Blowing auditory tube by Politzer. What is it like to do at home, video

Blowing auditory tube which has taken place Politzer method is physiotherapy, which helps clear ENT system of exudate and water, as well as for pressure equalization by means of injection air. A similar procedure is preferably carried out in the otolaryngologist's office.

It can be a single procedure or a course. In the course of these sessions is possible to restore the location of the tympanic membrane, lead to normal ENT-pressure system to clear the Eustachian tube, which can be closed, assembled therein liquid.

In conducting the specialist recommends the patient to speak clearly different words syllable by syllable, thereby reducing the palate muscles, and increases the effect. At the moment of the pronunciation of sounds, a specialist through the nasal passage supplies air under pressure which rushes to the mouth of the auditory tube.

Passing through the auditory tube, air flow rests in the eardrum, normalizing its position. Such methods help to stabilize the pressure, making it identical with the environment, because it is such an imbalance is the main reason, which has produced stuffy ears.

Blowing auditory tube by Politzer and can be carried out at home, but it is better to trust the professionals, only in this case you can protect yourself from complications. Only a specialist knows which method to use in blowing each case.

There are several methods:

1. Valsalva maneuver. This method is considered the easiest. To implement it, just enough to pinch both nostrils, and then without any effort to try to exhale air through the nasal passages. The exhalation should not last more than 2 minutes. The effect of this technique is to create a higher pressure in the middle ear, which helps to clean the cavity of pus, fluid. This technique was highly effective in the treatment of turbootita, which was caused by complications after suffering rhinitis. The price of the procedure from 400 rubles.
2. Lawley. This method works because of the proper motion of muscles located in the larynx. It should be tightly compressed lips, exhale, hold his nose and perform some swallowing movements. For one procedure will have to pay 300 rubles.
3. Toynbri. This method is very similar to the Lowry, blowing is carried out by swallowing muscles, which helps to normalize not only the eardrum, but also the valve inside the ear. During the procedure, you must hold down the nostrils, mouth type in a small amount of water, and then to swallow the water. Repeat the procedure on the need until a click is heard, which is the signal that the pressure is stabilized inside the ear. The price of the full course of treatment will cost 200 rubles.
4. Otoventa. This method is carried out using a special balloon Otoventa, it is freely available for sale in any drugstore. With it, the air is injecting into the nostril of a successful procedure describe a click in the ear and ear congestion elimination. The use of the device has a number of advantages over other methods: no unwanted manifestations, completely safe for children, blowing process does not cause discomfort. Price 1 procedure from 400 rubles.
5. Edmonds. This procedure involves blowing auditory tube by the air exhaling while holding fingers nasal passages and parallel movement of the mandible. Otolaryngologist for 1 procedure takes from 300 rubles.
6. Frenzel maneuver. This technique is considered to be the most convenient and secure, if we compare it, for example, the method of Valsalva maneuver. It is ideal for those who are on duty or just interested in diving into the water at a greater depth. The procedure involves filling the mouth air, closed epiglottis (entrance into the trachea), and after using the tongue and lower jaw pressure is increased in the nasopharynx. Torso muscles thus should be relaxed, and the pressure in the lungs unchanged. The cost of such treatments varies RUB 450.

Advantages and disadvantages

The only advantage of blowing by blowing Politzer is alternately each ear, with the possibility of fine adjustment, the air flow blowing force. The main disadvantage of methods is considered low in reducibility patency of the auditory tubes.

A positive result in the treatment of tubootitis noticeable only in 2-3 cases out of 5. Another significant drawback - the discomfort during the procedure, as a result can not use this technique for the treatment of small children.

testimony

Blowing auditory tube by Politzer - it is an effective method for the study of pipes and a technique which can eliminate a number of disorders.

Recommend to carry out the procedure in such cases:

• hearing deterioration after suffering an otitis;
• when exudate accumulation in the tympanic cavity;
• during complications arising from severe ailments, affecting the nasal passages;
• when changing the eardrum;
• with frequent dives under water, air travel, which cause abrupt pressure variations.

procedure also can recommend to patients complaining of frequent pain and congestion in ears. If a person is observed response of the perception of his own voice, he hears a noise in the ears and uncomfortable, in this case, better immediately seek qualified help.

Especially dangerous complications that occurred after suffering a bacterial infection or disease. Aeration is recommended for children who are frequently exposed to pathogens because of lowered immunity.

Purging can be prescribed for hearing impairments:

• sense that liquid is present in the ear;
• deterioration in the perception of sounds;
• stuffiness in the ears;
• the presence of clicking sounds in my head;
• incoordination;
• frequent pain in the ears.

Indications for purging may be a previously transferred otitis evstahiit.

Contraindications

Blowing auditory tube by Politzer only possible to carry out the survey. The doctor recommends the procedure only if exactly sure that the patient is not observed inflammation and infection in the throat and nose.

During air injection opening the Eustachian tube, and they increased pressure, and it means that greatly increased the chances of ingress of pathogens. This could trigger the development of complications.

What examinations necessary to pass

Before you carry out the procedure for flushing the ear Politzer method, the patient is recommended to be screened. Initially, you need to visit a physician or pediatrician. These experts should assess the patient's condition, to find out if he had any acute diseases caused by viral or bacterial infections.

You also need to find out whether the patient has an acute inflammation afflicting the nasopharynx and upper respiratory tract. Under these ailments it is impossible to carry out the procedure, Otherwise the infection and inflammation can quickly spread through the body and cause serious harm.

