How should chronic tympanic membrane perforation be treated?

Chronic tympanic membrane perforation is a relatively common disease. Patients often experience severe ear pain when they suffer from this disease. It not only has a great impact on the patient's hearing, but can also easily cause deafness in severe cases. Therefore, patients must seek timely treatment after suffering from chronic tympanic membrane perforation. Let us take a brief look at how to treat chronic tympanic membrane perforation!

In addition to causing ear leakage and hearing impairment, perforation of the eardrum in chronic otitis media also poses a risk of forming cholesteatoma, so it is necessary to repair it. A ruptured eardrum can be repaired using the fascia of the temporal muscle next to the ear, with a success rate of over 90%. This myringoplasty or tympanoplasty can eliminate ear leakage and improve hearing.

Chronic suppurative otitis media is a chronic suppurative inflammation of the middle ear mucosa, periosteum or deep into the bone, which often coexists with chronic mastoiditis. It is mostly caused by delayed or improper treatment or prolonged treatment of acute suppurative otitis media; or it is a direct continuation of acute necrotizing otitis media. The course of the disease usually lasts more than 6 to 8 weeks, with recurrent ear discharge, tympanic membrane perforation and hearing loss as the main clinical features. In severe cases, it may cause intracranial and extracranial complications.

The treatment principles of this disease are to eliminate the cause, control the infection, clear the lesions, clear the drainage, and restore hearing as much as possible.

1. Etiological treatment

Cure acute otitis media promptly and actively treat upper respiratory tract infections.

2. Local treatment

(1) During the dormant period, local medication is mainly used. Local medication can be selected according to the different conditions of the lesions. Usually, the ear is washed with medicated water and then dripped with a mixture of medicated water solution or other medicated solutions.

(2) During the active phase, the focus is on clearing the lesions, preventing complications, and trying to preserve hearing-related structures. Local medication, observation and surgical treatment can be adopted according to the condition.

When patients suffer from chronic tympanic membrane perforation, they must go to the hospital for treatment in time, otherwise it can easily lead to deafness in severe cases, which will have a great impact on the patient's future hearing. In addition, patients must follow the doctor's instructions during treatment and take medicine on time every day. This is very important.