Treatment of eustachyitis

Inflammation in the auditory tube can have different pathogenesis. In the catarrhal form of the disease, when there is no infectious factor, it is often enough to apply local medications and specific procedures that improve ventilation and drainage of the eustachian tube. Even in the case of viral diseases, drops with immunomodulatory action are often dispensed with, although ideally the very fact that the disease has developed (the body has not coped with the virus) indicates that it is necessary to improve immunity in a comprehensive way.

Read also: Treating Eustachyitis at Home

Oral medications

In the case of a bacterial infection, antimicrobials are essential. But antibiotics in eustachyitis should be prescribed only in the case of a confirmed fact of its microbial nature, and better after determining the type of its causative agent. Most often such drugs are prescribed to young children, whose immunity is not able to defeat pathogenic microbes. And we are not talking about local application, but about systemic therapy.

Prescribe antimicrobial drugs in acute infection, giving preference to broad-spectrum antibiotics. The most common pathogens have long been known to medicine, and almost all of them can be easily treated with penicillins ("Ampicillin", "Amoxicillin", "Amoxiclav", etc.). But given the frequent allergic reactions to drugs of this kind, doctors are not in a hurry to prescribe them, giving preference to macrolides - one of the safest antibiotics with a minimum of side effects.

The most popular drug of this class is "Sumamed", which is often prescribed for eustachitis and acute otitis media (one of the painful complications of turbo-otitis). The main active ingredient of the drug is azithromycin. Its use allows you to relieve ear pain in 1-3 days from the beginning of use. Although even in this case, doctors insist that it is necessary to take the course of the drug until the end.

In the treatment of ENT organs a short course of treatment is prescribed - 3 days at 500 mg per day (tablets). The course dose for children over 3 years of age is 30 mg per kg.

Sumamed" suspension with flavorings is intended for treatment of children. The daily dose for children of the first year of life is 2.5-5 ml of ready syrup. For children up to 3 years of age, dosing is carried out according to the scheme: 0.5 ml per kg of body weight.

The drug is not prescribed in hypersensitivity to macrolides, severe liver pathologies with impaired organ functionality, phenylketonuria. Caution should be observed in myasthenia gravis, liver and kidney diseases, in the treatment of elderly patients with heart disorders, taking glycosides, anticoagulants, immunosuppressants.

The drug can be prescribed during pregnancy, but only in the most severe cases, when local treatment fails and the woman is in danger of serious complications. Breastfeeding should be stopped during antibiotic therapy.

Side effects after taking "Sumamed" are rarely observed. Most often patients complain of headaches and unpleasant symptoms of the GI tract (pain in the epigastrium, nausea, vomiting, liquid stools). Often changes in blood composition and properties are noted, which is not critical.

In children and some adult patients, eustachitis is not an independent disease, but a complication of a cold. If it is an infection, there is almost always a risk of its spread deep into the respiratory tract, which is adjacent to the auditory tube. Not only that, runny nose, which is diagnosed with viral diseases of the respiratory system, becomes one of the causes of deterioration of ventilation of the internal structures of the ear, which leads to the formation of exudate. In such conditions, pathogens multiply even more actively, which leads to the appearance of acute symptoms.

If the nasal congestion and cough are still present when the symptoms of eustachyitis appear, everything should be done to normalize nasal breathing. In other words, you need to continue to treat the cold, emphasizing and symptomatic treatment. Thus, ACC in eustachyitis helps to partially restore ventilation of the auditory tube by reducing edema and normalizing air access through the nasal passages.

The drug for oral administration is available in different dosages and forms, so it can be prescribed to patients of different ages.

Damage to the internal structures of the ear is often accompanied by such an unpleasant symptom as tinnitus. Even in the absence of pain, the patient feels severe discomfort, which can be eliminated with the drug "Tanakan" based on the gikgo-biloba plant.

Despite the fact that the main indication of the drug is the deterioration of brain function and related cognitive disorders, "Tanakan" is actively used for symptomatic treatment of tinnitus of any etiology.

The drug is available in tablets and drops. Both forms of the drug should be taken three times a day for 1 dose, which is equal to 1 tablet or 1 ml of the solution. The duration of treatment is determined by the doctor.

