Inner Ear Infection: Otitis Interna Symptoms, Causes, and Treatment

Ear injury and infections are not unusual yet most of these time these conditions includes the external and also middle ear. This is particularly usual in youngsters.

Most of the moment we do not assume of it as a major condition however when the trouble prolongs further right into the inner ear after that the effects can be severe.

What is Otitis Interna?

Otitis interna is inflammation of the inner ear often due to an infection. It ought to not be perplexed with otitis externa (exterior ear infection) as well as otitis media (middle ear infection).

Otitis interna is additionally referred to as labyrinthitis called after the bony labyrinth of the inner ear. Since the organs of hearing and also equilibrium are located within the inner ear, a person may experience signs and symptoms of hearing loss, poor equilibrium and also wooziness as an outcome of otitis interna.

General otitis interna is not as usual as otitis media or otitis externa. Nevertheless, when it does happen it is often taken much more seriously as a result of the distance to the brain.

It calls for punctual clinical focus especially when it arises as an outcome of an infection as delaying treatment might cause serious outcomes and even death depending on the underlying cause.

Otitis interna symptoms can influence anyone of any age as well as may develop as a problem of a center ear infection (otitis media).

Composition of the Inner Ear

It is essential to understand the anatomy of the internal ear to, even more, understand the results of otitis interna. There are 4 almosts all of the internal ear:

  • Labyrinth
  • Semicircular canals
  • Vestibule
  • Cochlea

The maze is the bony canal that lies within the skull (temporal bones). It has an inner membrane and also is full of liquid known perilymph.

The semicircular canals and also the vestibule are collectively referred to as the vestibule system. It is responsible for the sense of equilibrium. The various other vital organ is the cochlea.

Movements of the ossicles in the middle ear transfer sound waves to the perilymph which consequently stimulates the cochlea. This is transformed to nerve signals as well as related to the mind. The cochlea is accountable for hearing.

Otitis Interna Symptoms and Signs

When otitis externa emerges as a consequence of various other infections there might be early symptoms like an ear discharge.

It is important to keep in mind that these signs and symptoms are not typically the component of otitis externa.

Offered the organs of the inner ear, the adhering to symptoms are usually present in otitis externa:

  • Dizziness– impaired thinking
  • Hearing loss– generally partial and prejudiced
  • Nystagmus– rapid drinking of the eyes
  • Otalgia– discomfort in the ears
  • Ringing in the ears– calling sound in the ears
  • Vertigo– sensation of the surroundings rotating

Various other otitis interna symptoms that could also be present consist of nausea, vomiting, high temperature, neck discomfort and also neck rigidity.

As with any kind of condition, otitis interna may not always present with all these symptoms and also in some cases non-specific signs and symptoms like dizziness may be the only signs and symptoms present.

Root causes of Otitis Interna Symptoms

There are a variety of different root causes of otitis interna symptoms. Inflammation can be categorized as infectious or non-infectious. Infections are among the more common of these original elements.


Trauma to the head can lead to inner ear injury depending upon the severity of the injury. In a similar way, a serious injury to the ear can lead to internal ear trauma as well as swelling.

Less generally surgical treatment could trigger inner ear injury. Although high stress can harm the outer ear or even the center ear somewhat, the internal ear is generally not affected.


Viral and microbial infections could likewise create otitis interna. A number of different infections could create otitis interna varying from the influenza infection to various other top respiratory viruses, as well as usual childhood years viral infections such as mumps and measles.

Tiles, which is a resurgence of the chickenpox infection, can likewise impact the internal ear. In a few of these viral infections, there can be permanent hearing loss however it depends upon the infection concerned.

Any pathogenic microorganisms that can reach the cells of the internal ear may trigger otitis interna. It is uncommon for these germs to reach the inner ear from the external environment without first creating middle and external ear infections since the inner ear lies so deep.

Rather the microorganisms could reach the inner ear from the brain as well as meninges in problems like bacterial sleeping sickness and also meningitis. In some cases, the contaminants of these germs can get to the internal ear tissue as well as create inflammation.


Autoimmune conditions create inflammation when the immune system assaults the body’s very own tissue. This might take place for a number of different factors and is typically persistent in nature.

One more type of immune disorder is an allergic reaction. Below the tissue comes to be swollen when it enters contact with safe compounds to which the body has a sensitivity.


A number of materials could cause inner ear swelling. These compounds have the ability to reach the inner ear tissue with the bloodstream. It can vary from medicine and alcohol to immoral materials as well as toxic substances.

Several of these materials are particularly harmful to inner ear cells and consequently referred to as ototoxic. Depending on the substance concerned, the dose and degree fo contaminants in the blood stream could establish the level of toxicity to the inner ear tissue.

Treatment of Otitis Interna

The selection of treatment of otitis interna depends upon the underlying reasons. Occasionally, therapy particularly for otitis interna is not needed, as holds true with several viral infections which resolve spontaneously.

Helpful measures may be all that is needed in this situation and it involves bed rest, fluid intake as well as proper nourishment. Nevertheless, there are times where medication is essential.

Anti-inflammatory medicines, as well as corticosteroids, may be made use of to indiscriminately decrease inflammation regardless of the cause.

Prescription antibiotics are used for bacterial infections while antivirals may occasionally be necessary for viral infections. With substances, the method to treatment is mostly encouraging monitoring up until the toxins are eliminated from the system.

Nonetheless, substances to counteract it may occasionally be necessary.

Otitis interna is a potentially serious condition as well as should be identified, dealt with as well as managed by a medical professional.