Boric acid in the ear is used in almost every family if someone close to them has ear problems. In order to carry out the treatment of sore ears at night, it is necessary to use turundochki - these are cotton swabs moistened with boric alcohol. This is a very convenient and safe way.
The use of turunda with boric acid is one of the most common methods in the treatment of ear diseases. In what cases this technique is used, what is the difference from simple instillation of a drug in the ear, what is turunda - this article will tell about all this.
What it is?
The word "turunda" is derived from the Latin turunda, which means dressing.
Turunda in medicine is a cotton or gauze swab of a small size, which is designed to be inserted into various hard-to-reach areas of the body.
Hard-to-reach places include:
- nasal passage;
- anal opening;
- auditory canal;
- purulent wound;
Outwardly, turundas are flagella twisted from gauze or cotton wool. Pharmacies sell ready-made and sterile products, but if necessary, you can make them yourself.
Advantages and disadvantages
Turundas in the ear, in comparison with simple instillation, have the following advantages:
- The medicine with which the flagellum is impregnated does not flow out of the ear.
- More even distribution of the active ingredient in the ear canal.
- Longer duration of the drug.
- Drug availability and low cost.
The disadvantages of this method include the risk of damage to the tympanic membrane if the flagellum is incorrectly inserted. In addition, you can injure the delicate skin of the external auditory canal. If only a piece of a cotton or gauze swab remains in the ear for a long time, this can lead to inflammation and serious complications.
What is the difference from compress and instillation?
Turundas with non-purulent otitis media are a more gentle and safe way to cope with the disease, compared to instilling the medicine in the ears.
When instilling, painful sensations may occur - itching, tingling or burning, which disappear on their own after a few minutes. When using turunda, such painful sensations practically do not happen.
Compress with boric acid, unlike turunda with the same medicine, is a warming and analgesic procedure. There is no direct contact of the drug with the delicate skin of the ear canal and the eardrum, and the therapeutic effect occurs due to local heating in the ear area.
And although the compress is a less radical method of treatment than the introduction of turunda or instillation, it can ease the course of the disease and relieve pain syndromes.
Which method and when to choose?
All three methods of using boric alcohol for otitis media - instillation, warming compresses and turundas in the ear - have different medical indications... Therefore, before using this or that method of treatment at home, you should definitely consult a doctor (about why an alcoholic solution of boric acid is needed and what are the indications for use, read here). Only a specialist can determine for sure whether the use of boric acid is generally suitable for your particular case.
Instillation in the ear is used for uncomplicated ear pathologies. Boric alcohol in a three percent concentration destroys the pathogenic bacterial microflora in the inflammation focus, strengthens local immunity. A prerequisite is the absence of perforation of the tympanic membrane.
A warming compress with boric alcohol is indicated for otitis externa, as well as for otitis media in the acute or chronic phases. The compress increases the local temperature and the production of neutrophils, which destroy disease-causing agents.
Some doctors do not approve of compresses as a treatment for ear pathologies and only allow a warming compress as a one-time procedure if there is pain and there are difficulties in obtaining urgent medical attention.
The absolute contraindication for the warming compress is:
- active inflammatory process;
- furunculosis of the skin of the face;
- as well as increased body temperature.
Failure to comply with this requirement can aggravate the pathological process and even provoke a rupture of the membrane.
Turundas soaked in boric alcohol are placed when there are doubts about the integrity of the eardrum.
At the same time, the warming effect remains for a longer period and the membrane suffers less. Indications for use are the same: uncomplicated inflammation of the middle ear, as well as the presence of boils in the ear canal.
When are they contraindicated?
Turundas with boric alcohol in the ears are unacceptable in the following cases:
- the child's age is less than 3 years;
- individual intolerance to the components;
- purulent otitis media;
- high body temperature;
- dysfunction of the kidneys.
Step-by-step manufacturing instructions
At home, you can make turundas from different materials - cotton wool, cotton pad, bandage or gauze. All manipulations are carried out from sterile materials and cleanly washed hands.
How to make flagella from cotton wool?
- Take a small piece of cotton wool, fluff it up and stretch it in different directions.
- Starting from the center, roll it into a thin roller. The length of the roller is 10-12 cm, the diameter is 2 mm.
- Fold the roller in half and twist both halves in a spiral.
As a result, you will have a sufficiently dense turunda so that it does not bend and, at the same time, soft enough so as not to injure the delicate tissue of the auditory canal.
