What should I look for during a tympanic membrane test?

Hello! Consider that there is hydrocetina in the eardrum caused by otitis media, rest for two days to see, if the effect does not improve. It is recommended to go to the hospital for a detailed examination, and then treat the symptoms in a timely manner**, especially ear diseases, which are not well controlled, which can easily cause tinnitus, deafness, such as myringitis, inverted eardrum, etc.

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Tympanic membrane perforation can cause symptoms such as tinnitus, ear congestion, hearing loss, and severe deafness. An otolaryngology specialist is recommended to identify tympanic membrane perforation**.

The main points in the diagnosis of tympanic membrane perforation are: history of ear or head injury; with earache, deafness, and minor bleeding in the external auditory canal; The morphology conforms to the characteristics of traumatic perforation: the perforation is mostly located in the tense part, which is fissure-shaped, triangular, irregular, etc., and the perforated edge is sharp, eversion, and attached to the blood crust; Acoustic conductance test does not elicit tympanogram, or the injured ear has a B-shaped curve but the volume of the external auditory canal is significantly larger than that of the healthy ear; Exclude perforation due to otitis media.

Acoustic conductance and otoendoscopy can objectively and truly reflect the morphological characteristics of tympanic membrane perforation, and can provide an objective basis for the forensic identification of traumatic tympanic membrane perforation.

Chronic otitis media has a perforated eardrum that causes otorrhea and hearing impairment, as well as the risk of cholesteatoma, so it is necessary to repair it. The broken eardrum can be repaired with the fascia of the temporal muscle next to the ear, with a success rate of more than 90%, and this type of myringoplasty or tympanoplasty can eliminate otorrhea and improve hearing.

Perforation of the eardrum in chronic otitis media is necessary to repair the eardrum in addition to otorrhea and hearing impairment, as well as the risk of cholesteatoma. The broken eardrum can be repaired with the fascia of the temporal muscle next to the ear, with a success rate of more than 90%, and this type of myringoplasty or tympanoplasty can eliminate otorrhea and improve hearing.

First, the first thing is to do an otoscopy, through which you can see the size and location of the tympanic membrane perforation, which is helpful to evaluate the degree of tympanic membrane perforation.

Second, then you need to do an audiology test, through the hearing test, you can determine whether there is hearing loss, if there is hearing loss, the time is relatively short, you need to take medication as soon as possible**.

Ask a question and then what?

If possible, a middle ear mastoid CT can be done, the main purpose of which is to evaluate the lesions of the middle ear, especially to check for cholesteatoma or other space-occupying lesions.

It is best to go to a tertiary hospital for examination, where the technology is relatively strong.

Question: Is it okay to Chengdu First People's Hospital?

Question: What is a CT test for the middle ear mastoid process?

What is a CT test for the middle ear mastoid process.

The doctor will definitely advise you to do it.

Is it safe to ask questions?

If the ear feels uncomfortable and pus, it is likely that the eardrum is perforated. This phenomenon can be directly performed at the ENT department for otoendoscopy, which is an optical instrument, which is mainly sent through the ear canal, the eardrum and the disease area for examination, and a series of symptoms such as damage and perforation can be seen directly on the ear canal from the outside directly to the ear canal. If there is some bacterial or viral sewage infection, it will cause this obstruction.

For example, the balloon blowing method is to let the patient have a mouthful of water in his mouth, and then use the Eustachian tube to blow the olive head of the ball and plug it into the patient's side of the hole, and at the same time use the fingers to press the front nostril on the other side, and the air of the sphere can be squeezed while swallowing, which can be filled into the Eustachian tube to achieve the effect of examination.

Patients need to go to the hospital for some routine examinations, what should be done?

1. Pure tone hearing threshold examination: pure tone hearing threshold is the basis for monitoring the process of otological diseases, evaluating curative effects, selecting prevention and treatment measures, assessing disability, and forensic identification. Audiometry using a standard audiometer is a widely used and recognized test method that accurately reflects hearing sensitivity.

