To determine the causes and factors that provoked the overlap of the auditory tube and hearing loss, conduct a comprehensive diagnosis. An otolaryngologist collects anamnesis and examines a patient. To clarify the diagnosis using a complex of laboratory and instrumental studies.
A comprehensive diagnostic approach allows to identify inflammatory processes in the ear structures, to determine the type of pathogen and its sensitivity to antibacterial drugs. In the process of research exclude / confirm the presence of complications. According to the results of the diagnosis, a treatment plan is drawn up.
Laboratory diagnosis in violation of the perception of sound information is carried out in the presence of complications. The patient is prescribed the following tests:
- General and biochemical analysis of blood.
- Analysis of urine.
- Microscopic and bacteriological analysis of discharge from the ear.
Based on the test results, the otolaryngologist corrects the treatment plan and monitors the effectiveness of the prescribed therapy.
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Another mandatory component of diagnostics for hearing impairment is instrumental methods:
- Otoscopy - examination of the ear canal and eardrum using an otoscope.
- Audiometry - the study of hearing in case of suspected its decline, the definition of response to the sounds of different frequencies.
- CT, MRI, X-ray - is carried out in case of suspected intraosseous or intracranial complications, purulent processes.
- Tympanometry is a test for the mobility of the eardrum and middle ear pits.
- Vestibular tests - reveal lesions of the inner ear, aimed at assessing balance, dizziness.
- Timpanocentez (tympanopuncture) - puncture of the eardrum is necessary to determine the contents of the tympanic cavity. It is carried out with exudative or purulent otitis.
The results of the above studies allow you to make a final diagnosis and make an effective treatment plan.
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MRI with ear congestion
Magnetic resonance imaging allows you to study the structure of the ear and to identify the smallest changes in their work. On tomography images, all details of the ear cavity are determined in various projections.
The main indications for MRI are:
- Decreased hearing.
- Regular headaches and dizziness.
- Itching and redness of the ears.
- Increased body temperature.
- Sore throat and nasal cavity.
- Exudate secretion from the ears.
- Inflammatory processes in the tissues of the auditory nerve.
- Violation of vestibular functions.
- Tumor neoplasms and metastases from other organs.
- Deformation with the destruction of bone structures.
- Complications of inflammatory processes.
There are a number of indirect signs indicating problems with the inner ear: anemia of the facial nerve, loss of balance, changes in muscle tone of the face.
MRI is a painless and safe procedure. During the study, the patient is placed on his back and placed inside the tomograph, which creates an electromagnetic field. For more accurate visualization, intravenous administration of contrast (gadolinium salts) is possible.
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