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Medical Forum / Diseases and Disorders / Sinusitis / November 2003

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does irrigating "pull" mucous?

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Jerome Tan - 20 Nov 2003 21:27 GMT
hi there,

i'm wondering if irrigating does give some pressure to "pull" the
mucous that's near the ear, somehow i also wonder if with myringotomy,
air will go in and thus there will be no pressure to resist the
pulling of mucous by the irrigator.

can someone confirm?

thanks!
Brian C - 21 Nov 2003 06:19 GMT
The salt you add to the solution has a drawing effect which is what pulls
the mucus and edema (swelling).

Brian
> hi there,
>
[quoted text clipped - 6 lines]
>
> thanks!
ENTconsult - 21 Nov 2003 06:31 GMT
The principle  is called Bernoulli's principle. As the pulsatile stream goes
past a narrow opening i.e. the sinus opeing, it creates a vacuum and displaces
out the sinus mucus and replaces it with the solution.
Murray Grossan, M.D.
http://www.ent-consult.com
http://www.hydromedonline.com
Jerome Tan - 22 Nov 2003 18:16 GMT
> The principle  is called Bernoulli's principle. As the pulsatile stream goes
> past a narrow opening i.e. the sinus opeing, it creates a vacuum and displaces
> out the sinus mucus and replaces it with the solution.
> Murray Grossan, M.D.
> http://www.ent-consult.com
> http://www.hydromedonline.com

how about mucous near the ear? will it remove it? i have been
irrigating several times and the popping thing that's caused by
blowing while irrigating remain to exist, should i go for myringotomy?
ENTconsult - 22 Nov 2003 18:43 GMT
The opening of the eustachian tube to the ear is not in a location to allow
suctioning to take place. .Irrigation can cleans the area and clear the nasal
condition that may be the cuase of the ear problem, but it can't create a
vacuum to suck out fluid from the middle ear.
Murray Grossan, M.D.
http://www.ent-consult.com
http://www.hydromedonline.com
Jerome Tan - 23 Nov 2003 07:33 GMT
> The opening of the eustachian tube to the ear is not in a location to allow
> suctioning to take place. .Irrigation can cleans the area and clear the nasal
[quoted text clipped - 3 lines]
> http://www.ent-consult.com
> http://www.hydromedonline.com

would you recommend myringotomy as solution? i have slight negative
pressure in my left ear.
ENTconsult - 23 Nov 2003 20:51 GMT
Please don't expect a person who hasn't fully examined you and knows all about
you to give you an accurate recommendation.
Your own doctor is best qualified to give you advice.
We do myringotomy and tubes when all efforts to clear the ear
irrigation
enzymes
sprays
have failed.

We are more likely to do myringotomy and tubes for persons whose occupation
requires flying.

Howerver  the most frequent cause of failure of the middle ear to clear is
excess blowing and forcing the ear. That's like rubbing your eyes too hard -
they will stay swollen.
Murray Grossan, M.D.
http://www.ent-consult.com
http://www.hydromedonline.com
http://www.tinnnitusrelief.net
http://www.hydromedonline.com/presentingthehydropulse/
 
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