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The hearing loss and ringing in the ears can become constant over time. [4] The cause of Ménière's disease is unclear, but likely involves both genetic and environmental factors. [1] [3] A number of theories exist for why it occurs, including constrictions in blood vessels, viral infections, and autoimmune reactions. [3]
Other supporting data includes a consistent loss of cochlear hair cells in patients with otosclerosis; these cells being the chief sensory organs of sound reception. A suggested mechanism for this is the release of hydrolytic enzymes into the inner ear structures by the spongiotic lesions.
If wax in the ear canal obscures a clear view of the eardrum it should be removed using a blunt cerumen curette or a wire loop. An upset young child's crying can cause the eardrum to look inflamed due to distension of the small blood vessels on it, mimicking the redness associated with otitis media. [25]
A seroma contains serous fluid. [1] This is composed of blood plasma that has seeped out of ruptured small blood vessels and the inflammatory fluid produced by injured and dying cells. [citation needed] Seromas are different from hematomas, which contain red blood cells, and abscesses, which contain pus and result from an infection.
The vibrations are transferred by the 3 tiny ear bones of the middle ear to the fluid in the inner ear. The fluid moves hair cells (stereocilia), and their movement generates nerve impulses which are then taken to the brain by the cochlear nerve. [81] [82] The auditory nerve takes the impulses to the brainstem, which sends the impulses to the ...
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Hemotympanum refers to the presence of blood in the middle ear, which is the area behind the eardrum. In most cases, the blood is trapped behind the eardrum, so no discharge is visible. Treating hemotympanum depends on the underlying cause.