Ear

Ear ailments

Otolaryngology is a medical and surgical specialty that focuses on the study and treatment of diseases related to several areas such as the ear abnormalities that may occur in the hearing ability, ear infections, impaired balance, ringing, abnormal facial nerve, alterations in the ears which may include barometric trauma, ruptured membranes and blocked ears.

Below are some ear ailments me specialize on:

Ringing in the ear

The buzzing or ringing in the ear in the absence of other sounds can have many causes, including wax, foreign objects, infections or exposure to loud noise. It can also result from high doses of aspirin or heavy caffeine intake. This problem, called tinnitus, in rare cases is a symptom of more serious diseases of the ears, particularly if accompanied by others, such as impaired hearing or dizziness.

Self-care:

  • If the doctor recommends aspirin in high doses (more than 12 per day), ask for another option. If you use aspirin on your own, try to reduce the dose or switch to other nonprescription pain reliever.
  • Avoid nicotine, caffeine and alcohol, which often aggravate the problem.
  • Try to identify a cause, such as exposure to loud noise, and avoid or block it if possible.
  • Use earplugs or some other form of hearing protection if you are exposed to loud noise, such as working with garden equipment (mowers).
  • Some people get benefits overshadow the buzz with a more acceptable sound (such as music or radio when you are falling asleep).
  • Other people benefit from the use of a “masking” device that is placed in the ear and produces “white” noise.

Medical-care:

If tinnitus worsens, persists or is accompanied by hearing loss or dizziness, you should consider the need to consult a doctor for evaluation. It is feasible that chooses to practice other studies. Although many causes of tinnitus are benign, treatment can be difficult and frustrating.

The barometric term for this problem is barotrauma. It simply stated, is an injury caused by pressure changes. Is likely to occur in air travel or dive with the stuffy nose, allergies, colds or throat infections. There may be pain in one ear, mild hearing loss or squeezing sensation in both ears. This is due to bulging of the eardrum due to changes in atmospheric pressure. However, having a cold or an ear infection is not necessarily a reason to change or postpone a flight.

Auto-cuidados:

  • Es de utilidad el uso de un descongestionante 1 hora antes de despegar y una hora antes de aterrizar. Esto suele prevenir el bloqueo de la trompa de Eustaquio.
  • Durante el vuelo, conviene chupar caramelos o masticar goma de mascar para estimular la deglusión, que ayuda a mantener abierta la trompa de Eustaquio.
  • En caso de sentir obstrucción de los oídos cuando el avión aterriza, se sugiere inhalar y luego exhalar poco a poco mientras se mantienen presionadas las fosas nasales y cerrada la boca. Esta maniobra es mejor si se deglute al mismo tiempo.
  • Recuerde que es mejor prevenir este tipo de dolor siguiendo las sugerencias enumeradas que iniciar el tratamiento una vez que aparece el dolor.

Medical care:

You should consult your doctor if symptoms do not disappear in a few hours.

Child care:

For babies and young children, it is important to drink fluids during takeoff and landing. You can give your child a bottle or pacifier to stimulate deglutition. It should administer paracetamol 30 minutes before takeoff to control the discomfort that may arise. Overall, decongestants are not recommended for young children.

Earwax in the ear canal

The body produces ear wax in the ear canal (i.e. the opening of the ear) which serves to remove cellular debris and protect the thin skin that it covers. Some people have the tendency to accumulate inside the wax and create sensation of plugged ear (hearing loss).

The most common causes are:

  • Using cotton swabs.
  • Excessive wax manufacturing
  • Not straight ear canal

With what should I clean inside my ear?

The ear should not be cleaned by instrumental maneuvers by himself or by a third party. The drainage of earwax is spontaneous and should only be removed over leaving the hole out without introducing elements inside because of the risk of injury, bleeding and formation of impacted wax plug.

What is the method used by the doctor to remove the ear wax?

Methods to carry choice the following order:

  • Removal in office using suction and spoons
  • Syringing made by the specialist
  • Syringing performed by unqualified personnel (not recommend their use)

Can I clean my ear with ear-drops?

No, when there is a feeling of ear fullness is assumed that the amount of wax is too much in this conduit and drops will have no beneficial function.

Whwb an ear gets clogged it is because of mucus.

Why my ears get blocked during or after a cold?

The nose and ears inside are communicated through a tube called the Eustachian tube. It is easy to check sometimes when we blow through his nose with a handkerchief can perceive the sound of air entering through the ear canal. The Eustachian tube makes obstructed and feel the “clogged ear”. Children with large adenoids also suffer from this problem. When this occurs, the hearing is decreased momentarily one or both ears, generally the process is reversible.

What does "having fluid behind the eardrum" means?

This liquid is mucus is produced by the body itself. The problem is that sometimes the liquid is accumulated without possibility of drain spontaneously by blockage of the Eustachian tube. When the hearing otolaryngologist observed through the microscope (otomicroscopy) may notice the presence of liquid instead of air behind the eardrum.

