Earlier, when otolaryngology did not have a sufficient variety of effective antimicrobial and anti-inflammatory drugs and was not yet known about the negative effect of boric acid on the human body, it was used universally for treating various types of otitis, conjunctivitis, and dermatitis as an independent medicine. To date, there are many effective drugs with a specific effect, which are used by doctors as the main treatment.
The use of boric acid and boric alcohol in otitis now has a rather fixative and preventive effect. Preparations of boric acid can be used both in the composition of complex therapy and at the end of treatment with other medicines.
It is clear that in the absence of other effective drugs boric alcohol can be used as a monotherapy and at the very beginning of treatment to prevent inflammation from taking a chronic form and spread further into the body, for example, on the meninges. But if possible, such treatment should be supplemented with more modern and effective antimicrobial agents, especially if it is a matter of average otitis, which can only be cured with boric alcohol by a problem.
Applications of boric acid in otitis are quite diverse: drops in the ear, washing of the ear canal, tamponade of the ears, warming compresses with boric acid.
Drops in the ear. For these purposes, the use of a pharmacy 3% solution of boric alcohol in pure form is recommended. The instillation of drops gives a faster antimicrobial effect, but it is contraindicated in the perforation of the tympanic membrane, which can cause fluid to leak into the auditory tube and cause even more inflammation of the tissues.
A standard pipette is used to instill the solution into the ear. Alcohol should not be cold, but it is not worth heating it on fire. The ideal option is to take a few minutes to warm the pipette with the solution in its hands.
Before you enter the medicine into the ear canal, the ear should be thoroughly cleaned with the ear stick from sulfur and dust that gets into it. With a dry stick it is impossible to clean the ear qualitatively, so it is recommended to moisten it in a solution of hydrogen peroxide. And it is better to drip 2-3 drops of cleanser (hydrogen peroxide or distilled water) in the ear and carefully treat the moist skin with an ear stick.
After the ear is cleaned, it must be dipped from the moisture residues by a twisted gauze flag and cotton pad. Now you can start digging in the medicine, i.e. Boric alcohol. During the procedure, tilt the head so that the sick ear is at the top. With the help of a pipette, we inject from it 3 to 5 drops of boric acid per alcohol and wait 10-12 minutes, then tilt the head in the other direction. That the medicine could leak out. Once again we dip the covers outside and inside the ear, and then cover the entrance to the ear with a small cotton swab, blocking the entrance to the ear of dust and bacteria.
Bury the ear with otite boric alcohol or boric acid in the form of an aqueous solution, drug manufacturers recommend within 3-5 days (but doctors often allow to increase the treatment time to 10 days). The procedure should be 2-4 times a day. After 5 days from the start of treatment, you can go to a single injection of the medication in your ear at night.
If drops drip to the child, then the effective and safe dose will be 3-4 drops, the adult dosage can be increased to 5 drops.
When burying alcohol in your ears, you need to monitor the sensations. Usually caused by the solution discomfort lasts no more than 10 minutes, if the unpleasant feeling remains and further, consultation of an ENT is necessary for the possibility of continuing treatment with boric acid.
Washing of the ear canal. For washing the ear, a 2% solution of boric acid is most often used. A warm antiseptic solution based on alcohol or water is injected into the peeled ear with a pipette. Then, using a syringe, warm water or another disinfectant solution in the amount of 150 ml is poured into the ear. When burying, the head should be tilted in the opposite direction from the diseased ear, and when washing, keep it in a vertical position so that the liquid can freely flow out of the ear.
Rinsing can not be carried out under pressure. Water should not exert strong pressure on the inflamed eardrum.
This procedure is useful for removing exudate and pus from the ear. Experienced specialist in the clinic can conduct it even with a perforation of the tympanic membrane with a suppuration. In this case, non-aggressive disinfectants are used.
After the procedure, doctors recommend that the ear dry with a bandage or cotton swab and lightly powder talcum powder. Entrance to the ear can be covered with fleece only in the absence of suppuration.
Cotton swabs and turuns. Well, with cotton swabs, it's usually clear. This is a normal piece of cotton wool, fitted to the size of the ear canal. But what is turund, not everyone knows. And this is just a piece of gauze, bandage or the same cotton wool wrapped in a not very dense bundle.
Cotton swab or turunda impregnated with warm boric acid in the form of a solution, lightly squeezed and placed in the ear at such a depth, so as not to damage the eardrum. From above, the entrance to the ear is covered with a dry fleece. Thus, the procedure has not only an effective antibacterial, but also a warming effect.
The use of turundum and tampons with boric acid does not limit the movement of the patient, as in the case of dropping drops. There is no need to lie for 10-15 minutes on one side, so that the fluid does not accidentally leak out of the ear. Turundas can be used for a short time 2-3 times a day or pawned immediately for several hours (for example, for the whole night), as the attending physician will appoint.
Inoculation in the ear turundum is most often used in the treatment of furuncles inside the ear, but a useful procedure will be and with otitis exudative character (with purulent otitis warming procedures are excluded).
Compresses. This procedure is recommended for inflammation of the middle ear, which is not purulent, since a compress with 3% boric alcohol (the most effective form of release in this case) has a warming effect. It would seem, what for to heat an ear at an inflammation, especially, if the process is localized deep inside of an organ behind a tympanic membrane? But this has a certain meaning.
External means can affect the processes occurring inside the body in two ways: penetrate into the blood and tissues of the organ or provide a local increase in temperature, resulting in an increase in the number of protective cells produced by the body. Thus, the medicine stimulates the body's own defenses to fight the bacterial factor and inflammatory agents. It turns out that the use of warming compresses with boric acid provides both functions of the drug, which results in pain, inflammation decreases and healing of damaged tissues inside the ear occurs.
In order to apply a compress when otitis with boric acid is correct, you need to know some rules for doing this procedure:
Apply a compress can only be prescribed by the doctor, if the patient experiences severe pain in the ear.
Often, such treatment can not be used, because warming procedures for acute inflammatory reactions can complicate the situation.
When compressing the skin, it is necessary to protect the skin from the burn, but not with protective creams, but by applying a dry natural material between the boric acid soaked in the solution.
For the compress itself it is necessary to prepare in advance: cotton fabric (10x10 cm or slightly larger) with a cut about 6-7 cm in the middle, a second piece of fabric or a gauze folded with several layers with the same cut, piece of polyethylene film or compress paper of slightly larger size . The film must completely cover the wet cloth, not allowing it to cool, and have a cut in the center. Do not forget about cotton wool and boric alcohol, warmed to a warm state.
First, a protective tissue is applied to the ear, while the auricle through the incision is exposed to the outside. Then, a cloth moistened in warm alcohol and a slightly pressed gauze, folded in 3-4 layers, is applied over the fabric. Again, the ear must remain outside. Over the gauze lay the film, release the ear, apply a thin layer of cotton on top of it and fix the compress with a bandage or scarf.
Leave a compress on the ear is recommended for 2 hours, but it is allowed and a single application of the procedure at night. At the same time, you need to make sure that the compress does not cool down on the body.
Turundas and compresses are allowed to practice even with perforation of the tympanic membrane. However, it is safer to conduct a procedure in such a pathology in a hospital. In this case, it is important only to exclude the purulent process, in which heat in the ear is prohibited.
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