Inflammation of the Eustachian tubes: treatment and causes

In a normal state, the Eustachian tube is closed. At the time of swallowing food due to the functions of certain muscles located in the soft palate, the Eustachian tube opens and promotes the penetration of air into the middle ear. So there is a constant aeration of this region.

If aeration is for some reason broken, the atmospheric pressure exceeds the pressure inside of the eardrum. As a result, her situation changes, she becomes drawn into an approaching wall of promontorium. It causes inflammation of the Eustachian tube, symptoms, treatment of which is described in this article.

Cause of disease

All diseases that are accompanied by swelling of the mucous membrane and catarrhal changes in the nose and nasopharynx, can cause simultaneous inflammation of the Eustachian tube, which treatment should begin promptly.

The Pathology is triggered by the following reasons:

• Runny nose that occur in the acute or chronic form;
• Hypertrophic process at the rear ends of the lower turbinates;
• The presence of adenoids;
• Tumors in the nasopharynx;
• Recurring sore throat;
• Hypertrophic process in the tonsils that can cause secondary pathological changes;
• Defects in the anatomy of the ear;
• The presence of anterior or posterior tamponade in nasal bleeding after surgery.

Usually the tubootitis is caused by staphylococci or streptococci. In children, the disease often provoke pneumococci, and diseases of viral nature.

Infection of the nasopharynx extends to the Eustachian tube and middle ear. As a result of sharply reduced its permeability.

If the patient there is a predisposition to allergies, middle ear swelling and the increased secretion of the risk of disease increases significantly. All manifestations of the pathological process depends on the form that he took. Inflammation of the Eustachian tube, which treatment conducts laryngology, can be both acute and chronic.

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How to manifest the acute form

The Acute form usually develops on the background of viral infection of the body, cold, which wasplay the nasopharynx. When occurring in an acute form, the patient noted steady overall health. Temperature is usually not more than 38 ºC. Intense pain is not felt. The patient may present complaints of hearing loss, nasal congestion, increased hearing my own voice (feels like echoes), which seems to be pouring water in the ear, constant noise.

On examination revealed swelling of the auditory tube, suzannet its lumen, the mucous membrane is irritated. Closed the eardrum in turn causes reduction of pressure and expansion of blood vessels whose walls become thinner. This causes leakage of blood through the capillaries.

How to manifest chronic disease

If in the acute form the symptoms are temporary and after a while you cease to bother, in chronic course they are resistant. Chronic disease characterized by an atrophy of the mucosa in the area of the tympanic membrane and of the membrane. The membrane becomes cloudy, can be formed necrosis.

During the chronic tympanic membrane is retracted and deformed, the lumen of the tube narrows considerably impaired hearing, some local area blush. Marked sclerosis of the eardrum. Inflammation may be complicated by adhesive otitis media, which causes the occurrence of adhesions, violating the patency of the Eustachian tube and ossicles in the ear.

How the disease manifests itself in children

Anatomy of the auditory canal of a child is very different from the structure in the adult. Therefore, the child is more predisposed to ear diseases. Signs of Eustachian in child age are exactly the same as in the adult. Are the following symptoms:

• Noise;
• Stuffy nose;
• Hearing loss.

What to do if there are in this area as the Eustachian tube inflammation? Treatment at home is not recommended. You should see a specialist.

Diagnosis

To Identify the disease can only laryngology. Diagnosis is built on clinical symptoms and otoscopy. Manipulation may reveal the degree of implication of the tympanic membrane, shortening of the handle of the Malleus, sudden bulging in the direction of the auditory canal of a small bone.

To determine the hearing loss is pure-tone audiometry. In addition, a Regent of the sinuses, examines the function of the auditory tube and through the sample blank SIP Toynbee, samples Pultizer and the so-called Valsalva maneuver.

Treatment guidelines

As docked inflammation of the Eustachian tube? The treatment begins after a thorough diagnosis and determine the cause of the inflammatory process. Defining it is necessary to eliminate the pathogen, so that the recovery went as quickly as possible.

The Disease requires immediate treatment as the acute form can quickly take a chronic course and lead to permanent hearing loss. This significantlyreduces the patient's quality of life.

Medication

The Treatment of Eustachian depends on the reason that caused it. In the case of diseases of the nasopharynx therapy is aimed at its elimination. Races at atmospheric pressure when flying in an airplane or lifting and descent in the water is blowing ears with normal swallowing and exhale while holding the nostrils and mouth closed.

