Tonsillectomy And Adenoid Operations
Noise And Effects
Hearing Loss And Hearing Tests
Nose Health And Care
• Prof. Alp DEMİRELLER, MD
• Nihan AKÇA, MD
• Dilek SINMAZ, MD
• Evrim Güleç DOĞAN MD
It is a frequently seen disease. Noise heard may be continuous or discontinuous, it can be heard in single ear, both ears or in the head. Tone of noise may be deep, in the form of resonance or a fine ting. Examinations for the reason of tinnitus should be performed by an ENT diseases specialist before administration of a treatment.
It is the name used for microbic inflammation of middle ear composed of tympanum and ossicle. It may occur in one or both ears. The most frequently diagnosed disease in children examined by the physician is otitis media. Otitis media is seen about one third of all children till the first age of three. Otitis media is the most frequent reason of hearing loss in the children. Although it is frequently seen in children, it may occur in adults. It frequently occurs in the beginning of winter and spring. It is frequently caused by germ penetrating into middle ear entering mouth or nose via syrinx. Syrinx swells and is blocked in cases of flu, cold, allergy, sinusitis or catarrh and air cannot pass through ear and middle ear cannot be cleaned. During inflammation, earache, red tympanium and hair accumulation behind the tympanum are observed.
Effusion In Middle Ear
Effusion in middle ear is caused by insufficient function of syrinx carrying air from nasal cavity to the middle air and non-treated otitis media. It is observed in children with supprating and enlarged adenoid. Typanum may be perforated and inflammation in middle ear leaks. However, euctachean tube is not opened and therefore ear discharge accumulates in the middle ear. It is called as “effusion in middle ear” and it becomes continuous. After painful, fevered otitis media ends, this fluid may be in this area for weeks, months and even years. What’s worse is that the presence of effusion results in easy germ growth and frequent otitis media. If effusion continues in spite of treatment, the physician may recommend surgical treatment to remove the effusion in middle ear in other words, tube insertion.
It is inflammation occurring as a result of germ growth since ear canal is damp after taking a bath or swimming. It is generally observed in the persons having external ear eczema, cleaning the ear with cotton swabs and damaging it and if chemical substance enters. Antibiotic ear drop is sufficient for mild otitis externa. Otitis externa gets better within 7-10 days with proper treatment.
There is a tympanum separating middle ear and external ear in the depth of ear canal. Tympanum is a thin structure vibrating when sound wave is received and there is middle ear being a cavity with air behind it. Perforation of tympanum depends on infections or injuries mostly. Severity of hearing loss is related to the degree of perforation. Moreover, location of perforation affects the degree of hearing loss. The success of repair of tympanum varies by the degree and location of perforation.
Cholesteatoma is the case that skin layer covering external area of tympanum and ear canal is in the middle ear. It develops due to otitis media mostly. Cholesteatoma sac in the middle ear expands in time and starts to damage structures protected by bones and bones around it. In cholesteatoma to result in facial palsy, the pressure of sac on facial nerve should be eliminated and nerve should be relaxed and function should improve in time. If cholesteatoma damages internal ear, balance and hearing functions of ear don’t generally improve.
It is a bone disease of only ear leading to calcification around stirrup bone. The focus of calcification preventing free vibration of stirrup bone prevents transmission of noise to internal ear. Otosclerosis is frequently seen in young and middle age women. It is a genetic disease. Otosclerosis is observed in both ears in most patients.
It is abnormal sense due to disorder of any of systems of balance. Vertigo may be felt in different severity and form. Vomiting, nausea, blackout, pale skin, sweating and hearing loss, tinnitus, aural fullness, double vision, difficulty of reading, headache, impaired consciousness, sense disorder, loss of power depending on the system affected by the disease resulting in vertigo may be observed.