The plant drug is not prescribed only in case of hypersensitivity to its composition. Side effects from its use are rarely observed in the form of GI disorders (pain, nausea, vomiting, diarrhea, abdominal bloating), headaches and dizziness, skin reactions.

Peroral is also prescribed:

• antihistamines (in allergic inflammation they are the basis of treatment, in other types are prescribed as auxiliary agents to reduce swelling),
• antipyretic drugs (most often from the category of NSAIDs: "Ibuprofen", "Ketoprofen", etc.),
• immunostimulants and vitamins to strengthen the immune system.

Parenteral treatment

Eustachitis does not usually cause such severe conditions that require inpatient parenteral treatment. Antibiotics in this disease are prescribed mainly in tablets and syrups (for children), and corticosteroids are used locally in drops. But there is one immunostimulating drug available in the form of a solution for intramuscular injection, which in injections is sometimes prescribed to patients with acute and recurrent eustachitis.

The drug is called "Derinat" and it is good because it not only normalizes the immune system, but also promotes rapid recovery (regeneration) of tissues damaged by inflammation. In acute inflammation, the apcient is prescribed from 3 to 5 injections, in chronic recurrent - 5 injections with an interval of 1-3 days. The single dose for children over 10 years and adults - 5 ml, babies under 2 years - 0.5 ml, children 2-10 years - 0.5 ml for each year of life.

Contraindication to the prescription of the drug is only hypersensitivity to its composition. Among the side effects it is worth highlighting only the ability of the drug to reduce blood glucose levels, which is important to consider when calculating the dose of hypoglycemic drugs.

Local treatment

The inflammatory process in turbo-otitis is localized in the auditory tube, which consists of bony and cartilaginous sections and does not contain an abundance of blood vessels. It is clear that systemic treatment of the disease will not give good results without external application of drugs that fight inflammation and infection. To maximize the proximity of the drug to the focus of the lesion, it is possible to inject the ears and put in them turundas with the drug.

Ear drops for eustachyitis.

Anti-inflammatory solutions and combination ear drops can be found in any pharmacy today. Combined preparations are attractive because they are able to have a complex effect, which means that the effect of their use comes faster. Most often, one of the components of such a drug is an antibiotic or antiseptic, which should be taken either to combat infection or to prevent bacterial complications. Such remedies can be used only when prescribed by a doctor.

A vivid representative of combined drugs, loved by doctors, is "Candibiotic", which contains a broad-spectrum antiseptic (chloramphenicol), antifungal component (clotrimazole), GCS (beclomethasone) and anesthetic (lidocaine). Indications for use of the drug are inflammatory (including infectious) and allergic diseases of the middle ear, including otitis media of any etiology. The drug is dispensed in the form of ear drops only with a doctor's prescription.

Children over 2 years of age should be dripped into the ears 2 drops, patients over 12 years of age - 3-4 drops. The frequency of application of the drug - 3-4 times a day. Duration of treatment - 5-7 days.

The drug is not prescribed if the tympanic membrane is broken, hypersensitivity to the components of the drug, chicken pox, herpes simplex and herpes zoster. Do not use in the treatment of children under 2 years of age. In pregnancy can be appointed only as an exception.

Among the side effects sometimes noted burning sensation and itching at the site of application of the solution, redness, swelling, skin rashes.

If there is no need to prevent or fight infection, but it is necessary to quickly relieve inflammation (for example, with barotrauma or allergic nature of the disease), accompanied by discomfort (children often complain of pain), to help comes to the aid of the favorite of doctors "Opipax". These are ear drops that are presented as a combination of GCS (phenazone) and anesthetic (lidocaine). They can also be prescribed in the case of bacterial infection as part of a complex treatment.

This drug is attractive because it can be used starting from the second month of life of the child. The solution is injected into the ears 4 drops 2-3 times a day for a course of no more than 10 days.

Do not prescribe anti-inflammatory drops "Otipax" with hypersensitivity to it and violation of the integrity of the tympanic membrane. It is allowed for the treatment of pregnant women and nursing mothers after consultation with a doctor.

