Is tympanic membrane repair useful for otitis media?

Hello, otitis media refers to the inflammation of the middle ear caused by bacterial infection, otitis media is divided into secretory otitis media and purulent otitis media, if it is secretory otitis media, it can clear the middle ear effusion, improve middle ear ventilation, drainage and ****. In this case, tympanic membrane repair surgery is basically useless.

Otitis media causes a perforation of the eardrum, and in principle, tympanic membrane repair surgery can be done.

Generally, after the inflammation is controlled, the ear should be dried for three months, and the tympanic membrane repair surgery should be done. This procedure requires the superior tympanic cavity and mastoid to be free of irreversible inflammatory lesions. The materials of tympanic membrane repair surgery generally include autologous and inactivated fascia, tympanic membrane, dura mater, and autologous temporal muscle fascia, which are convenient and widely used.

The goal of the surgery is to obtain a dry ear, in addition to improving hearing, blocking the ear canal with retrograde bacterial infection, which can cause this possibility of otitis media again.

Tympanic membrane repair is only suitable for patients with tympanic membrane perforation, and the ** of otitis media is to control the inflammation and avoid it**.

Generally speaking, otitis media is caused by an inflammatory reaction, which has suppurated, so it should be good to reduce inflammation and relieve pain**, if the inflammation spreads to the tympanic membrane perforation, you can consider surgery on the basis of otitis media** no pus, that is no way** method, now there is pus, and the operation ** is unsuccessful.

The effect of tympanic membrane repair** otitis media needs to be judged according to the type of otitis media and clinical symptoms of the patient.

Different types of otitis media have different characteristics, non-purulent otitis media such as catarrhal otitis media can have symptoms such as hearing loss, stuffiness, and excessive self-hearing, purulent otitis media is divided into acute otitis media and chronic otitis media, acute otitis media can have symptoms such as earache, hearing loss, and pus in the external auditory canal, chronic otitis media is divided into chronic simple otitis media, chronic osteolitic otitis media and chronic cholesteatoma otitis media, all have long-term symptoms of pus drainage in the external auditory canal, hearing loss symptoms, osteolitic and cholesteatoma otitis media pus has a foul smell, Can cause brain abscess.

Acute catarrhal otitis media is usually caused by the imbalance of middle ear pressure (tympanic pressure) due to edema and congestion of the nasal mucosa, which causes the Eustachian tube to be unobstructed. Corticosteroids + antibiotics + nitrofura nasal drops, and Eustachian tube distension if necessary, are generally not difficult in the early stages**. In later stages, tyringocentesis (aspiration) or tympanometry tube surgery is sometimes done.

Systemic antibiotics for patients with acute purulent otitis media with unperforated tympanic membrane**, phenol glycerin ear drops for severe ear pain, and nasal drops with fur hemp fluid for acute rhinitis; Patients with perforated eardrum should not use phenolic glycerin ear drops, they should use hydrogen peroxide to clean the external ear canal and middle ear, and then use antibiotic ear drops after cleaning.

Chronic otitis media is divided into chronic simple otitis media, chronic osteotic otitis media, and chronic cholesteatoma otitis media. Chronic simple otitis media should use hydrogen peroxide solution to clean the external auditory canal and middle ear, clean the purulent secretions of the external auditory canal and middle ear, blot or wipe dry, and then use antibiotic ear drops ear drops, with the use of antibiotics throughout the body**, generally can control acute inflammation, after the inflammation control of the mucosa in the middle ear returns to normal, no secretion, this is called "dry ear", after the dry ear, if the eustachian tube function is normal, tympanic membrane repair can be done, in order to achieve the purpose of **; In the case of chronic osteotic otitis media and chronic cholesteatoma otitis media, surgery is necessary to completely remove the risk of intracranial infection, open and drain the tympanic cavity and tympanic sinus, remove inflammatory tissue and cholesteatoma, and finally perform tympanoplasty as appropriate. 【

If there is a risk of eardrum repair for otitis media, go to a professional hospital to do it.

Tympanic membrane repair is a very simple operation, so it is more reassuring to find a doctor in a major hospital to do it.

Go to the hospital and talk to the doctor to see what the doctor has to say.

Tympanic membrane perforation repair surgery needs to control the infection first, go to the hospital to check the condition of the ear canal and eardrum, control the infection as soon as possible, and dry ears without pus before surgery.

