China News Service, Hefei, March 2 (Fei Qinru Han Suyuan) March 3 is the 23rd National "Ear Love Day", "Ears have two important functions, one is hearing, inaudible or inaudible. The other is the sense of balance, and the damage to the balance is often manifested as dizziness." Zhang Xiaoqing, deputy chief physician of the Department of Otolaryngology, Hefei First People's Hospital, introduced that earache, deafness, tinnitus and vertigo are the most common clinical ear discomforts , Except for a small number of congenital patients, most acquired ear diseases are caused by unhealthy lifestyles.
Unclean tools "ear picking" can easily lead to fungal infection of the ear canal
Cerumen is what people call earwax. Cerumen can protect the ear, and it can resist the invasion of bacteria and the invasion of foreign objects.
At the same time, it blocks and buffers the entry of external noise to prevent damage to the eardrum.
Under normal circumstances, cerumen can fall off and excrete with human activities, which is also the self-cleaning ability of the ear.
"If unclean items such as cotton swabs, ear spoons or fingers damage the skin of the external auditory canal after picking the ear, it may manifest as earache, pus, etc. Once the eardrum is damaged, it will be more regrettable." Zhang Xiaoqing said, if you accidentally pick your ear, Push the cerumen into the deep part of the ear canal, making it difficult for it to be discharged by itself, and it is more likely to form an embolism.
What's more, the use of unclean tools to "pick ears" leads to the spread of diseases such as ear canal fungal infection and external auditory canal papilloma.
If there is obvious cerumen embolism, affecting hearing, inducing tinnitus, or even reflex cough and other ear discomfort, do not blindly dig ears, it is recommended to go to the ENT specialist outpatient clinic, and at the same time determine whether it is complicated by inflammation and infection, and timely drug treatment is safe Rest assured again.
Otitis media, nasal and ear space-occupying lesions, etc. can cause deafness
"There are many causes of deafness, including cerumen embolism, mental factors, long-term exposure to noise, nasal and ear space-occupying lesions, secretory otitis media, hereditary deafness, etc." Zhang Xiaoqing said, the primary purpose of intervention for children with hearing loss It is to improve hearing. On the basis of hearing improvement and sound amplification, hearing and speech rehabilitation and training are carried out.
Acute hearing loss caused by other causes such as otitis media and cerumen embolism can be treated with drugs.
Otitis media recurring, conservative treatment for more than 3 months is ineffective, and surgical treatment can be considered.
With the increase of age, the auditory system ages, hearing loss, and speech recognition distortion, mostly presbycusis. Elderly people over 65 years old have varying degrees of hearing loss. There is currently no appropriate treatment method, which can affect normal life. With hearing aids.
Sudden deafness often occurs suddenly for unknown reasons, and can be accompanied by tinnitus and dizziness. With active and regular drug treatment, 2/3 of the patients can improve their hearing, which is often related to fatigue, mental stress, and sub-health status of the body.
Bilateral tinnitus may be associated with diseases such as hypertension
"Tinnitus is a non-disease clinical symptom with complex causes and many troubles. Most tinnitus patients are accompanied by overwork, mental depression, anxiety, emotional agitation, etc." Zhang Xiaoqing said that if only one side of tinnitus occurs, The lesions are mostly diseases of the ear itself, such as ear nerve damage, cerumen embolism, dysfunction of the Eustachian tube, sudden deafness or Meniere's disease.
If there is bilateral tinnitus without other ear symptoms, it can be considered as a sign of some systemic diseases, such as early arteriosclerosis, hypertension, and presbycusis.
For tinnitus with hearing changes and tinnitus that affects sleep, professional otologists may choose drug treatment. However, tinnitus patients who need drug treatment or those who are effective in drug treatment may be the tip of the iceberg in the tinnitus population.
Regardless of the cause of tinnitus, successful tinnitus treatment almost always requires reducing attention to cues, the behavioral cognitive therapy that we commonly use in tinnitus treatment, and disassociating tinnitus from emotional factors.
Frequent dizziness may be caused by "otolithiasis"
Vertigo is an integrative subject that emerges at the historic moment in the interdisciplinary area.
Vertigo, dizziness, tinnitus and deafness are common and frequent symptoms with various etiologies and may involve multiple departments, but the root cause is mostly due to the influence of various lesions on the vestibular balance system of the inner ear, resulting in the imbalance of the vestibular system on both sides.
Ear-induced vertigo is mostly peripheral vertigo, which accounts for 44% to 65% of the vertigo/dizziness spectrum.
Common diseases of peripheral vertigo include benign paroxysmal positional vertigo, Meniere's disease, vestibular neuritis, labyrinthitis, and ototoxic drug poisoning.
Zhang Xiaoqing said that the real scientific name of "otolithiasis" is "benign paroxysmal positional vertigo".
The clinical manifestations are mainly that the patient induces strong rotational vertigo when suddenly changing the body position, such as: getting up, lying down, turning over, etc. The patient often feels that the surrounding objects or themselves are spinning around, rarely for more than one minute, but there will be multiple attacks.
In the outpatient clinic, if it is a typical patient with otolithiasis, the treatment is particularly rewarding. After manual reset, the patient's vertigo symptoms can be relieved immediately, and it feels amazing.
There is also a type of peripheral vertigo. No abnormality was found in head MRI and other examinations, but they were dizzy and unable to move. Some patients complained that they felt like they were going to fly into the universe when they moved. Spontaneous nystagmus was seen after specialist examination. Hormone therapy plus vestibular function exercise can basically return to normal within a week.