Paukenerguss: Symptoms and treatment routes

paukenerguss-symptoms-and-treatment-routes

A tympanic effusion denotes a fluid accumulation in the ear. Here you will learn how the phenomenon develops, what symptoms exist and what helps.

What is a Paukenerguss?

In a tympanic effusion there are accumulations of fluid that are behind the eardrum in the middle ear. This can be painful and affect the hearing performance. The cause is often a common cold , which causes a ventilation disorder in the middle ear. Often the boilermaker affects children – it should be treated promptly to avoid possible consequential damage. The phenomenon can also take a chronic course.

How is a tympanum produced?

There are several possible causes of a tympanic effusion, such as pressure fluctuations as in a starting aircraft. Most commonly, however, the phenomenon is caused by a respiratory tract infection or after a middle ear infection. This not only disturbs the ventilation of the ear, it also increases mucus production. Responsible for this is the Eustachian tube (Eustachian tube): It controls the ear ventilation and also ensures that the secretion, which is formed in the middle ear mucosa, can flow away. 

But this channel can be clogged with a cold because, for example, the mucosa is swollen in it. This creates a negative pressure, which in turn ensures that more mucus-producing cells arise. The increasingly produced secretion clogs the ear canal in addition. Incidentally, in children the Eustachian tube is not yet fully developed – which explains why it is much more likely to produce a tympanic duct than in adults.

Symptoms of puffing

The following complaints can occur due to the tympanic effusion:

  • earache
  • Reddened eardrum (pinkish and thickened in chronic course)
  • dizziness
  • a headache
  • pressure on the ears
  • Decreased hearing performance
  • Ear secretion is bluish discolored or bloody

Treatment; What helps against a drumming?

If the doctor has made the diagnosis, the symptoms can be alleviated with various measures. In most cases, the tympanic effusion recovers within a few days to several weeks on its own. The following possibilities of therapy exist:

  • Decongestant nose drops to improve ear ventilation
  • Antibiotics (in bacterial inflammation)
  • Inhalations and heat treatments
  • If there is a lot of fluid, the doctor can aspirate it

Chronic drumming? A timpanel tube is the solution!

In a chronic tympanic effusion, a so-called tympanic tube can be inserted into the eardrum, which improves the ventilation of the ear. A tympanic tube is used surgically and usually falls out after about a year of its own. It is important to protect the tiny device from water – so you should wear earplugs, for example, when swimming.