上海交通大学耳鼻咽喉科学英文版课件 bullous myringitis.pptVIP

* Bullous Myringitis Viral infection Confined to tympanic membrane Primarily involves younger children Symptoms Sudden onset of severe pain No fever No hearing impairment Bloody otorrhea (significant) if rupture Bullous Myringitis Signs Inflammation limited to TM nearby canal Multiple reddened, Hemorrhagic blebs Bullous Myringitis Treatment Self-limiting Analgesics Topical antibiotics to prevent secondary infection Incision of blebs is unnecessary Bullous Myringitis Pseudocyst of the auricle First reported?by Hartmann in 1846 Fluctuant, tense, noninflammatory swelling of the upper ear Believed to be associated with trauma Treatment Medical Care No medical treatment is uniformly effective. Surgical Care surgical incision and pressure dressing aspiration followed by a pressure dressing intralesional steroids Surgical curettage and fibrin sealant Pseudocyst of the auricle Injury of tympanic membrane Earache Bleeding Fullness Hearing loss: conductive HL or mixed HL Tinnitus Shape of perforation is split Treatment Antibiotic to prevent infection Aseptic external auditory canal with alcohol Prevent super respiratory infection Prohibit nasal blow Prohibit ear drops It takes 3-4 w to heal the ear drum If 3 months later, perforation still exists, myringoplasty is indicated Injury of tympanic membrane Thanks！