You should also be examined by a neurologist.

He will find out whether the patient has neurological disorders, in diseases such person during the procedure may harm themselves. Examination by a psychiatrist to help find out about the mental state, mental disorders can lead to serious complications.

Training

Since blowing auditory tube is based on the air discharge in ENT organs through the nose to the air masses were better to the need to prepare the correct procedure:

1. Clear nose of accumulated mucus in it.
2. Drip nose medication with vasodilating effect, to enlarge the lumen in the nasal passages and the Eustachian tubes.
3. Disinfect the nasal passages using saline, to decrease the risk of spreading of pathogenic microorganisms.
4. During the procedure, the children need to avoid injuries of the nasal mucosa, this child must be calm. To calm him down, it is recommended to take special drugs.

The procedure step by step

This procedure is performed in a hospital. To carry it out will require a rubber cylinder, the capacity of which must be within 500 ml. The balloon is connected with a tube, the end of which is fixed a special tip (it can be of different sizes, chosen individually for each patient).

The procedure is carried out for 5-7 minutes. 2 hours before the start of the procedure, it is better not to eat food. Blow pipes Politzer hearing is best done in the presence of a specialist.

If the audiologist showed how to do this or that method, it is possible to complete a full course of treatments at home, most importantly, following the sequence of actions:

1. Nasal passages thoroughly cleaned of accumulated mucus in them.
2. Carefully irrigate nasal mucosal agent with vasodilating action, to thereby protect the nose from occurrence of edema.
3. weak anesthetic solution can be used at home, if not it allergic response, or other contraindications.
4. Each patient selected individual nozzle for olive-blower according to the individual parameters and age. All tips differ in size.
5. The tip is introduced into the nasal passage and is pressed against the fingers to create the seal.
6. The patient says certain words, strictly by syllables. These are words of a basket, the cuckoo, the steamer.
7. During the pronunciation of vowels is necessary sharply to press the rubber bulb, making possible to allow air to pass under heavy pressure in the eustachian tubes. The degree of blockage of pipes affects the sound, and the patient can hear a certain hissing or clicking.
8. Trapped air makes a certain sound, that allows you to easily assess the condition of the auditory tube. If you hear the sound of a blowing character, the permeability of the pipes to be normal if the crackle is heard, then, most likely, there is inflammation. If you hear the sound of bubbles bursting, it can tell about the presence of exudate. Obstruction of pipes diagnosed when not hear any sounds.
9. If the procedure is carried out to remove the liquid or sulfuric plug from the ear, then under compression pear I need a little head tilted forward, the plug or the water out through the nasal passage or free mouth.

In mild cases it is enough to conduct a single procedureThat the patient was relieved. And in difficult cases, experts recommend to go 5-10 procedures are carried out every day.

At home it is better to use a technique Valsalva maneuver, and Toynbri Otoverta.

Blowing afraid recommended for medicinal purposes to remove exudate, it is not necessary, because the doctor before the procedure required to handle the nasopharynx of the patient anesthetic. The head of the patient must turn to the exudate flowed.

Children of such a procedure is not to his liking, but the experienced specialist is required to pick up not only the right size nozzle, but also a way to purge air that the baby is not only easily moved procedure, but it gave the maximum Effect. Just a few treatments, the exudate will be released and all the symptoms of the inflammatory process will go without causing any complications.

Recovering from

No special manipulation, medicine or folk remedies after the procedure does not require flushing the ear. After the procedure the patient feels well and the recovery period it is not required, he can go home.

If, however, after the blowing procedure in any of the existing methods were undesirable effects, you should immediately seek help from a specialist.

Among these symptoms:

• nose bleed;
• a lot of noise in the ears;
• dizziness;
• selection of the ears;
• convulsions.

Any discomfort in your ears or nasopharynx is to get the person to consult on this issue with an otolaryngologist.

How long will the result

After the first treatment, and it is better to entrust the professional, an audiologist can assess the patency of the ENT system.

Assess its condition can be the characteristic features:

• Air masses must take place without obstruction, as evidenced by a slight hiss audible during the procedure;
• if there is an obstacle, then heard the crackle;
• when fluid accumulation can hear the sound of bursting bubbles;
• if no sound is heard, it indicates a complete obstruction.

Only after assessing the patient's condition can talk about the number of procedures.

There may be 1 or rate to 10. In the most difficult cases, it may be recommended catheterization method. The effect of the procedure lasts for a long time. Perhaps the patient will never repeat in your life and do not need. And there are those patients who regularly undergo the procedure after diseases.

possible complications

Blowing auditory tube, as well as any physical treatments can cause a number of complications.

In carrying out methods of Politzer could experience such complications:

barotrauma	Due to the high pressure eardrum may receive contusion.
Eardrum running ear Emphysema, subcutaneous tissue or peripharyngeal	It develops in those cases, if the patient neglects contraindications.
Nosebleed The appearance of seizures and seizure	These symptoms may be exacerbated in patients who suffer from Parkinson's disease or epilepsy.

In addition to complications during the procedure, patients may experience undesirable effects as a tinnitus or vertigo. But the appearance of these symptoms does not require the cancellation of the procedure.

Blowing auditory tube by the method of Politzer - a classic technique, which is used for diagnostic medical purposes. The procedure is best carried out in the presence of an otolaryngologist, since complications can develop in its inept execution. But there are some simple techniques that can be applied at home to improve the hearing of his ears and remove fluid or exudate.

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