Instead of Otipax, doctors may prescribe other anti-inflammatory drops such as Otynum, Ocomistin or Otisol.

"Otynum" with eustachyitis is prescribed for 2 reasons. First, the drug based on salicylate has a useful property to quickly relieve inflammation and pain in the ears. Secondly, it is noted for its antimicrobial and antifungal action.

Adults and children are prescribed the drug in a single dosage: 3-4 drops of the drug 3-4 times a day. The course of treatment should not exceed 10 days.

Do not prescribe the drug for intolerance to acetylsalicylic acid and other salicylates. It can be used in pregnancy, treat babies under one year of age, but it is important to exercise caution.

Among ear drops, there are those that contain an antibiotic ("Otofa", "Normax", "Zipromed", "Sofradex", "Anauran", "Garazon", etc.). The first drug with low absorption of the active substance (rifampicin) is allowed for use in pediatrics, the second (active substance - norfloxacin) can be used only from 12 years of age. The regimen for both drugs is 5 drops (3 drops for children) three times a day for a week.

"Garazon" is authorized for use from 8 years of age, "Anauran" and "Sofradex" - from 1 year of age, "Zipromed" - from 15 years of age.

As ear drops are often used boric alcohol, salicylic acid, hydrogen peroxide, for compresses and turundas use "Levomekol", "Dimexid", camphor alcohol. These methods of treatment are close to folk, but they are supported by many doctors.

Boric alcohol for eustachyitis. This is a bactericidal agent used more for the prevention of bacterial complications than for the treatment of serious infection. The antiseptic is injected into the ear with a pipette 3-4 drops 2-3 times a day, preliminarily slightly warming the bottle with it in the hands.

At night, you can put tampons soaked in boric alcohol in the ear, which reduces discomfort and pain. Furacilin alcohol (ear drops) is also used in the same way.

Salicylic acid is less frequently injected into the ear in casesof estachyitis, although this drug is also an antiseptic and also has a drying effect. The problem is that the drug can cause burning, in addition, its safety for children is very doubtful. It is strictly forbidden to apply salicylic acid to a damaged eardrum. Before dripping the drug into the ear, it is better to dilute it with slightly warm water, and for compresses it is recommended to use other drugs.

Treatment of eustachyitis with hydrogen peroxide helps to relieve pain and reduce the activity of pathogens even in purulent inflammation (facilitates excretion of pus). Peroxide is injected into the ear 3-4 drops, but the solution is pre-diluted with warm water approximately 1:1 or 2:1 to exclude burning when it hits the mucosa.

Regardless of the medication used, there are some rules to keep in mind when injecting your ears:

• It is better to put in your child's ears while lying down.
• Adults and older children should tilt their head so that the sore ear is on top.
• The liquid should run down the wall of the external ear canal, and to get it faster behind the eardrum, you need to pull the ear back a little.
• After injection, you should lie or sit with your head tilted so that the liquid does not flow out for 10-15 minutes, allowing the solution to work. Then do not cover the ear canal with absorbent cotton or a bandage.
• In bilateral eustachyitis, the ears are pumped one at a time, being mindful of the time it takes for the medicine to partially penetrate the ear tissue.

Ear compresses and turundas for eustachitis

This method of treatment is very popular for ear diseases, because this way the medicine has more time to have an effect. It is better to use ointment-based preparations, such asLevomekol, to impregnate the turundas.

This is a preparation for topical application, which has a pronounced antimicrobial and antiviral effect, so its use is beneficial for both bacterial and viral infections. Gauze or cotton turunda before putting it in the ear is moistened in the ointment. Keep it in the ear for 12 hours, so the procedure is more convenient to carry out at night.

Already on the second day comes relief, but the course is recommended to spend until the end (7 days).

Doctors caution against combining ear drops with anesthetic and ointment. The interval between their application should be at least 1.5 hours.

Do not use the drug in hypersensitivity to it, violation of the integrity of the middle ear structures, including the tympanic membrane, in case of allergic reaction accompanied by itching, swelling, redness, burning.

