Sandbox: Otitis media natural history, complications, and prognosis

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Luke Rusowicz-Orazem, B.S.

Overview

Onset of otitis media rapidly follows the onset of the causative nasopharyngitis.^[1]
- Otitis media onset manifests through symptoms including ear pain, fever, tympanic effusion, headache, cough, and nasal discharge
Without treatment, acute otitis media (AOM) will usually resolve between 7 and 14 days.^[2]
- 80% of children with AOM will experience symptomatic relief without treatment within 2-3 days.
Otorrhea will usually take longer than symptoms such as fever or ear pain to resolve.^[2]
Otitis media with effusion (OME) will resolve itself without treatment in a period of 3-6 months.^[2]
- Complete clearance of middle ear effusion will take longer than symptomatic effects of otitis media due to longer duration of fluid drainage.
Chronic suppurative otitis media

↑ Coticchia JM, Chen M, Sachdeva L, Mutchnick S (2013). "New paradigms in the pathogenesis of otitis media in children". Front Pediatr. 1: 52. doi:10.3389/fped.2013.00052. PMC 3874850. PMID 24400296.
↑ ^2.0 ^2.1 ^2.2 Rosenfeld, Richard M.; Kay, David (2010). "Natural history of untreated otitis media". The Laryngoscope. 113 (10): 1645–1657. doi:10.1097/00005537-200310000-00004. ISSN 0023-852X.