Barotitis Media

Barotitis( Aerotitis) is an inflammation of the ear caused by difference in atmospheric pressure between the surrounding air and the middle ear air .



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The eustachian tube is a small canal that connects the middle ear to the back of the nose and upper throat (nasopharynx) which equalizes the air pressure in the middle ear with the pressure outside.
When the Eustachian tube fails to open during swallowing or yawning it results in a difference between the air pressure inside and outside the middle ear. It causes discomfort in the ear and temporary hearing problems.
Modern jet aircraft, maintain cabin pressure equivalent to 5,000 and 8,000 feet.At such altitudes, free air in body cavities tends to expand by about 25 percent and may aggravate certain medical conditions.

During a sudden increase in ambient pressure, gas must move from the nasopharynx into the middle ear to maintain equal pressure on both sides of the tympanic membrane.

If the eustachian tube is not functioning properly, as in upper respiratory  tract infections or allergy, the pressure in the middle ear is lower than the ambient pressure.

The relative negative pressure in the middle ear results in retraction of the tympanic membrane and a transudate of blood from the vessels in the lamina propria of the mucous membrane forms in the middle ear.
If the difference in pressure becomes great, ecchymosis and subepithelial hematoma   may develop in the mucous membrane of the middle ear and in the tympanic membrane.
Age/sex prevalence of Barotitis Media

Barotitis media can affect individuals of any age and sex.

What Are The Reasons Behind Occurrence Of Barotitis Media?

• Upper respiratory inflammation or allergy
• Nasal congestion
• Sinus infection
• Any tumors
• Adenoids in children

Barotitis Media Signs and Symptoms

• Intense pain in the ear. Ringing in the ears
• The facial pain of dental origin also may occur with air pressure changes.
• Hearing loss
• Vertigo
• Fullness in the ear

Investigations for Barotitis Media

• Physical examination
• Medical history
• Audio gram
• Nasal examination

How To Treat Barotitis Media ?

• Avoiding flying or diving
• Anti-histamines
• Nasal sprays
• Frequent yawning
• When taking off and landing, clear your ears by breathing in and then gently
breathing out while holding your nostrils and mouth closed.
• Try special earplugs that slowly equalize the pressure in your ear. These earplugs can be found at drugstores and airports.

Prognosis of Barotitis Media

With treatment cases of barotitis media show reversible changes without any damage or hearing loss.

How Barotitis Media Can Cause Complications?

• Eardrum ruptured
• Middle ear infections
• Permanent hearing loss

How To Tackle The Spread Of Barotitis Media?

• During infection avoiding travelling or scuba diving
• Sucking on candy or chew gum
• Avoid sleeping
• Swallow ,yawning and sipping fluids while flying on airplane

Homeopathic treatment for Barotitis Media

Aconite – 
• Sensitivity to noise
• External ear red, hot painful
• Burning in internal parts with numbness and coldness
• Great remedy for inflammations

Belladona –
• Otitis media , throbbing pains in ears
• Acute and sub-acute conditions of eustachian tube
• Parotid glands swollen
• Tympanic membrane bulges

Mercurius –
• In suppurative middle ear disease
• Swelling of parotid glands
• Hardness of hearing
• Thin, acrid discharges

Hepar sulphur –
• Suppurative otitis media
• Sensitivity to touch , hardness of hearing
• Offensive discharge
• Whizzing and throbbing in ears

Silicea – 
• Itching and tingling in eustachian tube
• Pains shooting through the ear , with cracking sound
• Chronic otorrhoea with sensitivity to sound
• Offensive discharges

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