1st order
- Therapy of the underlying disease such as.
- Adenotomy* (removal of the pharyngeal tonsils).
- Septoplasty (correction of the nasal septum due to septal deviation).
- Paracentesis* (stab incision/(making an incision with a scalpel of the eardrum and / or insertion of tympanic drainage / tympanic tubes) Possible complications or. Consequences are: a tympanic membrane atrophy, persistent (persistent) tympanic membrane perforations (tympanic membrane rupture), the formation of a secondary cholesteatoma (synonym: pearl tumor; ingrowth of multilayered keratinizing squamous epithelium in the middle ear with subsequent chronic purulent inflammation of the middle ear) or a chronic persistent otorrhea (synonyms: ear discharge, ear discharge).
- Transtympanic puncture – puncture of the middle ear through the eardrum.
* Both measures in combination seem reasonable from the pediatric otolaryngologist’s point of view according to the current state of knowledge in the initial intervention.