How long I have wait before the ear unclogs spontaneously?

In adults: after a cold can be expected up to a month. After this time we will have to study the case and treat it.

In children: there is no exact waiting time. It will depend on the child’s age, the degree of hearing loss that occurs and if it is a unilateral or bilateral process.

What are the risks of letting the fluid remain behind the eardrum without treatment?

The most common problem in cases where the condition is not treated, is temporary hearing loss. Other times, the presence of fluid behind the eardrum can be breeding grounds for developing acute otitis media, ie, access to pain and infection of the middle ear. Are there medicines to address the serous otitis? Yes. Generally a combination of antibiotics and oral corticosteroids used. They do not always work, but when they do they can avoid some other procedure in the ear, usually surgical.

Are there medicines to address the serious otitis?

Yes. Generally a combination of antibiotics and oral corticosteroids used. They do not always work, but when they do they can avoid some other procedure in the ear, usually surgical.

When should ear tubes be set up

In some cases after a complete treatment with antibiotics or if the person was given enough time and no improvement is seen in terms of liquid and still hearing impaired. In many cases they are placed, together with adenoid surgery.

It is an infection of the ear canal. Besides pain or itching, you may notice clear drain or yellowish-green pus and experience temporary hearing loss. Swimmer’s ear is persistent moisture in the ear or sometimes swimming in contaminated water. Inflammations or other similar infections can occur if the person injures the ear canal when cleaning it. Some people are prone to bacterial infections or due to fungi.

Self-care

  • If the pain is mild and there is no drainage from the ear, you should do the following:
  • Place a warm (not hot) warm heating pad on the ear.
  • Taking aspirin or other pain reliever (according to label instructions).
  • To prevent swimmer’s ear, trying to keep dry additives ducts, avoid substances that could irritate the ears and not clean inside the ear canal unless directed by a health care professional.

Medical care:

We must seek medical attention if pain or severe swelling in the ear, fever, drainage from the ear or a causal disease are present. The doctor may clean the ear canal with a suction device or a probe with cotton at the tip. He may also prescribe ear drops or medications to control the infection and reduce pain. Keep dry the ear while healing is achieved.

Before buying hearing aids for the hearing, you should read the following tips:

Undergo a medical examination and hearing. Before buying one of these devices is recommended to undergo a medical examination, preferably a specialist in ear, nose and throat (ENT).

Deafness Hearing Aids

Buy a reputable supplier. If the person does not undergo a hearing test (audiogram) in a medical institution, the supplier usually performed this test.

Be cautious to the “free” consultations and vendors sell only one brand of hearing aids.

Be alert to the misguided statements. For years, some manufacturers and distributors claimed that their hearing devices allowed to listen to the speech and background noise eliminated. However, so far there is no such technology.

Order a trial period. You should be sent to the dealer to write down the cost for a trial period (if applicable). Also find out if this amount could be credited to the final price of the hearing device.

Read the Warranty: The guarantee should cover 1 to 2 years and include parts and labor.

Undergo a second audition, to decide whether the hearing devices really help you hear well. Considered further, it should request the practice of another hearing test as hearing aids are used.

What are the signs of hearing loss?

  • You can notice a number of early warning signs and changes in your behavior that may be associated with hearing loss.
    You might start:
  • Sputtering or complaining that people or mumbles.
  • Often you ask people to repeat what they have said.
  • Increasingly you have difficulty understanding what people say when there is background noise such as noisy rooms, social occasions or family gatherings
  • Prefer the television or radio are at higher than other people hear volume.
  • You have difficulty understanding what is said in the movies or theater, at church, or at public meetings.
  • You have difficulty understanding group conversations .
  • You become more impatient, irritable, frustrated or withdrawn.
  • Have difficulty understanding people when you can not see their faces.

Why I can hear people but not understand?

A common type of hearing loss is one in which people have a normal or near-normal hearing for sounds of serious or halftone, but has hearing loss for high-pitched sounds. Examples of bass sounds in speech are vowel sounds like “or, ooh, ah, a, e,” etc. Examples of loud sounds in speech are “s, f, th,” etc. These high consonant sounds carry the meaning of the words that makes us understand speech, but tend to be very short ones in terms of volume.

hearing aids can help you in the following ways:

  • Hearing aids make sound louder (amplify sounds) so you can hear them. The goal is to make soft sounds audible, the sound of a normal conversation is comfortable and loud sounds are high but not too high.
  • They improve the ability of the person to understand speech (as the talks) by amplifying sounds (such as high-pitched consonants) that the individual is unable to hear. The extent to which a hearing aid can improve speech understanding will depend on the degree of hearing loss of the patient and the amount of noise present in the particular situation.
  • Some hearing aids can amplify the sound of high-pitched consonants rather than the sound of the bass voice to help you hear better in noisy situations.
  • Some advanced technology hearing aids use multiple microphones to improve communications in noisy environments.

