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Cholesteatoma

Hearing loss and purulent discharge from the ear should never be ignored, as they may indicate a life-threatening pathology.

Cholesteatoma is a mass in the ear that is a complication of the long-term course of otitis media.

The disease is dangerous because over time it destroys the auditory ossicles, the bone structures of the middle ear and the temporal bone. This disease can lead to severe complications: brain abscess, sigmoid sinus thrombosis, facial nerve paresis, etc.

Cholesteatoma requires urgent treatment! Detecting a problem and solving it at an early stage allows you to preserve your hearing and prevent disastrous consequences.

Cholesteatoma: symptoms
    • Discharge of pus from the ear
    • Loss of hearing
    • Dizziness
    • Facial asymmetry (occurs with paresis of the facial nerve)
    • Pain in the ear and behind the ear

Cholesteatoma treatment in Kiev

The only solution to the problem is surgical treatment.

Tympanoplasty is an operation that repairs the eardrum, middle ear ossicles and removes the affected tissue.

This kind of intervention requires a highly qualified doctor and modern ENT equipment. In my practice, I use the latest ZEISS microscopes and ear microsurgery instruments, which allow me to perform myringoplasty at the highest level.

Preoperative examination

Before a patient is admitted to a hospital, he must undergo a series of laboratory tests and functional tests. It depends on their results whether complications can be avoided later.

Mandatory examination includes:
    • Audiometry.
    • Computed tomography.
    • General blood analysis.
    • Biochemistry of blood.
    • Coagulogram - blood clotting analysis.
    • General urine analysis.
    • Analysis for blood group and Rh factor.
    • Chest fluorography.
    • Electrocardiography.

Preparation
Before the surgery, it is necessary to:
    • refuse the use of alcohol and smoking;
    • refuse the use of heavy food, while the last meal should be at least 6 hours before the operation (low-fat broth, meat or fish, fruits and vegetables);
    • not drink 4 hours before surgery
    • if the operation is performed in the morning, then the patient should be on an empty stomach.

Hospital checklist:
    • comfortable clothes (tracksuit, T-shirts made of natural fabric, changeable underwear);
    • comfortable shoes;
    • slippers;
    • personal hygiene products;
    • a book or a laptop, since after the operation you will have to spend another 1-2 days in the hospital.

Note! It is better to give valuable things to relatives during the operation or to warn medical personnel about them.

Postoperative period

Until full awakening, you will be under the supervision of doctors, after which you will be transferred to the ward. It is worth remembering that in certain cases, you may need to lie down for a day, but you will be warned about this.

Usually, the outer bandage is removed the day after surgery. There will be Merocel tampons in your ear canal, under which your new eardrum is engrafted. The tampons should be there for a month, and until they are removed, drops must be instilled directly onto them.

After removing the bandage, there may be a slight temporary protrusion of the ear, which will recover over time. Only after the first dressing will the doctor be able to tell the estimated discharge date.

Convalescence and rehabilitation at home

Drug therapy is prescribed individually for each person upon discharge. The stitches are removed 7-8 days after the operation. A month later, you need to come to remove tampons from the external auditory canal and test your hearing.
What is recommended:
    • to take a slightly warm shower;
    • to walk outside;
    • to sneeze with an open nose and mouth;
    • to keep your ear away from water.

What is prohibited:
    • to take a bath;
    • to go in for sports 1-3 months after the operation;
    • to sneeze;
    • to blow your nose;
    • to eat crackers, nuts, seeds for 2 weeks;
    • to fly for 1.5 months;
    • to use the metro for 2-3 weeks (undesirable)

I strongly recommend that you monitor the health of your ears and do not ignore any symptoms as timely seeking help can save your health and even life!