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2/3 of people presenting with ear pain were diagnosed with some sort of primary otalgia and 1/3 were diagnosed with some sort secondary otalgia. [5] A common cause of primary otalgia is ear infection called otitis media, meaning an infection behind the eardrum. [3] The peak age for children to get acute otitis media is ages 6–24 months.
[56] [57] A common complication of having a tympanostomy tube is otorrhea, which is a discharge from the ear. [58] The risk of persistent tympanic membrane perforation after children have grommets inserted may be low. [55] It is still uncertain whether or not grommets are more effective than a course of antibiotics. [55]
Otorrhea (ear discharge) is the most common complication of tympanostomy tube placement, affecting between 25–75% of children receiving this procedure. [2] [6] [9] [10] Saline washouts and antibiotic drops at the time of surgery are effective measures to reduce rates of otorrhea, which is why antibiotic ear drops are not routinely prescribed.
Irritable bowel syndrome is a chronic condition that affects the gastrointestinal tract. There is no cure for IBS but many proven treatments. IBS is more common than many realize.
There may be early drainage through the tube (tube otorrhea) in about 15% of patients in the first two weeks after placement, and developing in 25% more than three months after insertion, although usually not a longterm problem. [18] Otorrhea is considered to be secondary to bacterial colonization.
The constellation of symptoms was first described as a consequence of severe, advanced ear infection which has spread to a central portion of the temporal bone of the skull.
The tube is extruded spontaneously after a few weeks to months, and the incision heals naturally. If there are complications, or the mastoiditis does not respond to the above treatments, it may be necessary to perform a mastoidectomy : a procedure in which a portion of the bone is removed and the infection drained.
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