April
30
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ENT disease

Labyrinthitis

Labyrinthitis

labyrinthitis Labyrinth - inflammation of the ear labyrinth, with diffuse or limited involvement of the peripheral parts of the vestibular and auditory analyzers.Labyrinthitis etiology distinguish on hematogenous (measles, mumps), timpanogenny (tuberculosis of the middle ear, chronic / acute otitis media) and meningogenny (meningitis various origins).If the damage of the inner ear, fractures of the skull base possible traumatic labyrinthitis.In childhood scarlet fever and measles , may develop necrotic labyrinthitis

Causes

Inflammation of the labyrinth (the three semicircular canals that control balance) of the inner ear, can be bacterial or viral.Bacterial labyrinthitis in most cases is caused by meningitis or an infectious inflammation of the middle ear and is a much more serious condition

Symptoms

In the initial stages of the disease marked the so-called labyrinth attack - is the noise in the affected ear, dizziness, balance disorders, spontaneous nystagmus(symmetric spontan

eous rhythmic jerking of the eyeballs), hearing loss, nausea and vomiting.Balance disorders observed both when moving and at rest, and dizziness may be very different in intensity.When serous labyrinthitis, the formation of fluid and swelling in the soft parts of the labyrinth (in the case of a favorable course of the disease is gradual resorption of fluid).With the development of suppurative labyrinthitis may increase body temperature.Restricted labyrinthitis can be both festuloy (most often seen on the horizontal semicircular canal) of the labyrinth, and without it.With the development of diffuse - suppurative labyrinthitis there is a complete lack of vestibular excitability and a complete loss of hearing

Diagnosis Diagnosis is based on clinical and anamnesis, otoscopy, the research results of the vestibular and cochlear apparatus and X-ray examination of the temporal bone.Difficulties in diagnosis arise when labyrinthitis accompanied by serious complications such as meningitis or abscess of the cerebellum.Also, the disease must be distinguished from Meniere's disease

Treatment

In the case of confirmation of the presence of the disease, need urgent hospitalization with the strict observance of bed rest.With limited purulent or serous labyrinthitis, applied conservative treatment, which consists in carrying out the dehydration therapy and antibiotics.When labyrinth with fistula symptom with some cases antibiotic therapy is not effective, then shows obschepolostnaya trepanation.When purulent and necrotic labyrinthitis shown mandatory surgery.

Forecast for life in uncomplicated labyrinthitis is quite favorable.After suffering a necrotic or diffusely - suppurative labyrinthitis there is complete loss of vestibular and auditory function of the affected ear.

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