For compresses in eustachitis, "Dimexid" and camphor alcohol are most often used. The first, despite its toxicity, increases the permeability of the tympanic membrane for other drugs (after all, the auditory tube belongs to the internal structures of the ear with limited access). Camphor improves blood supply to the lesion and provides antiseptic effect.

"Dimexid" can be used for external compresses, when the area around the ear is covered with gauze soaked in the drug, over which a film (or compress paper) is placed, absorbent cotton for insulation and fixed with a feint. Such a compress can be kept no more than 15-20 minutes. For children, it is better to dilute the drug with water 1:1.

Another option - compresses inside the ear. To prepare a therapeutic solution in equal proportions mix "Dimexide" and boric alcohol, wet a absorbent cotton in it and put it in the ear for an hour (no more), covering the top with dry absorbent cotton. The solution should be warm.

Camphor alcohol in eustachitis is used mainly for external compresses. It is heated to a temperature 1-2 degrees below body temperature, wet the composition of gauze and put on the ear. On top of the put compress paper with a slit for the ear, then absorbent cotton and fix the design with a bandage. The compress is kept for 1 to 2 hours, making sure that it does not get cold.

In some sources you can find information about the use of camphor alcohol as ear drops. Doctors do not recommend this.

Clay is used to relieve ear pain in otitis media and eustachyitis. It is applied to the sore ear in a soaked state in the form of a compress. The ear canal is closed with absorbent cotton, overlay a cloth with a thick layer of wet clay (any clay will do) and fix a bandage or scarf. Keep the compress on the ear for 2 hours.

There are other compositions for compresses on the ear area, which belong more to folk treatment, so we will talk about them below.

Nasal drops

Often eustachitis is a complication of colds of the respiratory system. Viral pathologies are almost always accompanied by a runny nose - evidence of nasal edema. The edema spreads deep and disrupts the ventilation of the tympanic cavity, causing eustachitis and complicating its course.

Nasal swelling and stuffy nose may also be noted in allergic reactions and facial trauma.

Since the main goal of the treatment of the disease is considered to be the restoration of air access to the auditory tube, the elimination of swelling of the nasal structures seems to be an incredibly important task. For this purpose, vasoconstrictor drops are used. These can be both sympathomimetics and drops containing glucocorticosteroids.

Among sympathomimetics it is worth noting "Otrivin", "Sanorin", "Galazolin", "Nazivin" and others. They reduce swelling and inflammation by acting on specific receptors. With allergic eustachyitis, accompanied by nasal congestion, often prescribe the drug "Vibrocil". One of the components of the combined drug has an effect on histamine receptors, which reduces the severity of allergic edema.

Rarely prescribed "Rinofluimucil" based on acetylcysteine. The drug is relevant for nasal congestion, as it promotes the excretion of sputum and has a noticeable anti-inflammatory effect.

In acute eustachianitis with severe symptoms, rapid relief and persistent effect are required, which sympathomimetics cannot provide. In this case, the use of potent anti-inflammatory drugs such as corticosteroids is justified.

Nasal drops "Desrinit", "Nazonex", "Polydex" and some others contain a glucocorticosteroid (dexamethasone, mometasone, etc.) as an active ingredient.

"Desrinit" is available in the form of a spray, which should be injected into the nose. The single dose for children 2-12 years old (in case of allergic nature of the disease) - 1 injection once a day, for adults - 2 injections 1-2 times a day, depending on the diagnosis.

The drug is not used on damaged mucosa, after surgery in the nasal area. Among the contraindications are hypersensitivity and age under 2 years. In pregnancy, the drug can be used, but with a doctor's permission.

The most common side effects are considered to be: headaches, nosebleeds, irritation of mucous membranes. Children may experience growth retardation, sleep disturbances, anxiety, hyperexcitability, even aggression.

The drug "Polidexa", which in addition to GCS includes 2 more antibiotics, is used in the form of nasal spray 3-5 times a day for 1 injection. It is prescribed to patients over 15 years of age.

You need to be careful, because the remedy has a large list of contraindications and can cause violations from the cardiovascular system.

Ear drops "Polydexa" are prescribed mainly for external otitis media, although there are reports of its prescription in case of eustachyitis.