There is another way to make a turunda:
- It is necessary to wind the fluffed cotton wool on a toothpick or a straightened paper clip so that a conical flagellum with a length of 3-4 cm is obtained.
- Then the toothpick can be removed and try to seal the resulting conical swab so that it does not bend.
How to make from a cotton pad?
- Take one cotton pad and divide it in two.
- Roll each part into a bundle of the desired size.
It is easier and faster to make a flagellum from a cotton pad, because the disc rolls easier and less fluff compared to ordinary cotton. The thickness of the turundochka for a child should not exceed 3-5 mm.
How to make a product from a bandage or gauze?
- Cut a piece 12-15 cm long and 1 cm wide.
- Carefully wrap the edges of the strip inward so that the threads do not stick out.
- Take the strip by the opposite edges and twist.
- Fold in half and twist the ends together.
Bandage and gauze flagella are dense and soft enoughtherefore more preferable for small children.
How to use it correctly and how much to keep?
Before using cotton or gauze flagella, it is necessary to clean the ear canal from earwax (sulfur plugs). For this, three percent hydrogen peroxide is used.
- Put 4-5 drops of peroxide in the ear and lie down for about 10 minutes.
- Tilt your head so that all the liquid drains out.
- Clean the remaining sulfur with cotton swabs.
- Apply 5-6 drops of boric alcohol warmed up (in a water bath) to body temperature on turunda.
- Using gentle twisting movements, insert the flagellum into the ear, while the tip of the turunda should remain outside.
- Leave the turundochka in the ear for 2-3 hours until it dries completely.
- At the end of the procedure, remove the tampon from the ear. If necessary, remove the remaining solution from the ear canal with dry cotton wool.
- The frequency of this procedure is two to three times a day and once for a full night. The break between daily procedures is at least 5 hours.
- The duration of treatment is no more than 7 days.
In the absence of positive results, be sure to consult a doctor.
The turunda in the ear should be far enough away, lightly touching the eardrum. It is forbidden to forcefully insert the flagellum too deeply and, in addition to this, also ram it. It is not recommended to put too much medicine on the tampon.
If a gauze or bandage turunda is used, then it is better to introduce it into the ear dry using sterile tweezers. The fact is that the gauze flagellum soaked in boric acid becomes too flexible, and its introduction into the ear canal becomes much more difficult. Therefore, warm boric alcohol is dripped from a pipette onto an already inserted swab.
In addition to pure boric alcohol, when using turunda, you can use its mixture with glycerin. This can be done in two ways.
- Mix equal parts warm glycerin and boric alcohol. Use the resulting solution to wet the tampons.
- Moisten turunda first with boric alcohol, and then with the same amount of glycerin. Further actions - according to the above instructions.
Side effects are extremely rare when boric acid is used correctly., for example, due to individual intolerance. But with the wrong (overdose), prolonged and uncontrolled use of boric alcohol, conditions such as are possible:
- nausea and vomiting;
- upset gastrointestinal tract, diarrhea;
- darkening of consciousness, dizziness;
- disorders of the liver or kidneys;
- state of shock.
At the slightest sign of such consequences, you should immediately stop using boric acid preparations and see a doctor.
What other steps are being taken to treat hearing?
A three percent alcoholic solution of boric acid is considered, although effective, but already outdated for the treatment of ear diseases.
In some cases, instead of boric alcohol, chloramphenicol or furacilin alcohol is used to wet the turundochek. The decision on additional actions in the treatment of otitis media is made by the doctor. The otorhinolaryngologist may prescribe:
- ear drops with penicillin antibiotics, amoxicillins;
- pain relieving drops with lidocaine;
- anti-inflammatory drugs - prednisolone, dexometasone, as well as non-steroidal anti-inflammatory drugs;
- iodine solution and silver nitrate 40% - as a means for scarring the tympanic membrane, if there was its perforation;
- physiotherapy procedures (UHF, electrophoresis).
Boric acid is an effective remedy for ear diseases. Read our articles on what boric acid and alcohol are and how they differ from salicylic acid.
Despite the simplicity and sufficient effectiveness of the use of turunda with boric alcohol, this method is used mainly as an auxiliary in the treatment of ENT diseases. It is important to know that treatment of ear diseases should be comprehensive and the use of one of the procedures cannot guarantee a complete cure. At the first symptoms of malaise, you should consult a doctor. And don't forget about the dangers of self-medication.