RESUMO
A total of 216 patients with the injured tympanic membrane were examined and treated during the last 5 years. 198 (91.6%) patients presenting with traumatic otitis were found to have pathological changes in the nose and paranasal sinuses. In patients who applied for medical aid soon (within 1-2 weeks) after injury to the tympanic membrane, the resulting perforation was closed with the use of hen's egg amniotic membrane. Audiological examination demonstrated that 84.7% of traumatic tympanic membrane ruptures were associated with acute sensorinerual loss of hearing.
Assuntos
Orelha Média/lesões , Perda Auditiva Neurossensorial/diagnóstico , Perda Auditiva Neurossensorial/cirurgia , Miringoplastia/métodos , Otite/diagnóstico , Otite/cirurgia , Perfuração da Membrana Timpânica/diagnóstico , Perfuração da Membrana Timpânica/cirurgia , Doença Aguda , Adolescente , Adulto , Âmnio/transplante , Orelha Média/fisiopatologia , Endoscopia , Feminino , Perda Auditiva Neurossensorial/fisiopatologia , Humanos , Masculino , Pessoa de Meia-Idade , Otite/fisiopatologia , Perfuração da Membrana Timpânica/fisiopatologia , Adulto JovemRESUMO
The objective of the present study was to evaluate the efficiency of meatotympanal blockade by neuromedin (ipidacrine) included in the combined treatment of sensorineraul loss of hearing. This therapy was given to 95 patients with sensorineural hearing loss of vascular origin who reported strong tympanophony. Results of audiological examination and ultrasound dopplerography as well as the patients' subjective feeling provided data for the conclusion that medicamentous therapy of sensorineural loss of hearing produces the best effect if combined with meatotympanal blockade by 1 ml (15 mg) of a 1% neuromedine solution during 10 days.
