Good news for otitis media

summary

Recently, the baby always uses his hand to pick his ears, and it's bleeding outside. I use my flashlight to light it. There's a little pus inside. I use a cotton swab to wipe it for him, and he won't let it. I go to the hospital to see a doctor. The doctor says it's otitis media. After treatment, it's better. Let's talk about otitis media.

Good news for otitis media

Treatment 1: tympanic membrane puncture and fluid extraction: the 7 needle with a short tip slope was inserted into the tympanic chamber from the front and bottom of the tympanic membrane under aseptic operation, and the fluid was pumped. If necessary, the puncture can be repeated, or glucocorticoids can be injected after fluid extraction.

Treatment 2: myringotomy: when the liquid is thick, the puncture of tympanic membrane can not be absorbed completely, and the puncture of tympanic membrane can not be done under local anesthesia, the incision of tympanic membrane should be done. The operation can be performed under local anesthesia. Myringotomy was performed. Make radial or arc-shaped incision in the anterior and inferior quadrant of the tympanic membrane with tympanotomy knife. Pay attention not to damage the inner wall of the tympanic membrane. After tympanotomy, suck up all the fluid in the tympanic cavity.

Treatment 3: tympanic catheterization: if the patient's condition is delayed or recurrent, and the eustachian tube function is difficult to return to normal in a short time after head radiotherapy, tympanic catheterization should be performed to improve ventilation and drainage and promote eustachian tube function recovery. The indwelling time of ventilation tube is generally 6 weeks to 8 weeks, and the longest can be half a year to one year. After the eustachian tube function recovered, the ventilation tube was taken out, and some patients could discharge the ventilation tube out of the external auditory canal by themselves.

matters needing attention

For this kind of disease: when the child is old enough, he should be taught to blow his nose gently rather than too hard, otherwise it will lead to ear infection. Children should also be taught not to pinch their noses to resist sneezing, because this will also make the infection into the ear, thus inducing otitis media. Compared with smokeless families, children living with smokers seem to be more likely to suffer from otitis media. Cigarette can stimulate the inner membrane of nasal passage and middle ear cavity, and then interfere with the normal activity of eustachian tube. If you can't quit smoking, at least don't smoke at home.