With this test, the patient's sensitivity to sound can be detected.

2. Ear endoscopy: endoscope is an optical instrument, which is sent from outside the body through the ear canal to check the ear canal and tympanic membrane disease, which can directly observe the ear canal, tympanic membrane depression, perforation, etc., determine its location and scope, and can be photographed, biopsied or brushed, which greatly improves the diagnostic accuracy of conductive deafness, and can check the corrosion status of hearing aid horns.

3. Check the function of the eustachian tube: The eustachian tube is the pipe that communicates the tympanic chamber and the nasopharynx, and its function is closely related to the physiological function of the middle ear, which is of great significance for the prevention and treatment of middle ear diseases. There are generally 3 ways to do this:

Nasal puffing Balloon Blowing Catheter blowing method: After the patient is seated, the nasal secretions are cleaned, and the eustachian tube elbow is slowly inserted downward along the nasal floor to reach the posterior wall of the nasopharynx, and then turned laterally.

Hello, to confirm whether it is tympanic membrane perforation, you need to go to the otolaryngology department of the hospital for electroaudiometry, otolaryngology CT examination, and tympanic membrane examination. If it is mild, it can be medicated, and the worst is that it needs to be identified** for tympanic membrane repair, so as to avoid the tympanic membrane perforation not being repaired and receiving infections and causing other diseases.

Usually in outpatient settings, the otologist can tell if the eardrum is perforated with the help of a regular otoscope (i.e., a flared metal tube). In general, fresh tympanic membrane traumatic perforation is usually ,.. as an eardrum laceration

Some patients have otitis media, which seriously affects work and life. Therefore, patients need to go to the hospital for some routine examinations, what should be done?

1. Pure tone hearing threshold examination: 2. Ear endoscopy: 3. Check the function of the eustachian tube: 3 methods:

Pinch your nose and puff up. Balloon blowing.

Catheter blow-up method: After the patient is seated and the nasal secretions are cleaned, the eustachian tube elbow is slowly inserted downward along the nasal floor to reach the posterior nasopharyngeal wall, and then turned laterally.

To examine the ear canal and eardrum, an electric otoscope or a telescope is used to examine the ear canal and eardrum. Whether there is cerumen in the ear canal, inflammation, foreign bodies, new organisms, etc., whether the tympanic membrane is complete, whether the light cone is visible. Examination of the external auditory canal and eardrum requires a trained professional to examine the ear canal and eardrum, and it is recommended to go to a professional hearing center for examination.

1.Perforation of the tympanic membrane due to acute otitis media.

The tympanic membrane is diffusely congested and swollen, normal landmarks are difficult to discern, pus discharge or fluctuating highlights (lighthouse sign) may be seen at the perforation, and hearing examination is usually conductive hearing loss, and rarely, mixed and neural hearing loss.

2.Perforation of the tympanic membrane due to trauma.

The tympanic membrane is often irregularly or fissuredly perforated, with bruising, blood stains, and blood crusts, and cerebrospinal fluid otorrhea should be considered if the bleeding is heavy or accompanied by watery effusion. Hearing tests are conductive or mixed hearing loss.

When examining the external auditory canal, it is necessary to check whether the ear canal is inflamed, there are new organisms, there is cerumen blockage, whether the eardrum is intact, whether the color is normal, and whether there is a perforation of the eardrum.

Observe the integrity, luster, mobility and other changes of the tympanic membrane to determine whether there is a middle ear lesion First, determine the integrity of the tympanic membrane, observe whether there is a perforation, the location, size, shape of the perforation, and whether there is secretion flowing out around the perforation.

Then observe the color and luster of the eardrum to see if there are abnormal changes such as congestion, middle ear effusion, and blood accumulation, and check the range of activity of the eardrum, convexity, invagination, turbidity or thickening.