Chronic suppurative otitis media guide

Chronic suppurative otitis media is the middle ear mucosa, or periosteal bone deep as chronic suppurative inflammation, often combined with the presence of chronic mastoiditis. More acute suppurative otitis media because of delays in treatment or inappropriate treatment, persistent chronic or acute necrotizing otitis media for the direct continuation. Nose and throat chronic lesions for a reason. Usually in the beginning of acute inflammation after 6 to 8 weeks of otitis media still exist, collectively referred to as chronic. Clinical by repeatedly discharging ears, hearing loss and the tympanic membrane perforation characteristics. Some of otitis media can cause severe intracranial, of life-threatening complications. According to pathology and clinical manifestations divided into three types: simple, bone-ulcers, cholesteatoma. Attendance Guide: 1 to determine the type of otitis media. (1) simple: the most common upper respiratory tract infection than after, discharging ears, and most intermittent, with mucus or purulent mucus, and generally do not smell. The number of ranges, upper respiratory tract infection, sepsis increased volume. (2) Bone-GENERAL: also known as necrosis or granular type, and more acute necrotizing otitis media by the protracted come. Organization to undermine the more extensive and more features for continuous discharging ears, there bloodshot purulent (3) cholesteatoma, but the true tumor, ears, discharging less, there are white scales, kind of bean dregs, Odor. Sometimes, there may be headache and decreased hearing. 2, should be invited to otorhinolaryngology doctors detailed examination of the ear, the distinction between these types. 3, active lesions in the treatment of respiratory diseases such as chronic sinusitis, chronic tonsillitis. 4, drug treatment: simple to use mainly local: aqueous solution available antibiotics or antibiotics and steroids mixture of drugs, such as 0.25% of chloramphenicol, chloramphenicol cortisone solution, ofloxacin eardrops etc.. 5, local medication Note: ① medication before cleaning the external auditory canal and middle ear cavity wound pus can be 3% hydrogen peroxide or boric acid water washing after using cotton or to attract Shicheng signed by exhaust wound pus-only Dilue. ② septic use of water for a long time, boric acid alcohol less available. 6, eardrops law: patients from sitting or lying position, with ears upward. Will be above the ear gently pull back to the external auditory canal within 3 ~ 4 infusion liquid droplet. Then a finger touch Tragus several times to liquid flows through perforated ear drum. A few minutes before the transformation position. Note ear fluid temperature should be as close as possible to close to avoid vertigo. 7, tympanic membrane perforation affect hearing, in the dry ears after two months about possible tympanic membrane repair or tympanoplasty. 8. Bone ulcers otitis media, open drainage, mainly to local medication, but should pay attention to regular review. Poor drainage or suspected complications and cholesteatoma,. Should be promoted as soon as possible or modified radical mastoidectomy radical mastoidectomy, completely wipe out the disease and prevent complications.