Persistent (Chronic) Middle Ear Inflammation

The ear consists of three parts: outer, middle and inner. Middle ear, eardrum and ear ossicles
includes. Any disease affecting the eardrum or ossicles, the sound is transmitted from the outer ear to the inner ear.
It causes conductive hearing loss by blocking the conduction. Such a disease is a disease in the eardrum.
from perforation, destruction of one or more of the ear ossicles, to disruption of the bone chain
may be in different contexts.
When an inflammation occurs in the middle ear, the eardrum can be perforated and the inflammation can flow out. This hole is often
it heals itself. If it does not heal, it is mostly tinnitus and intermittent or continuous discharge.
hearing loss occurs.

Ear Care
If you have a perforated eardrum, you should not let water into your ear. While taking a bath or washing your head
you need to put a piece of cotton covered with vaseline in your ear. While swimming, on cotton with vaseline
It is useful to wear a tight swimming cap. In addition, different sizes of ears are available in markets and pharmacies.
plugs are also sold.

You should avoid blowing your nose with force. This event occurs between the nasal and middle ear.
It causes the microbes in the nose and nasal passages to reach the middle ear through the “pipe”. runny nose
should be sucked in and spit out. If you need to blow your nose a lot, do it with the other nostril.
It is recommended that you do it before turning it off.

As long as there is ear discharge, the ear should be kept as far as possible without inserting too much into it.
should be cleaned. If there is an ear discharge or if it has started, the drug should be used. Presence of discharge in the ear canal
Cotton can be placed in order to detect it, but this should not constantly block the flow.

Medication will often stop the ear discharge. Treatment consists of intermittent cleaning of the ear,
requires the use of drops or powder. Certain people require oral antibiotics.

Surgical treatment
For years, the main goal of chronic middle ear surgery has been to control inflammation and the harmful effects it can develop.
intended to prevent its effects. Recent methods for regaining hearing as well

Many tissues can be used to patch or reconstruct the eardrum. These tissues are called “ear
The skin of the canal is like the membrane, cartilage covering the muscle on the ear. A damaged ear bone
It can be repositioned or an artificial bone can be used. Sometimes instead of a fused ear bone,
cartilage can also be used.

Eardrum Repair (Myringoplasty)
Most otitis media heal on their own, some leaving behind a perforated eardrum.
Repair of the tympanic membrane protects the middle ear and sometimes improves hearing. This operation is middle ear.
It can be done in people where there is no damage to the ossicles and the inflammation has dried. Operation, outer ear
It is done through the path or behind the auricle. The above-mentioned tissues form the eardrum

or used for patching.
The person can return to work within seven to ten days. Full recovery occurs in about six weeks, but this
In the meantime, it is understood how the operation affects hearing.

Middle Ear Repair (Tympanoplasty)
Otitis media can cause damage to the eardrum as well as the middle ear ossicles.
Tympanoplasty is the name given to the repair of both the eardrum and this ossicular chain. This operation
It allows the eardrum to be repaired and often to better hearing.
The operation is performed behind the auricle or through the external ear canal. middle ear ossicular chain,
ossicles are reshaped or repaired with other tissues, membrane repair is also performed.

In some people, it is not possible to repair both the ossicular chain and the membrane at the same time. In this case
First, the eardrum is repaired, and after four months or more, the ossicles are repaired. This “progressive”
called “operation”.
The operation is performed under general anesthesia. The person is within seven to ten days after the operation.
can return to work. Healing is complete in about six weeks. Hearing improvement may not be felt for several months.

Bone Behind the Ear (Mastoidectomy) and Middle Ear Repair (Tympanoplasty)
In some people, the inflammation can cause the tissue in the external ear canal to enter through the perforated eardrum and the middle ear and ear.
causes it to spread into the posterior bones. If this happens, a skin-covered ‘cholesteatoma’ develops.
mass is formed. This mass gradually enlarges over the years and destroys the surrounding bone tissues. “Cholesteatoma”
If present, ear discharge becomes more persistent and frequent, foul-smelling. In many patients, the continuous discharge
The cause is chronic inflammation of the bone tissue surrounding the ear.

If there is a cholesteatoma or an inflammation in the bone tissue, there is a good chance that this disease can be treated with medication.
is low. Drops or oral antibiotics provide only temporary relief. Treatment
After discontinuation, relapse is frequent.

A complaint other than cholesteatoma or chronic ear infection, irritating discharge, and hearing loss
It can stay that way for years without creating it. However, by local advancement and pressure,
spread more frequently. If this happens, the patient often feels fullness and blunt pain in the ear. Severe
dizziness, facial nerve weakness, or facial paralysis may develop. If any of these complaints develop,
The patient must be treated surgically. Surgery, removal of inflammation and serious
necessary to prevent complications.
If the cholesteatoma has caused significant damage to the ear bone, it can be surgically removed.
It can be difficult to clean. The operation is performed with an incision behind the ear. The main purpose is to eliminate inflammation.
remove it and get a dry, sure ear.

In approximately one-third of patients with cholesteatoma, a single operation can both eliminate inflammation and
It is not possible to restore hearing. In the first operation, the inflammation is eliminated and the eardrum is repaired.
realizable. The patient can usually return to work after two weeks.
The second operation to repair the hearing can be done six to twenty-four months later.

Middle Ear Repair (Tympanoplasty) and Bone Behind the Ear (Mastoidectomy) Operation Repeat
The purpose of this operation is to get rid of the discharge of the cavity formed as a result of radical ear operation,

filling the gap and improving hearing.
The operation is performed behind the ear. Fat or muscle behind the ear fills the mastoid space
can be used to fill. If possible, ear ossicles, artificial ossicles or cartilage, hearing
It can be used to repair the mechanics of hearing, but usually another treatment is needed to improve hearing.
operation is required.

The operation is performed under general anesthesia. The patient can return to work two weeks after the operation.
Hearing improvement may not be felt for several months.

Radical Mastoid Operation
The purpose of this operation is the elimination of ear inflammation, regardless of hearing. Operation,
It is performed in patients with very persistent ear infections. Initially considered suitable for middle ear repair
In rare cases, radical ear surgery may be necessary. This decision was made during the operation.
should be given. A muscle transplant from behind the ear may also be necessary for smoother healing.
The operation is performed under general anesthesia. The patient can usually return to work after two weeks.

Mastoid Obliteration (Filling) Operation
The purpose of this operation is to dry the inflammation in the mastoid and to remove the previously formed
is to fill the void. Hearing improvement is not taken into account.
The operation is performed with an incision behind the ear. To fill the mastoid space, the ear
muscle or fat taken from the back is used. The operation is performed under general anesthesia. patient at work
can return after two weeks.

Findings in Your Ear

The findings in your ear will be explained to you by your doctor after the examination and tests.
As a result, it will be decided together what kind of operation is required.

General Comments

If surgery fails, hearing often remains at its pre-operative level. operated
in three percent of patients, there is a chance of further reduction in hearing. Rarely, following the operation, a
period, ear discharge, humming in the head, taste disturbance or drowsiness may occur. one percent of patients
fewer may develop facial weakness. This is mostly a temporary complication.
If the operation is not performed now, you should have your annual check-ups immediately, especially in case of ear discharge.
It is recommended that you come for the examination. If there is a blunt pain in or around the ear, increased discharge, headache
If you experience dizziness, facial numbness or slippage, you should contact your doctor immediately.

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