A method of treating eczematous otitis

 

(57) Abstract:

The invention relates to medicine, namely otorhinolaryngology. Injected separately into each ear drops nitrofungin and salicylic alcohol, and if there is itching in the ear passages introduce a 5% solution of the colloid in one ear and 1% solution Dimedrol in the other, and when again itching sensation in one ear injected with 1% oil solution Dimedrol , and in another 20% solution of propolis in the oil. The method allows to improve functional results.

The invention relates to medicine, namely to methods of treatment of diseases of the ear otorhinolaryngology.

Eczematous otitis treat skin diseases, but in the conditions of the external ear canal that gives for these diseases special qualitative differences. For example, a known neuro-reflexive form of ear eczema that develops as a result of flexible lesions of the toes, chronic diseases of internal organs (kidney, liver, ovarian, bowel, diabetes, and so on). Identified the greater tendency of the skin of the ear canal to extemalization, complicating any inflammation in the ear canal, and often becoming the leading within vospalitelno the t hair at the output of the external ear canal and anatomotopographic particular ear canal cause and create a number of additional features of eczema in my ears. All this requires a strictly individual approach to the treatment of each patient. However, the absence of a clear diagnosis of the varieties of eczema ear hindered selection pathogenetic treatment. The main symptom is the sensation of itching in the ear, as a manifestation of eczema until recent years was regarded almost as a separate symptom, which recommended drug exposure in the category "itching in the ear canal" (B. L. French, C. C. French, C. B. order. Drug therapy of diseases of the ear, nose and throat, 19981, 300c.). Only a more careful approach to this symptom is the sensation of itching in the ears eczema is allowed to revise the diagnosis of eczematous otitis, which opens the possibility of selecting pathogenetic treatment in each case. This development Y. P. Ulyanov set forth in the previous application for the invention: "a Method for the diagnosis of eczematous otitis", where the author examines the sensation of itching as a negative reaction eczematous process on the wrong drug, which resulted in the identification of adequate drugs with different forms of eczema and in the future, this response of the ear eczema on different drugs to determine the type ind is czemy, in our opinion, it may be possible to develop a new method for the treatment of eczematous otitis. Used to diagnose medications and first recommended for the treatment of eczematous otitis externa: this salicylic alcohol, nitrofungin, but they helped only in some cases (ibid, I. 2)

In connection with the foregoing objective of the present invention is to develop a new, more effective treatment of eczematous otitis.

To achieve this purpose was used the response ackzematizaciei skin of the ear canal to select drugs for local treatment, as revealed by this type of eczema prompted additional medical effect of a General nature, specific to each type of eczema.

The method consists in the following. In the external auditory passages enters a different drug, as dissolved in alcohol, and soluble or oil solutions, and wait for a response irritated skin on medicine in the form of itching sensation in the ear, which indicates the unsuitability of the drug. Suitable for treatment is a medicine that does not cause itching sensation, but on the contrary it takes. Selected lekelemeye recurrence of this disease.

The method is as follows. In a normal ear, nose and throat office with the patient sitting under visual control during otoscopy produce thorough cleaning inflammatory level becomes too low and the skin of the external auditory passages. Then in the auditory passages at the respective head tilts to the right or to the left enters a different medication in the amount of one pipette and close auditory passages with a cotton swab, after which the patient is asked to listen to his feelings in the ears and after 5-7 minutes, when the sensations in the ears stabilize, to describe them to your doctor.

As a rule, during and after using the toilet sick patients in the ears appears or intensifies the sensation of itching. After putting the appropriate medication in the ear canal that feeling of itching subsides and disappears, and subside, and other sensations of irritation in the ear. Other - inappropriate medications on the contrary cause additional irritation in the ear, and most importantly exacerbate the feeling of itching or called for it.

For complete method we used the following set of drugs: microfungi solution in alcohol,1-2% salicylic alcohol, 5% aqueous solution of colloid and 1% solution of Dimedrol Panov ears quickly evaporate, allowing, if necessary, then enter in the ears drops of water-soluble, and after them already if necessary, introduce and oil drops without prior toilet ears. In reverse order, these drops are very difficult to enter, because you will need thorough washing after each medication that will cause additional irritation to the patient's skin and to enhance the discomfort of patients that may hinder the accuracy of the diagnosis and selection of drugs.

The drug that was most acceptable to the patient,and can be used for local treatment, and the nature of the identified types of eczema can identify and General activities for the treatment of this disease.

For example, the detection of the favorable effect of salicylic alcohol later and buried in the ears. The presence of a positive response ears on salicylic alcohol indicates neuro-reflex kind of ear eczema that requires the identification of chronic inflammation in the body, which is subject to additional treatment (chronic bowel disease, adnexa in women, fungal toes, chronic kidney disease, or piceetea to cure fully.

When identifying favorable effect from nitrofungin it also further used for the local treatment of selected feature of the response of the ears indicates a fungal nature ekzematoznogo process, which requires additional General drug effects on the body (the use of nystatin, total desensibilization) that also allows you to fully cure this kind of ear eczema.

Negative reactions to alcohol drops and identification of the beneficial effects of water-soluble or oil droplets indicates the presence of local eczematous dermatitis, which occurs or independently, giving local complications, or, on the contrary, difficult for local diseases of the skin. All this requires,in addition to the local application detected the medication, additional desensibilizing and anti-inflammatory therapy, and the treatment of local inflammatory process, for example in the presence of a purulent process, and antibacterial therapy.

This method of treatment of eczematous otitis was applied in 300 patients aged 17 to 80 years, while women were almost two times more. The positive effect from treatment received the ears patients, as a rule, no longer appealed. As before contacting us for help sick already visited and no positive effect from several doctors, and after receiving a positive effect, we are more we have not been applied,it should be assumed that they either recovered or adapted to remove exacerbation our recommended funds.

Complications from the use of this method of treatment, we did not observe,using his more than 10 years, which can be recommended for widespread implementation in public health practice.

A method of treating eczematous otitis injected into the ears of nitrofungin or salicylic alcohol, characterized in that the drops of nitrofungin and salicylic alcohol separately injected into each ear and when there is itching in the ear passages introduced a water-soluble 5% solution of the colloid in one ear and 1% solution Dimedrol in the other, and when again itching sensation in one ear injected with 1% oil solution Dimedrol, and in another 20% solution of propolis in the oil.

 

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