Dysfunction of the eustachian tube is the underlying problem in all types of otitis media. Systemic antibiotics and careful follow-up are the treatment of choice for acute suppurative otitis media, whereas topical antibiotics with saline irrigation are used in patients with a chronic condition. Myringotomy and tube insertion may be required in patients with secretory otitis media that does not undergo spontaneous resolution.
咽鼓管功能障碍是所有类型中耳炎的潜在问题。全身使用抗生素并仔细随访是急性化脓性中耳炎的首选治疗方法，而对于慢性病患者则使用局部抗生素加盐水冲洗。对于未自行缓解的分泌性中耳炎患者，可能需要进行鼓膜切开术并插入通气管。
