How to judge tympanic membrane invagination? In life, we all know that eardrum is an important part of ear combination. If the eardrum invaginates, it will cause our hearing problems and need to be treated in time, otherwise it will affect our hearing. How to judge tympanic membrane invagination? Come and have a look with me!
How to judge tympanic membrane invagination 1 swallowing test
1. Put the olive heads at both ends of the auscultation tube at the external auditory canal of the subject and the examiner respectively, and then let the subject swallow. When the eustachian tube functions normally, the examiner can hear the sound of "shh".
2. Ask the subjects to swallow while observing their eardrums. If the eardrum moves outward with swallowing, it functions normally.
Pinch your nose and close your breath
Subjects use their fingers to press both nasal alars, and at the same time, the upper and lower lips are closed, and the eustachian tube is unobstructed. At this time, the exhaled gas rushes into the tympanic cavity along the pharynx of the two eustachian tubes through the nasopharynx, and the examiner can hear the vibration of the tympanic membrane from the auscultation tube or see the tympanic membrane move outward.
Pipeline blowing method
1, nasal cavity contraction, anesthesia with 1% ephedrine and 1% dicaine. The examiner holds the end of the catheter, bends the front end downward, inserts it into the anterior nostril, and slowly extends into the nasopharynx along the bottom of the nose.
2. When the front end of the catheter reaches the posterior nasopharyngeal wall, rotate the catheter 90 degrees to the side to be examined and slowly pull it out a little. At this time, the front end of the catheter passes through the eustachian tube round pillow and falls into the eustachian tube pharynx.
3. Rotate the catheter outward and upward about 45 degrees, fix the catheter with the left hand, aim the rubber ball at the opening at the end of the catheter with the right hand and blow several times, and at the same time auscultate through the auscultation tube to judge whether the eustachian tube is unobstructed.
How to judge tympanic membrane invagination 2 How to judge tympanic membrane invagination?
First of all, tympanic membrane invagination may show a feeling of stuffy ears, or hearing loss or tinnitus.
In addition, doctors can find tympanic membrane invagination through computer mirror or endoscopy.
You can also do audiological examination, negative pressure tympanum periosteum invagination, and you can do audiological examination. Hearing examination generally shows mild conductive hearing loss, and tympanogram will show tympanic negative pressure.
In the treatment of eardrum invagination, it is generally necessary to find the reason and see what causes it. If it is caused by rhinitis and sinusitis, we should actively treat rhinitis and sinusitis. If it is caused by rhinitis tumor, treat the primary tumor.
What about invagination of tympanic membrane?
For the treatment of tympanic membrane invagination, only after the cause is clear can symptomatic and effective treatment be taken. The key to treatment is to keep the eustachian tube unobstructed. If the patient's symptoms are not very serious, there is no need for treatment for the time being, mainly by observation, because the patient's tympanic membrane invagination may disappear automatically, or the patient can hold his nose and do closed air inflation, which is helpful to adjust the ear canal pressure.
If tympanic membrane invagination is caused by primary disease, such as otorhinosinusitis, oral medication is needed, including oral anti-inflammatory drugs, drugs to promote mucus excretion and some drugs such as nasal spray or nasal drops. For patients with severe inflammation, intravenous infusion may be needed. When the general treatment and drug treatment have little effect, surgery is needed.
The surgical treatment of tympanic membrane invagination is tympanocentesis, which uses artificial methods to make a hole in the tympanic membrane. Using this hole can help the effusion in the eardrum to drain smoothly. Tympanocentesis is a relatively simple minor operation, and local anesthesia will be carried out during the operation, which will help to alleviate the pain caused by puncture. Normal life and work can be resumed on the day after operation, and the puncture hole can be closed the next day without hospitalization observation.