How and what to rinse the nose with eustachyitis?

If the disease appeared against the background of a runny nose, in which it is customary to rinse the nose, many people have a question about what solutions to use for this purpose now. In principle, all the same compositions are suitable for this purpose as for a runny nose: saline solution, to which you can add a little soda, strained infusion of chamomile, sea salt solution (available in pharmacies under different names), saline solution.

But before you rinse the nose with eustachyitis, you need to ask how to do it correctly. Here are some recommendations:

• Nasal rinsing is necessary in case of a runny nose, if there is a stuffy nose - it is necessary to eliminate it beforehand with the help of vasoconstrictor drops or hormonal sprays. Moreover, world doctors claim that the latter are no worse than vasoconstrictor drops, which many countries have abandoned.
• Do not apply a lot of pressure when clearing your nose with the balloon.
• During nasal rinsing, the head should be slightly downward. It is not recommended to turn it sideways, because the liquid through the pharyngeal orifice of the auditory tube can get into it and the middle ear, which will only aggravate the situation. By the way, this is one of the causes of eustachitis and otitis media.
• Blowing your nose during nasal rinsing (and in other situations) should also be done carefully, alternately, not by clamping and releasing both nostrils at once. Under the influence of strong pressure, mucus from the nose can enter the auditory tube, which is even more dangerous than the saline solution.

Physiotherapy

Drug treatment - these are those emergency measures that are most relevant in the acute period of the disease. Medications help to relieve acute symptoms and defeat the infection, but to make the recovery process faster and more effective in eustachitis, doctors prescribe a set of physiotherapeutic procedures, each of which has a unique effect:

• UVO (tube-quartz on the back wall of the pharynx). Local irradiation with ultraviolet light has a pronounced anti-inflammatory effect. It helps to fight pathogens, relieves pain, promotes local immunity and tissue regeneration in the lesion. Usually prescribed a one-week course of 10-15 minutes 2-3 times a day.
• UHF. High-frequency therapy on the posterior maxillary part also has an anti-inflammatory effect, helps to relieve swelling in the focus of the lesion, reduces pain. A one-week course of 7 minutes a day is a typical appointment for eustachyitis.
• Microwave therapy. Exposure to centimeter waves helps to reduce the severity of inflammation, reduces discomfort in the ears, stimulates local immunity to fight pathogens. The standard course is 8-10 procedures of 10 minutes each.
• Infrared laser therapy. Waves of the infrared spectrum contribute to the heating of tissues, vascular dilation and activation of blood supply in the lesion, destruction of toxins produced by microbes, reducing the severity of the inflammatory response. Heat is better and safer than other procedures and drugs reduces pain. Most often a course of 7-8 procedures lasting 8-10 minutes is prescribed.
• Electrophoresis. Direct current promotes deep penetration of the drug into the tissues of the diseased organ. 3 types of procedures are popular in eustachitis :
  • Endonasal electrophoresis (acting through the nasal passage) with solutions of calcium chloride or zinc sulfate. Electrodes are placed on the area of the nose and the back of the neck. The course of treatment is 10-12 procedures. The duration of exposure can vary from 10 to 20 minutes.
  • Endaural electrophoresis (through the hearing organ). Electrodes are placed in the external ear canal and on the back of the neck. The procedure is carried out strictly after the end of the acute period and includes 10-15 procedures of 10 minutes each.
  • Endaural-nasal electrophoresis. It is indicated if eustachitis is combined with nasal pathologies.

For the procedure of electrophoresis can be used drugs with different effects: analgesics, anti-inflammatory drugs, etc.

• Low-frequency magnetotherapy. Almag treatment of eustachyitis increases local immunity, helps to fight pathogens, relieves inflammation and swelling. Magnetic field stimulates metabolic processes, so the procedure promotes rapid tissue repair, enhances the effect of drugs. Apparatus Almag 02 has an additional emitter of the magnetic field (fixed and running), which can affect deeply located areas and a small area. Portable device can be purchased even for home use, because the scope of its application is not limited to diseases of the ENT organs.
• Phonophoresis (ultrasound) on the nasal area with hydrocortisone ointment. It helps even with severe inflammation, promotes tissue repair, relieves edema. Course - 10-14 procedures. The duration of each from 10 minutes to half an hour.
• Inhalation therapy with proteolytic enzymes and GCS.