The tympanic membrane is a very special membrane that concentrates the three types of embryonic development structures in the body, the middle, and the outside of the human body in a thickness of less than 1 mm. It forms the outer wall of the middle ear, and the inside and outside of the wall are filled with air, so that vibrations and hearing can be generated. When the eardrum is perforated due to external pressure, puncture, inflammation and other reasons, it is like a broken drum that no longer makes a drum sound, and people can no longer hear the sound.

After tympanic membrane perforation, the middle ear tissue will undergo inflammatory pathological changes and is also susceptible to infection by external bacteria, so the best practice is to refill the tympanic membrane, that is, tympanic membrane repair.

Tympanic membrane patching. It has a certain effect.

To say that surgery is okay should be considered an "operation" to be exact.

The money is not much, some people use "garlic skin" to make up, the beautiful name is "biofilm", 200 yuan.

Supplement: There are many ways to promote the healing of tympanic membrane perforation. None of them are particularly good.

Tympanic membrane patching is the simplest, most economical, and proven method of treatment.

You are still in the observation stage, and it is feasible to try tympanic membrane patching to promote your own perforation repair.

After all, it's not yet time to have to surgically repair the eardrum.

1 Local anesthesia: subcutaneous infiltration and block of the posterior auricular and external auditory canal anesthetize the auricular temporal nerve and the auricular branch of the vagus nerve. 2 Incision Surgery with an incisional approach to the external auditory canal or a posterior auricular approach. 3. Repair materials are taken temporal muscle fascia, periosteum behind the ear, perichondrium auricular cartilondromi, etc.

4 Repair method (1) full inversion lining method: incision. Peel off the external auditory canal**.

Scrape off the perforated edge epithelium. Loosen the fiber drum ring. Lay out the transplanted tissue.

Tamponade and suturing. (2) Sandwich method: The incision is the same as the full turning lining method.

Peel off the external auditory canal** and the same as the full lining method. Separate the epithelial and fibrous layers of the residual tympanic membrane. The transplanted tissue is laid out, and the transplanted tissue is sandwiched between the epithelial and fibrous layers of the tympanic membrane.

The tamponade and suture incision are the same as those of the full lining method.

Hello, the professional term of eardrum repair is tympanic membrane repair, eardrum trauma or otitis media leads to perforation, repair of the eardrum can restore the normal anatomy of the middle ear, improve hearing, and avoid pus and water in the ear. The specific process of eardrum repair is roughly as follows:

Eardrum repair surgery can be made behind the ear or inside the ear, and there will be no visible scarring after the incision surgery. The material used to repair the eardrum is generally taken from the fascia on the surface of the temporal muscle around the ear, or the perichondrium of the tragus, the operation is to scrape off the epithelium of the perforated side of the tympanic membrane, fill the tympanic chamber with absorbable gelatin sponge, and lay the temporal muscle fascia or perichondrium on the inner or outer side of the tympanic membrane, and fill the surface with an absorbable sponge, so that the fascia or perichondrium tympanic membrane is tightly fitted, and the gelatin sponge is dissolved and absorbed after two weeks, and the fascia and the tympanic membrane grow together. After that, the fascia is covered with epithelium inside and outside.

Eardrum repair is also a relatively simple procedure, and if there is a rupture of the eardrum, it should be performed as soon as possible.

1.It is best not to blow your nose until the doctor confirms that the surgery was completely successful and that the disease has fully recovered. 2.Pinch your nose and blow up your ears through the Eustachian tube, and open your mouth to sneeze.

3.Do not get water in your ears. When showering or washing your hair, cotton can be tucked into the opening of the external auditory canal. If there is an incision behind the ear**, do not get wet for a week.

4.Avoid colds and fatigue. When you have a cold, follow the routine**, and if you have ear symptoms, you should contact your doctor in time. Finally, some patients may experience a pulsation, bubble sounds, clicks, and other sounds in the ear, as well as a feeling of fullness in the ear after surgery.

5.After otitis media surgery, it is normal to experience wound pain, dizziness and throat discomfort on the night of surgery. The dressing should be replaced if the bleeding comes out.

If the condition is severe before surgery and has affected the inner ear, the dizziness will last for a longer time after surgery, and it may last for more than a few days before it disappears. Due to the tamponade of the ear canal, there will be earplugs and a small amount of blood constantly oozing, which is normal and do not need to be worried.

You're basically right! I believe that what you have in mind is right, and you are all patients. All understand.

In the later maintenance, it is necessary to keep the ear canal clean, dry and permeable. After bathing and washing your hair, use a clean cotton swab to clean it. Improving the body's physical resistance is a substantial issue.

When there is inflammation, it is necessary to control the further development of inflammation first, and some antibiotics and ear drops can be used. In the later maintenance, it is necessary to keep the ear canal clean, dry and permeable. After bathing and washing your hair, use a clean cotton swab to clean it.

Improving the body's physical resistance is a substantial issue. Because of low resistance, germs can easily invade the middle ear through the upper respiratory tract, eustachian tube, etc., causing inflammation. Let's take a break!

It is not necessary to use antibiotics regularly.

Hello: There are many ways to treat otitis media, and the key is to determine the type of otitis media and determine the degree of progression. Otitis media is often a painful complication of an upper respiratory tract infection such as the common cold or throat infection.

In fact, there are many ways to reduce the perforation through antibacterial, pus drainage, and swelling to achieve the purpose of narrowing the perforation, but it is difficult to achieve the healing of the perforation with simple drugs, and it is difficult to effectively ** otitis media, which is very easy**. Tympanic membrane repair is a traditional method suitable for osteolitic otitis media and cholesteatoma otitis media, which generally communicates the mastoid process, tympanic sinus and intratympanic lesions with the external auditory canal to form a cavity covering the epithelium, so as to remove the lesions of the mastoid process, tympanic sinus, tympanic cavity and eustachian tube, stop pus, and obtain dry ears.

The disadvantage is that although it can be partially removed, it cannot achieve the purpose of removing the lesion, and it is possible.

If otitis media is mild and hearing is barely affected, surgery is not really necessary, but this is rare; The vast majority of otitis media patients have long-term recurrent ear pus, which will gradually aggravate the hearing damage, and if the hearing damage is delayed until the hearing damage is severe, it will be difficult to recover the hearing. If this is the case, will there be no need for surgery? In fact, although the hearing recovery is not satisfactory at this time, the surgery can completely remove the lesion and avoid the continued pus in the ear, which is called keeping dry ears, which still helps to improve the quality of life of patients.

In addition to hearing damage, long-term inflammation of the ear can also cause mucosal edema and polyp formation. If it is cholesteatoma otitis media, it will also cause damage to the ossicles and some large bone plates and blood vessels. If the inflammation of the middle ear is not controlled in time, it will invade and destroy this bone plate, so that the cholesteatoma grows into the skull, causing serious complications such as brain abscess and meningitis, and even very likely to destroy the large blood vessels - sigmoid sinus, bringing life-threatening injuries.

Therefore, chronic otitis media should be operated on as soon as possible to avoid some injuries in the later stage.

Theoretically, there will be three outcomes of hearing surgery: hearing improvement, hearing unchanged, hearing loss (including total deafness), the proportion of hearing improvement in middle ear surgery accounts for the vast majority, but there are also some patients who have no change in hearing after surgery, and even a very few patients will have hearing loss!

Whether or not hearing improves in middle ear surgery is related to the specific situation of each patient:

1) The nature of deafness: In the case of sensorineural hearing loss, it is theoretically impossible to improve hearing through middle ear surgery, and only patients with conductive hearing loss or conductive hearing loss can be improved by tympanoplasty and ossicular chain reconstruction.

2) The basic structure of the middle ear: is the ossicular chain intact? Is it connected? Activity and sound conduction are both basic factors that affect hearing.

3) Eustachian tube function: If the Eustachian tube function is poor, it will cause the tympanic membrane to invert after surgery, the tympanic membrane movement will be limited, and the hearing will be poor (similar to secretory or adhesive otitis media).

4) Whether the tympanic membrane is intact after surgery and whether the tympanic membrane is well connected with the ossicular chain are also one of the influencing factors.

5) Whether the tympanic mucosa is epithelialized or whether the lesion is cleared will be related to whether hearing reconstruction can be done!

6) The magnitude of hearing improvement is also related to the nature of deafness and the degree of air-bone conductivity.

7) Postoperative ossicular displacement will cause hearing loss.

Note: In addition to the factors mentioned above, there is also about a 1-3% risk of sensorineural hearing loss, or even total deafness, but the probability of occurrence is very low! In addition, the final effect of the operation is affected by various factors such as the patient's physical state, the course of the disease, the surgical technique of the surgeon and the postoperative **, the patient needs to have a correct understanding before the operation, do not be blindly optimistic, and do not have too high expectations for the operation.

Surgery is possible. You can go for middle ear mastoidoid**. The doctors at the ENT Hospital of Fudan University are very good, and there is no problem in doing this kind of surgery.

It can be completely**, but it must be carried out by professionals after going to a professional medical institution for examination**, and you must not believe the propaganda of some illegal medical places to exaggerate the facts!