Chronic suppurative otitis media

Chronic suppurative otitis media is accompanied by prolonged suppuration from the ear to persistent hole perforated eardrum and ear drops, mainly on the type of dysfunction conductive apparatus. In most cases the disease is caused by an acute purulent inflammation. This is facilitated by the high virulence of microbes, reduced reactivity, chronic pathological process of the nasal cavity and nasopharynx, improper treatment.

Symptoms within. Hearing loss. Oto- reveal a hole perforated eardrum. Depending on the nature of the process and the localization of the holes perforated distinguish chronic purulent mezotimpanit and chronic suppurative attic disease. When mezotimpanite perforated hole is located in the central section of the tympanic membrane, with attic disease - at the top, sometimes it takes both departments, and then talk about epimezotimpanite. Mezotimpanit flows, tend to be more benign than the attic disease, when it is much less likely to have complications. Epimezotimpanit attic disease or tooth decay is accompanied by bone (osteitis) with the formation of granulation tissue, polyps. You may experience a so-called cholesteatoma, which clinically manifests itself as swelling, t. E. Causes destruction of bone and this creates the risk of intracranial complications.

Diagnosis is based on the history and otoscopy. The history is usually acute purulent otitis media, followed by periodic or permanent suppuration. To assess the nature and prevalence of destructive bone process, it is important to X-ray examination of the temporal bone.

Treatment. Conservative treatment is possible at a free outflow of pus and access of drugs through the perforation in the eardrum to the middle ear mucosa. If the opening is covered with granulation or polyp, then sear them with silver nitrate or removed surgically. Enter in the tympanum certain medications should be only after careful removal of pus. To this end, the ear is rubbed with cotton wool wrapped around the probe, as long as wool, taken out from the ear will not dry. For instillation into the ear of the most frequently used solutions albutsida, furatsilina or salicylic acid in an alcohol or other disinfectants. If granulation small, then use a cauterizing substance (protargola solutions of silver nitrate in the form of droplets). When washed attic disease nadbarabannoe space disinfectants. If the hole in the eardrum large and small of discharge, then injected in the ear fine powder of boric acid, sulfonamides or antibiotics. Surgical treatment used to eliminate the pathological process in the ear (obschepolostnaya or radical surgery), as well as to improve hearing (tympanoplasty).