Epitympanitis — what is it?
Epitympanitis is a disease in which surgery is the only treatment tactic. This disease is dangerous for the patient's life since no drugs and medicines can have an effect. Epitympanitis in most cases is characterized by the presence of cholesteatoma, which, in turn, secretes an enzyme that destroys bone tissue. Since there is a very thin bone plate between the middle ear and the brain, its destruction is only a matter of time. In addition to the close location of the brain, the canal of the facial nerve passes directly in the tympanic cavity, and there is also an organ of balance, with the defeat of which paresis of the facial muscles and dizziness are possible.
Examination before surgery of tympanoplasty for epitympanitis
Mandatory diagnostics include:
- computed tomography of the temporal bones;
- an MRI of the temporal bones to clarify the surgical tactics (in some cases).
- Additional studies may also be required, such as vestibulometry, electromyography, etc.
- 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 for epitympanitis includes:
- general blood analysis;
- biochemistry of blood ;
- coagulogram - blood clotting analysis;
- general urine analysis;
- analysis for blood group and Rh factor;
- chest fluorography;
Audiometry should be performed before surgery and submitted to the audiometric office on the day of discharge to avoid its loss. You can make a photocopy or photo of it, but the document itself must be kept in the audiometric office, as this is the only way to control hearing.
Preparation for surgery
On the eve of the operation you must:
- give up alcohol and smoking;
- refuse 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;
- be on an empty stomach if the surgery is performed in the morning.
- comfortable clothing (tracksuit, T-shirts made of natural fabric, changeable underwear);
- comfortable shoes;
- personal hygiene products;
- book or 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 the medical staff about them.
When you wake up after surgery, you will have a bandage on your head. Until full awakening, you will be under the supervision of doctors, and only after that, you will be transferred to the ward. The process may take another 1-2 hours. After you arrive at the ward, you can drink in 2-3 hours. It is worth remembering that in certain cases, you may need to lie down for a day, but you will definitely be warned about this.
Usually, the outer bandage is removed the day after surgery. There are Merocel tampons in the ear canal. Tampons in the ear canal will stay for a month until they are removed, drops must be instilled onto this tampon. There may be a slight protrusion of the ear, which will go away over time. Only after the first dressing will the doctor be able to guide you regarding a possible discharge date.
Postoperative period at home
It is necessary to follow all the recommendations of the doctor. You are at the stage of recovery, but this does not mean that you are already healthy. The necessary drug therapy is usually prescribed individually for each person at 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.
It 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.
It 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 1.5 months after surgery;
- to use the metro for 2-3 weeks (usually undesirable).