Dræn i trommehinden
Dræn i trommehinden
On this page you will find information about placing drains in the eardrum.
Eardrum drainage is a treatment that involves placing a small tube in the eardrum to relieve your child's symptoms of fluid in the middle ear. Drains are placed if your child is bothered by pain, has restless sleep, has delayed language development due to hearing loss, or has recurrent acute middle ear infections with fever and pain.
Væske i mellemøret
The middle ear is a cavity on the inside of the eardrum and lies between the outer ear and the inner ear. The middle ear contains the three smallest bones in the body that conduct sound from the eardrum to the inner ear. There must be air in the middle ear. If there is no air in the middle ear, but fluid or inflammation, this means that the eardrum does not move freely and hearing is impaired. This also causes pain when the child lies down. These problems can be eliminated by placing drains in the eardrum.
Most children experience fluid in the middle ear when they have a cold. In most cases, this is temporary, but in some children the fluid in the middle ear does not go away on its own and these children may benefit from having a drain placed in the eardrum.
Idet tilstanden ofte går over af sig selv, vil I typisk blive tilbudt en observationsperiode inden I tilbydes at få lagt dræn. Hos nogle børn skyldes væsken i mellemøret, at øretrompeten (de eustachiske rør) er lukket på grund af børnepolypper. I disse tilfælde kan barnet have fordel af at få fjernet børnepolypperne. Dette kræver dog, at barnet er ældre end to år og vejer over 12,5 kg.
Symptomer på væske i mellemøret
- Gråd når barnet ligger ned.
- Problems falling asleep and rapid awakening once the child has fallen asleep.
- Hyppige opvågninger om natten.
- Forsinket sproglig udvikling.
- Tager sig til øret.
- Tumbling and falling, poor balance
Om operationen
The actual placement of the drain takes place while the child is under full anesthesia and only lasts a short time. When the child has been discharged from the recovery room, you can go home again and the child can come to the institution the day after the drain is placed.
Ofte stillede spørgsmål
Trommehindedræn er små rør, der indsættes i trommehinden for at hjælpe med at dræne væske ud af mellemøret og forbedre ventilationen.
Drænene bruges ofte til børn, men også voksne kan have brug for dem, især hvis de har tilbagevendende mellemørebetændelser (otitis media) eller væskeansamlinger i mellemøret, der påvirker hørelsen eller skaber ubehag.
Purpose of eardrum drainage
Trommehindedræn hjælper med:
- At forhindre væskeansamling: Vedvarende væske i mellemøret kan føre til nedsat hørelse og infektioner.
- At reducere risikoen for mellemørebetændelse: Mellemørebetændelser kan være smertefulde, og dræn kan mindske hyppigheden af dem.
- Improving hearing: Fluid in the ear can make sounds muffled, and drainage can help restore normal hearing.
How should we behave after the operation?
EFTER DRÆNANLÆGGELSE
After drains have been placed, they must be checked every 6-12 months during a short consultation to determine whether the drains are still functioning as they should.
Svømmehal:
Børn med dræn må gerne gå i svømmehal og behøver ikke bruge ørepropper. Dog fraråder vi, at barnet dykker under en meter. Vi anbefaler at i venter med at komme i svømmehal til en uge efter operationen.
Efter anlæggelse af dræn i trommehinden etableres der en passage som gør, at væsken kan komme ud og luft kan komme ind i mellemøret. Dette er drænets ønskede effekt.
However, it often happens that when a child gets a cold, snot forms in the middle ear, which runs out through the drain. This is usually not bothersome for the child, but can prevent the child from going to the institution and can be a nuisance for everyone else as the secretion can be smelly and stick to the hair and clothes.
Vi anbefaler derfor at man straks øret begynder at flyde, begynder at dryppe øret med øredråber med antibiotika som du er blevet udskrevet på operationsdagen.
If the ear canal is completely filled with secretions, it must be rinsed clean before the ear is drained - but you will be informed about all of this both verbally and in writing in connection with the operation, so that you are never in doubt about how your child with new drains will be treated in the best possible way.
Video som viser anlæggelse af dræn i trommehinden: