Q7-कान का छेद कितना बड़ा होता है क़िऑपरेशन किया जाता है। क्या बहुत छोटे छेद का भी ऑपरेशन ज़रूरी है ?

Описание: One Viewer has asked about the size of eardrum perforation when it is operated. The size of eardrum is roughly 1 centimeter or 10 millimeter. So, very small perforation like someone has hit a paper with a paper pin are known as Pin-hole perforation. Pin hole perforations are normally not operated upon as these heal spontaneously or become live like seasonal drains during cold or ear infection.

In children, small hole is created purposefully (Myringotomy) because some children keep getting ear infection recurrently and if fluid inside middle ear of kids don't get dry with medicine, then to keep patent small hole, a Grommet is put so that fluid trapped inside middle ear come outside. Ear tube operation is done because surgical incision over eardrum heals perfectly than a ragged perforation made by pus itself for outlet over eardrum.

So, if a very small perforation of size 1-2 mm, which is not troubling you and if you have allergic tendencies and you are prone for middle ear infection then this small eardrum hole acts as a blessing in disguise because it let the ear dry early as whatever pus will form inside, will come outside quickly.

But the bad side of eardrum perforation is that it let outside infection to go inside middle ear quickly. So, such perforations are better to heal or operate especially if you have taken care or does not have nasal allergies or Eustachian tube blockade.

For very small perforations, we adopt different techniques like chemical cautery of margins on OPD basis or we do FAT Myringoplasty where we just plug the hole with a fat after freshening it's margins

Most of cases have moderate size perforation of 5-6 mm especially those are long standing. A very few have sub total perforation of size 8-9 mm. Rarely, it's total perforation where margins are absent especially severe childhood infections.

So, this is not a valid question to say What should be size of perforation when it should be operated. Ideally, there should not be any perforation in eardrum as it affects hearing also.

But in special situations like when a person's allergic tendencies or recurrent infection don't' let ear dry, then small perforation is helpful.

I hope you have got answer to your question.

इयर ड्रम वेध से बहरापन कम हो जाता है और बाहर से बार-बार कान में संक्रमण होने का खतरा होता है। उन लोगों में, जिन्हें नाक की एलर्जी के कारण बार-बार कान बहने की प्रवृत्ति होती है, उन मामलों में, बहुत छोटा वेध भेस में एक आशीर्वाद है क्योंकि इससे कान के संक्रमण का शीघ्र समाधान होता है। कभी-कभी, उद्देश्यपूर्ण ढंग से, कान की नली लगाकर बच्चों में छोटा वेध बनाया जाता है ताकि उनके गोंद कान (मध्य कान में द्रव) चिकित्सा उपचार के लिए जल्दी प्रतिक्रिया दें और मध्य कान के लगातार तरल पदार्थ के कारण उन्हें लंबे समय तक मध्य कान की क्षति न हो।

इस संकेत के अलावा, कान के परदे के छोटे से छोटे छिद्र को ठीक करना या बंद करना बेहतर है।

kaan me chhed se baharaapan ho jaata hai aur baar-baar kaan mein sankraman hone ka khatara hota hai. un logon mein, jinhen naak kee elarjee ke kaaran baar-baar kaan bahane kee pravrtti hotee hai, un maamalon mein, bahut chhota vedh bhes mein ek aasheervaad hai kyonki isase kaan ke sankraman ka sheeghr samaadhaan hota hai. kabhee-kabhee, uddeshyapoorn dhang se, kaan kee nalee lagaakar bachchon mein chhota vedh banaaya jaata hai taaki unake gond kaan (madhy kaan mein drav) chikitsa upachaar ke lie jaldee pratikriya den aur madhy kaan ke lagaataar taral padaarth ke kaaran unhen lambe samay tak madhy kaan kee kshati na ho.

is sanket ke alaava, kaan ke parade ke chhote se chhote chhidr ko theek karana ya band karana behatar hai.

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