Disease sexually transmitted:

Chancroid (soft chancre)

Adhesive otitis media

  • What is Adhesive otitis media
  • What triggers / Causes of Adhesive otitis media
  • Symptoms of Adhesive otitis media
  • Diagnosis of Adhesive otitis media
  • Treatment of Adhesive otitis media
  • Prevention of Adhesive otitis media
  • Which doctors should be consulted if You Adhesive otitis media

What is Adhesive otitis media -

Adhesive otitis media is a disease, which is a fibrous adhesive process of the mucosa of the tympanic cavity inflammatory nature with the formation of adhesions, the formation of the stiffness of the ossicular chain, impaired patency of the auditory tube, the progressive deterioration of hearing.
Adhesive otitis media

What triggers / Causes of Adhesive otitis media:

Adhesive otitis media is more likely to develop chronic catarrhal or exudative otitis media, which are accompanied by processes of healing and pathological organization of content with the development of fibrous scar tissue between the walls of the tympanic cavity, auditory ossicles and the tympanic membrane. The binding (adhesion) thus conductive elements of the tympanic cavity impairs hearing.

Symptoms of Adhesive otitis media:

Leading symptoms - hearing loss and ringing in the ear. In anamnesis there is an indication migrated once or repeated inflammation of the middle ear. OTO-pattern adhesive otitis media characterized by the presence of scarring, retraction of the tympanic membrane. Excessive development of scar tissue may lead to deformation of the tympanic membrane. There has been a violation tournoi functions of varying degrees of severity with some improvement after insufflation of the Eustachian tube. Sometimes scars with adhesive otitis media as the damper closes the mouth of the auditory tube, completely disrupting its permeability. Developing ankylosauria joints between auditory ossicles, becomes the stiff base of the stapes in the window of the vestibule.
When the condensation and rarefaction of the air in the external ear canal by means of a pneumatic funnels revealed limited mobility of the tympanic membrane or complete immobility, which is confirmed by tympanometry. When hearing research reveal a conductive hearing loss, however, in more remote periods can be violated and sound.
Adhesive otitis media

Diagnosis of Adhesive otitis media:

Diagnosis of adhesive otitis media is based on anamnesis, otoscopy results and functional studies of the auditory tube and the audio analyzer. When the impedance detected small compliance of the tympanic membrane, the flat top of the sweep has been carried out or the lack of it.

Treatment of Adhesive otitis media:

Treatment with the adhesive forms of otitis media are ineffective. It is recommended to start treatment with rehabilitation of the upper respiratory tract in children if necessary, carry adenotomy, the full restoration of nasal breathing. Useful repeated courses of insufflation of the Eustachian tube by Catheterization or through a catheter with simultaneous massage of the eardrum by means of a pneumatic funnel. Recommended transhumance the introduction of various drugs: chymotrypsin, hydrocortisone, hyaluronidase, fluimucil. Showing parenteral administration of medicinal plant extracts (aloe, vitreous body, Pheebs, Actovegin), b vitamins, kokarboksilazy, ATP, appointed by antihistamines. Of physiotherapy techniques used microwave, UHF-therapy, electrophoresis and endourology phonophoresis hyaluronidase, potassium iodide, mud therapy, ultrasound massage tovarnik rollers. Typically integrated courses of treatment is repeated 2-3 times a year.
At sharply expressed cicatricial process, not amenable to conservative treatments, are tympanotomy with dissection of adhesions, mobilization of seed or reconstruction of the ossicular chain. Often, however, surgery is ineffective, because scarring adhesions form again and persistent restoration of patency of the auditory tube is difficult to achieve. In such cases, possible tympanoplasty with artificial auditory ossicles and ventilation via the ear canal. When bilateral adhesions with severe hearing impairments, and the elderly shows a hearing aid.

Prevention of Adhesive otitis media:

The prevention of inflammatory diseases of the middle ear involves the elimination or weakening of the influence of the factors that contribute to the occurrence of acute otitis media and its transition into the chronic.
In infants, the level of natural resistance is in direct proportion to the way of feeding. Breast milk the child receives substances that provide nonspecific humoral protection, such as lysozyme, immunoglobulins, which is very important for the child's adaptation to the environmental conditions. Therefore, an important measure for the prevention of colds and otitis media is feeding the baby with breast milk.
The frequency of acute otitis media in children until recently was due to childhood infectious diseases. Due to the mass of specific prophylaxis currently managed to reduce the incidence of children from diseases like measles and scarlet fever.
On the incidence of otitis media children and adults is influenced by a number of other factors.
- High prevalence of respiratory viral infections, reducing mucociliary activity of the respiratory epithelia, including the epithelium of the auditory tube that suppress local immune protection is Wide, often haphazard and inappropriate use of antibiotics, which leads to the emergence of resistant strains of pathogens and simultaneously disrupts the natural protective reaction of the organism.
- Sensitization of the organism and the perversion of the mechanisms of local and overall immune system by eating foods that contain preservatives, various synthetic additives, and the children - when artificial feeding.
- Decrease in the General non-specific resistance in respect of physical inactivity, limited exposure to the outdoors and the sun, insufficient consumption of foods rich in vitamins.
- Adenoids always contribute to the occurrence and chronicity of acute otitis media, it is therefore appropriate timely adenotomy.
Addressing adverse impact of these factors reduces the frequency of inflammatory diseases of the middle ear. In particular, there are methods of specific prophylaxis of influenza and acute respiratory diseases (influvac, IRS-19, Imudon, etc.), active rehabilitation of the upper respiratory tract, proliferating methods adequate treatment of acute respiratory infections without systemic antibiotics.
In the development of acute otitis media and in its transition to a chronic of great importance are chronic foci of infection in the nose and throat. Timely remediation of such foci of infection and restoration of normal nasal respiration are important components in the complex of measures for the prevention of otitis media. Prevention of chronic suppurative otitis media is the right treatment for a patient with acute otitis media. An important component of this treatment are performed in a timely manner (as indicated) paracentesis, and adequate antibiotic therapy taking into account peculiarities of the pathogen and its sensitivity to antibiotics. The transition of acute otitis media in chronic often leads to early cancellation of the antibiotic, its use in small doses and lengthening the interval between doses of the antibiotic.
Patients with acute otitis media, even under favorable period of convalescence and normalization OTO-picture and hearing shall be under the supervision of a physician within 6 months. By the end of this term be re-evaluated, and if found signs of trouble in the ear (a small hearing loss, change OTO-picture, violation tournoi functions), you should repeat the treatment - Eustachian tube blowing, pneumomassage eardrum, biostimulants, etc., up to surgery (tympanotomy, bypass grafting of the tympanic cavity).
Each patient of chronic suppurative otitis media during the first call should take a course of intensive therapy and then decide on further tactics: either the patient referred for surgical rehabilitation, or after at least 6 months he spend cluhouse operation. If there are contraindications to one or another operation, the patient must be registered with the periodic monitoring (at least 1-2 times a year) and if necessary to repeat courses of treatment. Note that even long-term, continuing many years of remission in the course of chronic otitis media often create the appearance of well-being for both the patient and the doctor. Calm clinical picture of chronic suppurative otitis media in a patient can be formed cholesteatoma or extensive carious process in the cavities of the middle ear, which in addition to increasing deafness can cause severe, often life-threatening complications. At the same time than before sanitized ear, the more chances for the conservation and improvement of hearing.

Which doctors should be consulted if You Adhesive otitis media :

More in this category: « Otitis externa Ulceration of the nasal septum »

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