Many people think that the eardrum can be ruptured. In fact, this situation is a perforation of the eardrum, not a complete rupture. It can be repaired in a short time. After the onset of the disease, the ears will feel stuffy for a few hours, and it will feel difficult to hear things outside. There will be pain inside, fluid exudation, and it will often be accompanied by congestion and tinnitus. These all need symptomatic treatment. Symptoms and signs The clinical manifestations of tympanic membrane perforation are hearing ranging from normal to moderate deafness, a sense of obstruction, and even ear pain. After a few hours, the ear pain symptoms are relieved due to the production of exudate, and it is often accompanied by tinnitus. At the beginning, only simple congestion of the tympanic membrane is seen. As the tympanic membrane retracts, punctate hemorrhages appear, causing sensorineural deafness. Explosive tympanic membrane perforation, due to the inversion of the squamous epithelium into the tympanic cavity, forms squamous epithelial cysts, which are prone to secondary infection. Prevention of tympanic membrane traumaStrengthen health education and prohibit the use of sharp objects such as matchsticks and hairpins to pick ears. When removing foreign objects or earwax from the external auditory canal, be careful and moderate to avoid injuring the eardrum. When encountering blasting situations such as blasting mountains, blasting cannons, and setting off firecrackers, you can plug your ears with cotton or your fingers. Wearing protective earplugs will have a better effect. After the eardrum is ruptured or perforated by trauma, it can heal on its own. Because there are abundant blood vessels on both sides of the eardrum that anastomose with each other from the outside to the inside, its repair ability is very strong. However, the following points must be noted, otherwise bacterial infection will cause suppurative otitis media, which will be more difficult to treat. (1) Keep the external auditory canal clean and dry. After trauma, the external auditory canal can be disinfected with alcohol, and foreign objects, earwax, etc. can be wiped clean and removed. Do not remove the blood clot attached to the eardrum. To avoid bacterial infection. Use sterilized cotton to gently plug the opening of the external auditory canal to prevent dirt from entering the ear and causing infection. (2) Do not rinse the external auditory canal with water or use any prescription ear drops, as this is not only unhelpful, but can also allow bacteria to enter the middle ear and cause infection. (3) Do not blow your nose hard. If there is mucus, inhale it into your mouth and spit it out. You can also take some anti-inflammatory prescriptions to avoid infection. If infection occurs and causes suppurative otitis media, it should be treated as otitis media. Treatment of tympanic membrane perforation in Western medicine |
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