Pulsatile reflex: what is it and how is it related to purulent otitis media?
The pulsating reflex is one of the signs of purulent otitis media, which can be observed during otoscopy. This reflex appears as a deformed cone of light from the eardrum that appears and disappears in synchrony with the pulse of the eardrum's vibrations.
The reason for the pulsating reflex is due to the fact that suppurative otitis media leads to impaired circulation of fluid in the ear. As a result, synchronous vibrations of the membrane occur, which in turn lead to deformation of the light cone observed during otoscopy.
In addition, the pulsating reflex may be accompanied by a jerky discharge of pus through the perforation. This is explained by the fact that with purulent otitis media, inflammation of the middle ear occurs, which leads to the formation of pus in the ear. Due to impaired fluid circulation, pus cannot come out of the ear on its own, and therefore it is released through the perforation.
To diagnose suppurative otitis media, the doctor can use not only the pulsating reflex, but also other research methods, such as audiometry and tomography of the ear. Treatment for suppurative otitis media may include antibiotic therapy, ear irrigation, and surgery when it is necessary to remove pus from the ear.
Thus, the pulsatile reflex is an important sign of suppurative otitis media, which can help the doctor make a diagnosis and determine the need for treatment. If you suspect suppurative otitis media, it is recommended to consult a doctor to conduct the necessary tests and prescribe treatment.
Pulsating reflex Pulsating reflex is a deformation of the flickering light cone of the drumstick, produced during examination (otoscopy) as an emerging shine that disappears. Pulsations of the tympanic membrane indicate some forms of acute, purulent otitis. Synchronous pulsating movements of the tympanic capsule are caused by