Ear infection - chronic:

Chronic ear infection is fluid, swelling, or an infection behind the eardrum that does not go away or keeps coming back, and causes long-term or permanent damage to the ear.

See also: Acute ear infection

Causes, incidence, and risk factors:

The eustachian tube runs from the middle of each ear to the back of the throat. This tube drains fluid normally made in the middle ear. If the eustachian tube becomes blocked, fluid can build up. When this happens, infection can occur. See: Acute ear infection

A chronic ear infection occurs when fluid or an infection behind the eardrum does not go away. A chronic ear infection may be caused by:

  • An acute ear infection that does not clear completely
  • Repeated ear infections

"Suppurative chronic otitis" is a phrase doctors use to describe an eardrum that keeps rupturing, draining, or swelling in the middle ear or mastoid area and does not go away.

Ear infections are more common in children because their Eustachian tubes are shorter, narrower, and more horizontal than in adults. Chronic ear infections are much less common than acute ear infections.

  • Reviewed last on: 5/1/2011
  • Neil K. Kaneshiro, MD, MHA, Clinical Assistant Professor of Pediatrics, University of Washington School of Medicine. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

References

Chole RA, Sudhoff HH. Chronic otitis media, mastoiditis, and petrositis. In: Cummings CW, Flint PW, Haughey BH, Robbins KT, Thomas JR, eds. Otolaryngology: Head & Neck Surgery. 4th ed. Philadelphia, Pa: Mosby Elsevier;2005:chap 133.

Morris PS, Leach AJ. Acute and chronic otitis media. Pediatr Clin North Am. 2009 Dec;56(6):1383-99.

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