ear caries

#1
Kratoma..the most dangerous type of caries
Keratoma is a chronic and dangerous infection that affects the middle ear and consists of skin cells that grow in a place other than their normal place and begin to appear as a small cyst from the eardrum in the ear located in the middle ear for several reasons. Then it spreads to the rest of the ear, especially to the temporal bones

Kratoma is characterized by:
Slow growth, it grows over long years and may give complications after long years of illness 5-20 years The nature of kratom is characterized by its ability to dissolve surrounding tissues and bones by secreting certain enzymes that are an inflammatory mass full of germs

Antibiotics do not reach them and do not respond to them. It is considered a non-contagious disease. It usually starts from a young age. In some cases, it affects both ears. The prevalence of infection in young people is greater than in adults due to osteoporosis of the temporal bones in young people, but in adults, sclerosis of the temporal bones reduces the spread of inflammation.

the reasons :
The main cause is a defect in the Eustachian tube that connects the middle ear and the nose and balances the atmospheric pressure between outside and inside the ear, and when the channel is closed, this causes negative pressure in the middle ear.

Thus, part of the eardrum will withdraw in the form of a cyst, and while the obstruction of the canal remains, this cyst formed vesicles and grows, forming a mass called kratoma Symptoms of kraturoma

Symptoms of kraturma
Light spinning and dizziness Chronic pus characterized as purulent and tends to yellow and has an unpleasant odor due to the concomitant inflammation and the quality of bacteria

And this infection does not respond to antibiotics, no matter how strong. A decrease in the ability to hear due to the size of the kratom and the occurrence of necrosis of the hearing ossicles and the inner ear

Complications
The swelling and abscess behind the ear is a chronic hole in the ear. The transmission of inflammation to the face and neck, and the accumulation of pus within the membranes of the neck and face.

Cerebral meningitis, inflammatory pus and pus collecting on the cerebral membrane, dizziness and vertigo due to injury to the semicircular canals responsible for balance in the inner ear. Vestibular paralysis of the seventh facial nerve

treatment
The only treatment for these cases is surgical intervention only under general anesthesia, through which the temporal bones are cleaned, and there is no role for conservative treatment

This operation usually gives a high success rate, but it needs high surgical skill and experience and is not for amateurs. It is preferable to perform it early.

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