The goal of physiotherapeutic treatment for eustachian syndrome is to treat the inflammation and restore normal ventilation of the auditory tube as quickly as possible to avoid complications such as hearing loss, bacterial infection and chronicity. However, any procedures involving physical impact on the diseased organ can be performed only after the acute symptoms have been relieved by medication.

Mechanotherapy

Some people confuse physiotherapy, in which physical factors (electric current, magnetic field, ultrasound or light waves of different spectra) are applied to the diseased organ, and mechanotherapy, which involves mechanical action on the tissues. Both types of treatment are useful in eustachitis.

The use of mechanotherapy is justified in case of barotraumas and chronic inflammation (in the absence of acute symptoms). Its purpose is considered to be restoration of the patency of the eustachian tube, improvement of blood supply to the organ and mobility of the tympanic membrane, stretching of the formed adhesions.

Methods of mechanotherapy:

• Politzerear blowing for eustachian eustachitis with a rubber balloon (a popular procedure that nevertheless increases the risk of getting an infection inside the auditory tube).
• Self-blowing of the ears by creating high pressure in the nasopharynx, which helps to dilate the eustachian tube and equalize the pressure in the ear (strong exhalation with clamped nostrils and closed mouth).
• Catheterization of the auditory tube (provides access of air and drugs to the eustachian tube and middle ear structures, removal of inflammatory exudate and pus) followed by its blowing. It is performed in cases of severe inflammation that cannot be treated with standard procedures.
• Pneumomassage of the tympanic membrane (massage of the tympanic membrane with the help of equipment that provides alternate changes of high and low pressure), which is not performed only in case of purulent otitis media and barotraumas accompanied by tissue ruptures.

Pneumatic massage trains the muscles that open and close the entrance to the auditory tube. For the same purpose, you can do special exercises on your own after consulting your doctor. Here is one of them: we cover our ears tightly with the palms of our hands and alternate squeezing the ear drum with its relaxation when we remove our hands.

There is a whole complex of exercises of respiratory and conventional gymnastics in eustachyitis, which help to restore the patency of the eustachian tube and maintain the tone of its muscles:

• Active inhalation of air through the nostrils with tension (use abdominal breathing, exhale through the mouth).
• Deep inhalation and exhalation through the nose in a sitting position.
• Deep breath in with your mouth wide open, then close your mouth and swallow.
• Inhale with your fingers clamped in your nostrils.
• Yawning.
• Exhale with your mouth and nose closed, directing the airflow into your nose.

Tongue exercises:

• stick your tongue out as much as possible, move it back and forth, left and right,
• raise the tip of the tongue to the alveoli and actively move it from side to side, imitating the movement of a broom,
• bend the tip of the tongue behind the alveoli.

Exercises for the lower jaw:

• move the jaw to one side or the other until a tension and a specific sensation is felt,
• jaw forward,
• clenching and unclenching your jaws.

Lip exercises:

• make them into tubes,
• fake a crooked smile,
• smiling with tensing of the muscles of the lips and cheeks.

Cheek exercises:

• puff up your cheeks, close your lips, and smear them with a smack,
• puff out your cheeks one by one,
• pull your cheeks inward,
• open your mouth wide.

• A sip of water with your nose closed.
• Take a breath of air with your nostrils clamped shut and your mouth closed.
• Chewing gum, soft candy, hard fruits and vegetables.
• Drinking through a tube.
• Inflating balloons.

Many boys at school made a ballpoint pen a kind of tool, from which a stream of air sharply blown paper balls. In eustachitis, this activity can be very beneficial.

In addition to pneumatic massage, other types of massage are also useful in inflammation of the auditory tube. These can be massage exercises that complement the complex of breathing exercises:

• Rubbing the earlobes and shells until they feel warm.
• Bending the upper part of the ear downwards and unbending it. Do this several times until a slight warmth appears.
• Massaging the dimple near the goat: press and release Repeat several times.
• Slowly pulling back the part of the ear above the goat.
• Massaging the earlobes.
• Simultaneous circular massaging of the ears.
• Pulling the ears to the sides.
• Forward and backward flexion of the auricles.
• Folding the auricle (should overlap the ear canal) and pushing on it to create pressure.

