Operations on the ear: indications, varieties

Any surgery on the ear in medicine is divided intoplanned and urgent. To the surgical interventions of the first type the patient can be prepared in advance. In addition, he himself can initiate - for example, if a person needs a plastic operation on his ears. The price in this case will depend on a number of factors - on the complexity of the case, the price of a particular clinic, the recovery process. To complex indications doctors include such serious diseases as complicated processes of the middle and inner ear - they can provoke the development of septic conditions, various complications from the brain and thrombosis.

Preparation of the patient

Of course, ear surgeries are not performed immediatelyafter the patient's visit to a specialist. After the audiologist will refer you to the hospital, the patient undergoes a lot of survey: complete blood count, biochemistry, determination of Rh-factor, EKG, MRI, X-rays of the mastoid process, a general study of the state of hearing and, finally, the survey of the therapist and a neurologist. With regard to the planned indications, then the person is examined on an outpatient or inpatient setting; only after this you can talk about surgery on the ear.

Surgical intervention

Virtually all surgical interventions onmiddle and inner ear are conducted under general endotracheal anesthesia. On the day of surgery, the patient undergoes premedication, after which he is delivered to the operating room in the gurney. It should be noted that on the eve, if necessary, he is sheared and shaved off the hair in the area of ​​the posterolateral fold. Since one of the symptoms of labyrinthitis is the constant urge to vomit, so sick in the evening and in the morning before the intervention have to give up food (that during the operation on the ear there were no complications). If the doctor only deals with the external ear, it is allowed to do the opcation under local anesthesia.

Management of the patient after surgery

Postoperative treatment depends mainly onfrom the type of intervention: all operations in the middle ear (anthotomy, anthromastoidotomy) are characterized by an open wound, which is swabbed, and then closed with a sterile bandage bandage. As a rule, by the evening the patient begins to feel much better: the temperature drops, the pain passes. The next day, the first dressing is performed; The drainage tampons are replaced with new ones, the postoperative cavity is washed and disinfected with antiseptic preparations. The following dressings are made every few days and stop only after the cavity is completely filled with granulating tissues. If the suppuration stops and the perforation closes, no secondary seams are applied. In most cases, the tympanic membrane is restored, the hearing returns to normal. Purulent otitis media with a closed wound requires a general cavity sanitizing operation, while only the outer bandage should be changed, and the seams should be treated with iodine. Complete dressing is carried out only after a week. All this time the patient is administered analgesic and antipyretic agents.