Middle ear diseases

So you can be all ears again

Hearing loss, dizziness or painful middle ear inflammation: These are just some of the unpleasant symptoms when your middle ear becomes ill. In these cases, specialists are needed who make a clear diagnosis and who operate with plenty of experience and skill.

Our experienced ENT specialists at Schoen Clinic specialise in effectively treating middle ear diseases with little pain. We get your symptoms under control using the latest procedures.

Causes & symptoms

What types of middle ear diseases are there?

The most frequent middle ear diseases include:
  • Cholesteatoma (chronic bone suppuration, "bone loss" with destruction of the ossicular chain)
  • Chronic purulent middle ear inflammation
  • Dizziness
  • Equilibrium diseases such as Ménière's disease
  • Hearing loss / reduction 
  • Otosclerosis
  • Chronic middle ear ventilation disorders 
  • Ear canal malformations / strains (stenoses)
  • Eardrum injuries 

Causes: How middle ear diseases come about

Middle ear inflammation - Symptoms
The cause for paediatric middle ear inflammation is usually due to a constricted middle ear canal. As the child develops, these inflammations often heal on their own, because the ventilation room increases as the child grows. However, if the constricted middle ear canal leads to a chronic middle ear inflammation, the eardrum can also be damaged. This can lead to an interruption of the ossicular chain or to a hole in the eardrum. In addition, bone inflammation may even occur.

Genetic causes 
Hereditary causes include otosclerosis, which is accompanied by stiffening of the ossicular chain. This leads to sound no longer correctly being transferred to the inner ear. 

Eardrum injuries
Water behind the eardrum can lead to a rupture in the eardrum. If the hole does not close, this can lead to chronic inflammation, which continuously attacks the ossicular chain. Acts of violence, such as slaps to the ear, can lead to an eardrum injury.

Symptoms of different middle ear diseases

One typical sign is pus draining from the ear. In some cases, temporary hearing loss to total hearing loss may occur. If the organ of balance is affected by bone suppuration, the affected person may suffer from dizziness. Some patients also complain about ear noises. Earaches, on the other hand, are more indicative of acute inflammation.


Diagnosis: How we diagnose this middle ear diseases

Before determining an appropriate treatment, we of course need a detailed diagnosis. After the initial consultation, our specialists examine your ear extensively. We have a range of methods available to us to achieve this. First there is always a hearing test, then we choose from the following diagnostic measures:
  • Determination of the threshold of hearing
  • Impedance / ventilation test of the middle ear
  • Speech intelligibility test
  • Examinations in noise
  • Hearing tests to check hair cells (OAE) of the inner ear
  • Measurement of auditory nerve potentials and cranial nerve conduction velocity (BERA)
  • Comprehensive diagnosis of the organs of balance
  • Caloric reflex text (irrigation of the ear canals with alternating cold and warm water, to check the peripheral equilibrium organ separately)
  • Swivel chair test (here you will be rotated in a single direction with a pair of video glasses on a chair for 30 seconds)