The therapeutic complexes should be performed regularly: 1-2 times every day, making sure that ear exercises do not cause unpleasant, painful sensations. The same exercises can be performed later to prevent recurrences, which is especially important in chronic eustachitis.

To relieve headaches with eustachyitis, a cervical massage from behind is indicated. Effective in this pathology and acupressure. This can be both medical massage (impact on biologically active points by pressing on them, stroking, rubbing, kneading, vibration) and acupuncture. Acupressure is combined with other methods of Oriental medicine, for example, stone therapy or warming the ears with stones.

Acupressure in combination with massage exercises is very effective for tinnitus and ringing in the ears, headaches. Clamp the upper part of the ear lobe with your fingers, make circular movements, then go down to the earlobe and come back. Exercise should be performed for no more than 1 minute, 4 times a day.

In addition, for 5 seconds alternately press on biologically active points in the dimple under the nose and between the eyebrows.

Massaging the ear lobes, each of which contains about 170 active points, can not only help to restore the function of the auditory tube as quickly as possible, but also improve the general condition of the body. After the massage:

• The mood improves, the emotional background increases.
• Normalize metabolic processes (in the ears are located points responsible for different organs and systems).
• The blood circulation is activated.
• Your eyesight is improving.
• Headaches and nervous tension will go away.
• The risk of vasospasm is reduced.

Massage is an amazing method of holistic treatment of the body, but to maximize its benefits you need to remember that:

• it should never be practiced in the acute period,
• If you have eustachitis and hearing loss, you should ensure silence during the procedure,
• massage is not carried out when the disease is purulent to avoid the spread of infection, damage to the eardrum and barotraumas with tissue ruptures, in the presence of wounds, polyps, tumors in the ear, with high body temperature.
• It is undesirable to massage the ears of babies under one year of age.

In any case, before taking any measures to combat the disease, it is necessary to consult a doctor. This is especially important when it comes to the health of young children, in whom eustachitis occurs much more often due to the peculiarities of the structure of the ENT organs, as well as insufficient formation and coherence of the immune system. Doctors use the same drugs and procedures to treat children, but the doses of drugs, physical and mechanical factors will be quite different.

Surgical treatment

Despite the fact that eustachitis in the vast majority of cases is easier than otitis media, sometimes patients have to seek medical help in hospital inpatient clinics. This is most often necessary in case of low effectiveness of medication and physiotherapy, as well as in the presence of adenoids and chronic inflammation of the tonsils.

In these cases, doctors perform the following types of surgeries:

• Paracentesis (incision or puncture) of the tympanic membrane. It is necessary in case of exudate accumulation in the tympanic cavity despite treatment.
• Drainage of the tympanic cavity. It is performed when thick exudate is detected, which does not come out through the incision in the tympanic membrane.

Both surgeries are not performed in cases of adhesion of the tympanic membrane to the medial wall.

• Dilation (dilation) of the auditory tube using a balloon catheter. It is used for chronic, recurrent eustachianitis resulting in obstructive dysfunction of the eustachian tube.
• Adenoid removal. Adenoids squeeze the structures near the mouth of the auditory tube and thus contribute to its narrowing. They are also a constant source of infection for the ENT organs.
• Tonsillectomy. With chronic inflammation of the palatine tonsils, there is a risk of infection spreading to nearby structures. In the case of acute symptoms of eustachianitis, effective treatment of the auditory tube without eliminating the constant source of infection is simply impossible. The disease threatens to become chronic, which should not be allowed.
• Surgery for deviated nasal septum. If the septal defect is so severe that it causes the development and recurrence of eustachianitis (impairs the drainage function of the eustachian tube), surgical intervention is required.
• Surgery to remove polyps and tumors in the nasopharynx.

In any case, the decision on the need for this or that operation is made by the attending physician, who monitors the results of the therapy and understands the true causes of the disease.