Hello doctor
My mother 60yrs old with diabetic and BP.
She is suffering itching in ear and went to nearest ent specialist,found holes in both the ears doctor suggested to go for surgery right ear first and post 3months other ear.
We consulted one more ent doctor he said surgery is not required
Pls advise
Scan reports attached
Answers (5)
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She is suffering from Chronic Non Suppurative Otitis Media with dry ear.
Chronic suppurative otitis media (CSOM) is middle ear inflammation that results in a perforated tympanic membrane with discharge from the ear for more than six weeks.
Hearing loss is common among patients with CSOM.
The only treatment for chronic otitis media is a surgery called tympanoplasty with or without mastoidectomy. There are no medicines that will cure these diseases. The primary goal of surgery for chronic otitis media and cholesteatoma is to remove all infection.
Now if in this case the perforation is a central perforation. If it's left untreated surgically and is under regular check up to avoid any discharge formatation, then it won't harm the patient.
Next Steps
Antifungal Antibacterial anti-inflammatory ear drop sos.
Antiallergic sos.
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If there is no significant hearing loss and if there’s no recurrent episodes of ear infection very often . You can avoid surgery and follow water precautions to ear .
If only itching is the reason no need to operate but if there is any your discharge or she is having a reduced hearing which is causing the disability for her then it's better to undergo a surgery diabetes and bp are not contraindications for surgery we can control diabetes and bp and we can undergo surgery so it's all risk and benefit,how difficult it is for you and her to communicate
As both the tympanic membrane are damaged she is suffering from hearing loss.
There is also risk of middle ear infection with complications,as she is diabetic.
You should go for surgery both ears.
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
Ear, Nose, Throat
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