Inflammation of the Eustachian tube (treatment, drugs selects only laryngology!) relieved by various medications. The main focus is the administration of drugs that promote vasoconstriction of the Eustachian tube and nasopharynx. This group can be attributed to the "Glycine", "Nazivin", "Linestop", "Galazolin", "Xylitol". They are issued without a prescription. The droplets are introduced into the nose 2-3 times a day. To use these tools for up to five days.

To antibacterial drugs include ear drops "Polideksa", "Sofradeks", "Normaks", "Dantil". As additional therapies are antihistamines - "Suprastin", "Aerius", "claritin", "Tavegil", "Telfast", "Zyrtec".

In some cases, appointed by hormonal means of local action. For example, use "Nasonex", "lower blood pressure mother", "Flixonase". They differ a marked anti-inflammatory effect.

If found in the area of Eustachian tube, inflammation, treatment involves the use of anti-inflammatory drugs and anti-microbial. Usually used drugs that dripped into the ear (3-4 drops thrice a day). They should be used not more than 10 days.

As a local drugs against inflammation furatsilin used and boric acid 3%. For oral administration can be assigned to such antibiotics as a "Amoxiclav", "Cefuroxime", "Fenocin". They are taken twice a day with doses of 250-700 mg, strictly on doctor's orders.

High degree of efficiency has insufflation of the Eustachian tube through a catheter. Enter the hydrocortisone or adrenaline. When properly conducted therapy, the disease is eliminated within a few days. If the measures were adopted late, the disease may acquire a chronic form, which is treatable with difficulty.

At the neglect of the process may need surgical intervention. In the area of the eardrum is incision in which a catheter is inserted for suction. The surgery is performed under General anesthesia.

To enhance the effect of treatment is physical therapy, and applied compresses. Of physiotherapy it should be noted UFO, UHF region of the nose, laser treatment.

How else can you eliminate inflammation of the auditory Eustachian tube? Treatment after relief of acute currents in intact reduced hearing involves the use of a method of blowing off the auditory tube or pneumatic massage. For blowing method of the Politzer or catheterization.

Method of Catheterization, and catheterization

The ear Blowing according to Politzer is carried out by a balloon made of rubber, which is connected by a rubber tube with an olive. Oliva is inserted into the nostril of the patient. The wings of the nose are clamped. For the ingress of air into the eardrum, the patient should swallow the air and loudly to spell the word “cuckoo”. With the accent on the syllable is palatal lifting of the curtain and pinning it to the back of the throat. At this point, the doctor performs slight compression of the cylinder. Control the ingress of air is carried out using the Otoscope.

When a successful manipulation, as a rule, the patient's condition is optimized after 1-3 treatments. Possible improvement of hearing for a few days. In this case, requires further blowing after 1-2 days. Procedures are performed at 2-3 weeks.

In a low efficiency of the method of Catheterization is catheterization of the auditory tube. Air is blown into the eardrum with a special ear catheter and rubber cylinder. After the manipulation is performed pneumatic massage of the tympanic membrane.

The Essence of sampling lies in the fact that the eardrum is used to supply a variable pressure which increases its elasticity and makes it movable, prevents the appearance of scars, leading to hearing loss.

Popular media

How else can you eliminate inflammation of the Eustachian tube? Treatment of folk remedies involves the use of a number of recipes:

• Aloe Vera Juice mixed with warm boiled water in proportion 1:1. This tool is buried in the nose every 5 hours. In addition, they wetted the tampon and inserted in the ear.
• Buried In the nose onion juice before going to sleep, and the ear is placed warm the onion.
• In equal proportions are eucalyptus, lavender, celandine, yarrow. Two tablespoons of herbal collection pour 0.5 liters of boiling water. Tool to insist in a thermos for 12 hours. The infusion is drunk three times a day, ¼ Cup.

Complications of the disease

Inflammation of the Eustachian tube (symptoms, treatment of folk remedies and medicines we have described in this article) with timely treatment, as a rule, completely eliminated and does not cause any complications. But due to the fact that the symptomsdiseases have erased the character, the patient is not always comes in time for the reception to laringology that provokes undesired consequences. Can sustained decreased hearing, purulent otitis media in the acute form, the deformation of the membrane, scarring of the tissues of the middle ear. Evstahiit can lead to complete loss of hearing.

Prevention

In Order to prevent inflammation of the Eustachian tube, which treatment is quite difficult, it is necessary to arrest the disease, provoking him. Must constantly strengthen the immune system, not to use a large number of antibiotics, to abandon bad habits. Be healthy!