Do not delay the ear pus and be careful to cause big trouble

Many people think that the pain is unbearable and accompanied by pus-flowing otitis media is far away from them. In fact, if the water in the ear is not treated correctly in time when bathing, colds and fevers are not cared about, it may cause otitis media. And once you get it, it is easy to recur repeatedly, and the endless torture makes people miserable!

Recently, Mr. Yan from Weihai went to Shandong Provincial Entolaryngology Hospital for medical treatment, because of the previous lack of attention to ear pus, symptoms lasted for more than 20 years, facial paralysis, hearing loss, headache, etc., had to choose surgery.

According to Mr. Yan, when he was in elementary school, he suddenly felt an itch in his ears when he took an ear spoon and plucked his ears. The classmate behind him accidentally touched the arm of the ear, resulting in the rupture of the eardrum, the blood flowed out, the blood slowly dried out and condensed into a block, blocking the ear canal and thus affecting the hearing, although the blood clot naturally fell off, but occasionally accompanied by pus, because most of the time soon, did not cause much impact on life, and did not care much. But I didn't expect that after many years, the ears began to fester, and there was a smell that emanated with pus, and the hearing became worse and worse. After a local operation, it is estimated that it was not cleaned up at that time, and then it has been intermittently flowing yellow water, followed by the appearance of skewed mouth corners, closed eyes, tears in the wind and tears of facial paralysis symptoms, and now the headache symptoms are becoming more and more obvious, and the right ear can hardly hear the sound. Mr. Yan was very puzzled: "Isn't it that when I was a child, I was touched, how could I make my ears bleed pus now, my mouth crooked and my eyes tilted, and I still can't hear the sound? "The symptoms continued, leaving Mr. Yan tormented. He finally realized that this was more than just a simple matter of ear pus, and began to look around for a way to heal.

"I took the potion over my ears and took anti-inflammatory drugs, but the effect was not obvious. Went to our local hospital to do intensive CT, the doctor said that it was middle ear cholesteatoma, but the local hospital's technical level is limited and cannot be cured. The doctor recommended the Shandong Provincial Ear, Nose and Throat Hospital, saying that it was a specialized hospital for the treatment of ENT diseases, and you can try it. ”

So Mr. Yan found director Han Yuechen of the lateral skull base surgery, and after asking about the medical history, Director Han Yuechen suggested that he improve the high-resolution CT examination of the ear temporal bone, and the examination result showed 'rock bone cholesteoma'. Because of the long time, the lesion invaded the rock tip inward, and the disease worsened, which is the culprit that led to the occurrence of this series of symptoms. At the suggestion of Director Han Yuechen, Mr. Yan decided to be hospitalized for surgery. The rock bone contains important anatomical structures such as the internal auditory tract, the inner ear, and the carotid artery tube, and the operation is difficult, and under the efforts of Han Yuechen and the team, it has experienced more than 8 hours, and the operation has been successfully completed.

After surgical treatment, the lesions in Mr. Yan's ears were thoroughly cleaned up, and the postoperative recovery effect was very good. His ears no longer have pus and his dizziness disappears. "I've had this headache for a long time, and it hurt so much that I couldn't sleep all night. Thanks to Director Han, my illness was cured, and my headache disappeared a few days after the operation. Every day, Director Han is very concerned about me and cares about my situation, which is really very grateful. It is not easy for us rural people to earn money, we have a disease to carry first, we can't resist it before we want to see it, which missed the best time for treatment, if we found it earlier, it wouldn't be so serious, I really regret it! Mr. Yan said with emotion.

Director Han Yuechen introduced, "This patient has been repeatedly bad for more than 20 years, and he has had facial paralysis symptoms very early on, and he has not received timely treatment, which can easily cause atrophy of facial muscles and eyelids to turn down over time. For patients like this, it is generally recommended to restore motor function within two years while the muscles are not completely atrophied and the nerves are not fibrotic, through nerve grafting or jumping techniques. However, the patient has been ill for more than 20 years, has lost the opportunity to cure, and can only resort to plastic surgery in the later stage. This patient initially belonged to the middle ear cholesteatoma, but with the later development of the untreated treatment, damage to the cochlea, the lesion deep invasion hit the rock tip, evolved into a rock bone cholesteamoma, rock bone cholesteatoma has a strong erosion and destruction ability, the temporal bone has a facial nerve that innervates the activity of the facial muscles and the auditory nerve that controls the hearing and the vestibular nerve of somatic balance, if the cholesteoma erodes the above nerves, there will be facial paralysis, hearing loss, dizziness and other symptoms. If a cholesteatoma erodes the skull that protects the brain, it can also lead to more serious consequences such as meningitis and brain abscesses.

Director Han Yuechen reminded that for patients with otitis media who have repeated relapses and have not been cured by surgery, it is not impossible to treat, and in the later stage, they can still be corrected by secondary surgery to achieve the purpose of controlling infection and obtaining dry ears. If the patient does not have obvious symptoms of deafness before surgery, hearing can also be improved, and this also depends on the situation. Therefore, when the disease occurs, do not give up hope, early detection, early treatment, so as not to delay the disease into a serious disease.

Department Description: Lateral Skull Base Surgery

Lateral cranial base surgery work began in the 1970s, under the leadership of Professor Fan Zhong, a well-known expert in the mainland, the earliest jugular venous spheroidoma resection surgery, treatment of ear-derived brain abscess, hemifacial spasm, trigeminal neuralgia and other cranial nerve root surgery, is one of the main founding units of the mainland lateral cranial base surgery, has held more than 30 sessions of ear neurosurgery training courses, effectively promoted the development of continental lateral cranial base surgery technology. The department's work focuses on the study of new surgical approaches in lateral skull base surgery, important neurovascular protection and functional reconstruction, and facial nerve injury and repair research.

Expert Profile: Han Yuechen

Director of Lateral Skull Base Surgery, MD, Chief Physician, Master Supervisor, Visiting Scholar at the Skull Base Surgery Center at the University of Siena, Italy. He once served as the vice chairman of the 10th National ENT and Young People; he is currently a member of the Otorhinolaryngology Branch of the Chinese Medical Association, a member of the Otolaryngology Physician Branch of the Chinese Medical Doctor Association, a member of the Standing Committee of the Cranial Base Surgery Branch of the Chinese Medical Promotion Association, a vice chairman of the Otolaryngology Head and Neck Surgery Branch of the Shandong Medical Association, a member and secretary of the OTOL/ ENT Branch of the Shandong Medical Doctor Association; and an international member of the first European EAONO Society in China. He is a corresponding editorial board member of the Chinese Journal of Otolaryngology Head and Neck Surgery, the editorial board of the Chinese Journal of Otology, the Chinese Journal of Otolaryngology and the Chinese Journal of Cranial Base Surgery.

Doctors are good at difficult lateral skull base surgery, including jugular venous foramen tumors, acoustic neuromas, intracranial and intracranial communication tumors, temporal bone malignancy surgery; facial nerve tumor resection, full facial nerve decompression, nerve transplantation, crossover and other facial nerve microreparation techniques; facial nerve combing, MVD surgery; glossopharyngeal nerve cutting and other cranial nerve root surgery; rock bone galliosteamma and other rock apex disease surgery, especially in the protection and reconstruction of important vascular nerves of lateral skull base tumors, fine treatment of intracranial lesions, etc., with rich experience. The MDT team of lateral skull base surgery was established earlier in China, and in 2021, it was commended by the National Health Commission for improving medical services in 2018-2020.