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Secondary syphilis

The tubootitis (Eustace)

  • What is the Tubootitis (Eustace)
  • What triggers / Causes Tubootitis (Eustace)
  • Pathogenesis (what is happening) during the Tubootitis (Eustace)
  • Symptoms Tubootitis (Eustace)
  • Diagnosis Tubootitis (Eustace)
  • Treatment Tubootitis (Eustace)
  • Which doctors should be consulted if You have a Tubootitis (Eustace)

What is the Tubootitis (Eustace) -

The tubootitis (Eustace) is a catarrhal inflammation of the mucous membrane of the middle ear, which developed as a result of dysfunction of the auditory tube.
To indicate this pathology is used, in addition to these, and such terms: acute or chronic catarrhal otitis media, salpingitis, tubotympanic, etc. Free of effusion in the tympanic cavity in this disease is usually no, the main role is played by the pathological process in the auditory tube, resulting in a loss of its functions, with moderate inflammation in the tympanic cavity.

What triggers / Causes Tubootitis (Eustace):

Cause of acute tubootitis is often expressed in varying degrees, a disorder of the auditory tube, resulting in a loss of ventilation of the tympanic cavity. The patency of the pharyngeal mouth of the pipe may be compromised by the spread of infection from the upper respiratory tract mucous membrane of the Eustachian tube. Infection of the Eustachian tube occurs with acute respiratory diseases, influenza, and children, in addition, in acute infectious diseases, accompanied by catarrh of the upper respiratory tract. Anterior and posterior tamponade (bleeding from the nose or after surgery) may also be the cause of stageit. Etiological factor are viruses, streptococci, staphylococci, etc.
More long-acting causes dysfunction of the Eustachian tube leading to the development of chronic tubootitis are adenoid vegetation, various chronic diseases of the nasal cavity and paranasal sinuses (chronic or purulent rhinosinusitis, especially choanal polyp), the curvature of the nasal septum, hypertrophy of the posterior ends of the inferior turbinates, tumors of the nasopharynx.
The reason for the peculiar forms of tubootitis can be sudden changes in atmospheric pressure during the ascent and descent of the aircraft (aerobatic), during immersion and emersion of divers and submariners (mareotis). The pressure increase is transferred from the outside is worse because the air is heavier to penetrate into the tympanic cavity through the impaction Eustachian tube.

Pathogenesis (what is happening) during the Tubootitis (Eustace):

If the ventilation of the tympanic cavity, even partial, leads to the fact that the contained air is absorbed by the mucous membrane, and replenishment difficult because of the compression of the mouth of the pipe. As a result, the pressure in the tympanic cavity is reduced the more, the stronger the Eustachian tube is squeezed, it develops a vacuum. While the eardrum is retracted, in the tympanic cavity may receive a transudate containing up to 3 protein and less fibrin. Then they can come and cells of inflammation - neutrophils and lymphocytes, which is already a symptom of exudative stage of inflammation. Free of fluid, forming the fluid level during this period in the tympanic cavity yet. The observed changes allow us to consider acute tubootitis as inflammation of the middle ear with the prevalence of pathology in the auditory tube.

Symptoms Tubootitis (Eustace):

The main symptoms when tubootitis - the feeling of fullness of the ear, hearing loss, sometimes noise in the ear, autophony (resonance of his own voice in the patient ear). Often these complaints appear during acute respiratory infection or during convalescence after her. The ear congestion may appear during or after the drop in atmospheric pressure, such as when flying in an airplane. The pain and feeling of pressure in the ear can be strong and appear immediately when the pressure drop or they expressed slightly, the General condition suffers a little.
At otoscopy marked tenutosi the tympanic membrane, as evidenced by the apparent shortening of the handle of the Malleus, sharp vystoyanie in the direction of the auditory canal of a short bone, the anterior and posterior folds, with light cone disappears or deformed. Sometimes defined radial injection of the vessels of the tympanic membrane along the handle of Malleus or circular in the area of the annulus tympanicus. The hearing in acute tubootitis decreased moderately up to 20-30 dB, the type of conduction disturbances mainly at low frequencies. Sometimes patients report improved hearing after yawning or swallowing saliva, accompanied by the opening of the lumen of the auditory tube.

Diagnosis Tubootitis (Eustace):

The diagnosis of acute tubootitis not difficult in the presence of marked signs of disease.
The tubootitis (Eustace)

Treatment Tubootitis (Eustace):

Treatment of the disease should be aimed primarily at addressing the adverse factors affecting the state of the pharyngeal mouth of the auditory tube. To reduce swelling of the mucous membrane in this area the patient is prescribed vasoconstrictor nose drops: naftizin, sanorin, tizin, nazivin, etc. to Reduce swelling of the mucous membrane contribute antihistamines (suprastin, hismanal, claritin, etc.). To prevent the reflux of infected mucus from the nasopharynx through the Eustachian tube into the tympanic cavity, the patient should keep away from too vigorous morcane. The nose should be cleaned alternately each half of the nose and not to work too hard. With the same purpose, it is not recommended to produce the blowing of the auditory tube at the Catheterization. Good therapeutic effect gives catheterization (blowing) of the auditory tube that runs after careful of her anemia pharyngeal mouth. Through the catheter into the lumen of the auditory tube, you can enter a few drops of 0.1 R-RA of adrenaline or suspension of hydrocortisone. In the complex of therapeutic measures include various physical therapy procedures: UFO, UHF on the nose, laser therapy on the area of the mouth of the auditory tube, pneumomassage eardrum.
Acute tubootitis with adequate treatment is usually within a few days. The effectiveness of treatment of chronic tubootitis depends on the timely elimination of the pathology of the nasal cavity, paranasal sinuses and nasopharynx, which contribute to the emergence and support for tubootitis.

Which doctors should be consulted if You have a Tubootitis (Eustace):

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

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