Do I need a hearing device or two?

People suffering from hearing loss in both ears benefit most from wearing a hearing aid in each ear. When using both ears, the sound is processed by the central auditory system (brain) more efficiently. We are able to locate the source of sounds, where they come from and understand speech even when there is background noise better with two ears. At the end of the day you are less tired because it is easier to hear with two ears. Use a hearing aid in each ear allows the auditory system operate more like when your auditory system was normal.

Where to turn for advice and thus acquire the right equipment?

The ENT is the one who will give a better diagnosis of deafness and how it will best benefit the patient. He would first discard possible eardrum perforations, chronic ear infections or conditions in the ossicles; In some cases the condition requires treatment and it is not necessary to spend in a hearing aid. Those who only want to sell the device will not be able to make these types of diagnoses. We invite you to read our recommendations before purchasing hearing aids.

We want to share these simple questions so that the patients and their families may feel confident about the way we work in my clinic. Adapting hearing aids is not a simple matter, we give you the assurance that we are offering the best service and quality products. We want customers to trust us for a long time and not just make the sale of hearing aids and forget about you.
We’re at your service,
Dr. Jorge Trevino Garza

Probably no physical characteristic cries out more for surgery than the ears. Children who have always been victims of cruel nicknames like “Dumbo” or “Mickey Mouse”, are the most likely candidates for otoplasty, but this surgery can be performed at any age after the ears have reached full size, so generally about five to six years old. Even if the ears are only mildly distorted, the condition can lead to self-awareness and adaptation to school might be difficult. When it comes to otoplasty, conventional wisdom the sooner the better.

Adults can also benefit from this procedure, which improves self-esteem easily. Often, adults choose this surgery in conjunction with other facial plastic surgery procedures. You can not just hide the ears but  they can also be reshaped, reduced in size or made more symmetrical.

If you are wondering how otoplasty can improve the way you look, you need to know how otoplasty is performed and what you can expect from this procedure. This booklet will clarify many of these concerns.

Does the otoplasty is for you?

Good health and realistic expectations are prerequisites. It is also important to understand the surgery. Otoplasty does not alter the hearing capabilities. What is important for successful otoplasty is that the ears will be put in proportion to the size and shape of the face and head.

A positive attitude toward the surgery is an important factor in all facial plastic surgery, but is especially critical when the patient is a child or adolescent.

Adult candidates for otoplasty should understand that the firmer cartilage of the ear is fully developed and does not provide molding capacity as in children. A consultation with a facial plastic surgeon can help parents decide what is best for their children, not only aesthetically, but also psychologically and physically. Time is always an important consideration.

If the procedure is done at a young age it is highly desirable for two reasons: the cartilage is extremely flexible, allowing easier configuration, and secondly, the child will experience psychological benefits from the cosmetic improvement.

Making a decision

Your choice of a facial plastic surgeon is of paramount importance. During the consultation, the surgeon will examine the structure of the ears and discuss possibilities for correcting the problems. Even if only one ear needs change, surgery will probably be recommended on both ears to achieve the most natural symmetrical appearance.

After the surgeon and patient decide that otoplasty is indicated, your surgeon will explain the procedure. After a complete medical history analysis, your surgeon will explain the kind of anesthesia required, surgical facility, and costs. Usually the surgeon will suggest a general anesthesia for young patients and a local anesthetic combined with a mild sedative for older children and adults. Under normal conditions, otoplasty requires approximately two hours.

Understanding the surgery

The surgery begins with an incision behind the ear, in the natural fold where the ear joins the head. The surgeon remove the necessary amounts of cartilage and skin required to achieve the desired effect. In some cases, the surgeon will cut the cartilage, shaping it into a more desirable form and then pin cartilage permanent sutures to secure the cartilage.
In other cases, the surgeon remove no cartilage at all, with stitches to maintain cartilage permanently in place. Cartilage after sculpting the desired shape, the surgeon applies sutures to anchor the ear until healing occurs to hold the ear in the desired position.

What to expect after surgery

The dressing treatment applied to the ears will remain in place for a few days. Most patients experience mild discomfort. If you’re used to sleeping on your side, your sleep patterns may be disrupted for a week, because you can not put any pressure on the area of the ears. Headbands are sometimes recommended to hold the ears in the desired position for two weeks after surgery.
The risks are minimal. There will be a thin white scar behind the ear after healing. Because the scar is in a natural crease behind the ear, the problem of visibility is inconsequential. Something strange must inform the surgeon immediately.
Facial plastic surgery makes it possible to correct many facial flaws that can often undermine confidence. To change your appearance, cosmetic surgery can help change how you feel about yourself.
Insurance generally does not  cover surgery that is purely for cosmetic reasons. Surgery to correct or improve birth defects or traumatic injuries may be reimbursable in whole or in part. It is the patient’s responsibility to check with the insurance company for information on the extent of coverage.

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