SU1694136A1 - Method for closing the perforated hole in tympanic membrane - Google Patents

Description

one

(21) 4367973/14 (22) 01/25/88 (46) 11/30/91. Byul. №44 (75) F.N. Byshka (53) 616.475 (088.8)

(56) Lectures on otolaryngology. Issue 2, Kuibyshev, 1985, p.29. (54) METHOD FOR CLOSING THE PERFORATION OF DRUM PUNCH (57) The invention relates to the field of medicine, namely to otolaryngology.

The purpose of the invention is to enhance the blood supply to the eardrum — this is achieved by refreshing the edges of the perforation under local anesthesia, after which the base of the eardrum is smeared on the fibrous ring and the skin of the external auditory canal with a 2% alcoholic solution of mustard oil until the drum membrane is completely regenerated, and in 3-4 weeks prescribe physiotherapy treatment.

The invention relates to medicine, namely to otolaryngology, and can be used to treat eardrums in which, for one reason or another, perforations have formed.

The aim of the invention is to enhance the blood supply to the eardrum.

The method is carried out as follows.

Under local anesthesia using a magnifying loupe, use a sharp curette spoon to refresh the edges of the perforation, and then smear the base of the eardrum on the fibrous ring and skin of the external auditory canal with a 2% alcoholic solution of mustard oil using a sterile cotton wool tampon.

Example. Sick L., 33 years old, complaints of hearing loss in both ears for 10 years. periodically suppuration of the ears.

10 years ago, the integrity of the tympanic membranes was damaged due to injury.

At the right otoscopy, the perforation of the tympanic membrane was found in the posterior section, 3x4 mm in size, with callous

edges. The mucous cavity of the middle ear is not changed. The suppuration of the ear was not more than two years. On the left, there is a central perforation of the tympanic membrane with antithicked edges of 2x3 mm. The mucous cavity of the middle ear is not changed. There was no suppuration for more than two years. On the radiograph on the right bone-air gap of 35 dB, on the left 25 dB. The ear pipe on the right and the left is well passable. The fibrous ring on the right and left is not broken, it was not detected by the ENT organs.

After refreshing the edges of the perforation, the end of the ear canal and the fibrous ring were lubricated 7 times daily with 2% mustard oil solution. There was a pronounced hyperemia of the external auditory canal of the fibrous ring and eardrum. Due to the constant amplified flow of blood to the eardrum itself, the regenerative process was intensified and the concentric perforation of the eardrum closed within 20 days on both sides.

To ensure uniform concentric regeneration of the drum circuit.

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Ponky perforation areas with enhanced growth are smeared with 0.25% silver nitrate solution. After the perforation was closed, an electrophoresis with 3% CG No. 10 was assigned to the mastoid area, and after a while the massage of the eardrums.

On the repeated audiogram after treatment, the right-side bone fracture is 17 dB, on the left 15 dB. Examination after 1 year: the eardrums are whole, social hearing is good.

The method is easily performed on an outpatient basis, does not require expensive medications and complex equipment.

Claims (1)

DETAILED DESCRIPTION OF THE INVENTION Method for closing a tympanic membrane perforation by administering drugs, characterized in that, in order to enhance the blood supply to the tympanic membrane, under local anesthesia, the edges of the tympanic membrane perforation are refreshed through the fibrous ring and the skin of the external auditory canal with 2% alcoholic solution of mustard oil until complete regeneration of the eardrum, and after 3-4 weeks, physiotherapy is prescribed.