Las otitis media aguda y crónica son las causas más frecuentes de complicación con la enfermedad.

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Las otitis media aguda y crónica son las causas más frecuentes de complicación con la enfermedad.
Las otitis media aguda y crónica son las causas más frecuentes de complicación con la enfermedad.

Ante los cambios bruscos de temperatura, típicos de esta época, que provocan rinofaringitis o rinosinusitis, médicos del Instituto Mexicano del Seguro Social (IMSS) recomiendan atenderse en forma oportuna para evitar infecciones del oído que pueden propagarse al hueso mastoides del cráneo (mastoiditis) y causar sordera.

Las otitis media aguda y crónica son las infecciones recurrentes del oído medio y las causas más frecuentes que provocan mastoiditis, explicó la doctora Jaquelinne Vázquez Ramírez, jefa de Consulta Externa del Hospital General de Zona 32 del Seguro Social.

Informó que existen mastoiditis agudas y crónicas; las primeras son comunes en niños, secundarias a infecciones del oído medio, y las crónicas se presentan en adultos que en la infancia padecieron el problema sin ser atendidos.

La especialista en Otorrinolaringología y Cirugía de Cabeza y Cuello señaló que el hueso mastoides puede afectarse principalmente por infecciones como la mastoiditis, tumores y colesteatoma (destrucción de la membrana mucosa del oído medio).

El paciente que presenta mastoiditis acude al médico familiar por dolor detrás de la oreja, con inflamación y enrojecimiento de la zona. Es referido con el otorrinolaringólogo para corroborar el diagnóstico de la enfermedad.

Si el resultado es positivo, se inicia tratamiento médico con antibióticos vía intravenosa de 10 a 14 días, en caso de cuadro agudo.

En caso de mastoiditis crónica, secundaria a infecciones recurrentes de oído medio, el tratamiento es quirúrgico. Durante el procedimiento se limpia completamente la mastoides para evitar procesos infecciosos intermitentes y prevenir la formación de abscesos en el cerebro u otras complicaciones, precisó la doctora Vázquez Ramírez.

La recuperación del paciente lleva alrededor de 28 días, con curaciones semanales para retirar las costras que se forman en la cavidad, además de valorar la capacidad auditiva por el daño que sufren los huesecillos del oído medio.

La jefa de Consulta Externa del HGZ 32 del IMSS dijo que es importante tratar cualquier cuadro respiratorio con el médico familiar, no automedicarse; aplicar las vacunas de influenza y neumococo que ayudan a evitar enfermedades respiratorias graves que pueden complicarse con otitis media.

La especialista invitó a hacer conciencia del cuidado de la salud, pues la mastoiditis es una complicación que no debería suceder, ya que en el Instituto se cuenta con antibióticos de amplio espectro para la atención oportuna de las infecciones de vías respiratorias.

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