Transtympanic injection of drugs

In our center, the tympanocentesis procedure for administering medicinal solutions is performed by experienced otolaryngologists quickly and safely for the patient. To make an appointment at the K+31 clinic, just contact the reception desk or fill out the form on the website.
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About the service

If it is impossible to deliver drugs through the Eustachian tube, transtympanic administration is used by injecting the eardrum. The method is widely used in the treatment of middle ear diseases and allows the drug to be quickly transplanted directly into the pathological focus.

Transtympanic injection of drugs (MD) has considerable advantages. Thanks to the direct introduction of medicinal solutions into the tympanic cavity, the expected therapeutic effect is quickly achieved:

  • Relief of inflammation
  • Cessation of exudate secretion
  • Restoration of hearing function

Pronounced effectiveness is also ensured by the absence of losses due to transplantation of the administered drug compared to oral and other types of administration. This allows the use of small doses of drugs during conservative therapy.

The method is characterized by low trauma using local anesthesia. The risk of complications is minimal.

About the service

Indications

Transtimapanal injection of drugs is an effective way to combat symptoms indicating middle ear pathology. These include:

  • Acute serous otitis
  • Suppurative otitis media
  • Meniere's disease
  • Sensorineural hearing loss in the acute stage

Indications for eliminating clinical symptoms are:

  • Loss of hearing acuity (unilateral, bilateral)
  • Ear congestion
  • Ear pain of varying intensity
  • Periods of severe dizziness
  • Noise in the ears when changing body position
  • Isolation of exudate from the auditory canal

Taking into account the clinical manifestations, the doctor selects the necessary medicine for transtympanic delivery: for purulent-inflammatory forms of otitis - antibiotics, in the case of sensorineural hearing loss - corticosteroids.

The manipulation is also performed to supply a contrast solution into the tympanic cavity for the purpose of subsequent radiographic diagnostics.

General information about the procedure

Preparation

There are no specific preparations for the procedure. The manipulation is performed on an outpatient basis by an otolaryngologist. In this case, the patient is positioned lying on his side, providing access to the sore ear.

How is the procedure?

The doctor treats the affected ear with an antiseptic solution, after which the soft tissues are numbed. In this case, solutions of phenol, lidocaine or anesthetic gel applications are used.

Once the anesthesia has taken effect, the doctor uses a syringe with a thin needle to pierce the eardrum or use a perforated hole resulting from the pathological process. The contents of the tympanic cavity are carefully aspirated.

Then a medicinal substance with a volume of 0.8-1 ml, heated to body temperature, is injected into the freed space. The needle is removed, the perforated area is treated with an antiseptic, and a swab soaked in an antibacterial solution is placed in the ear canal.

After completion of the procedure, the patient is recommended to remain in a lying position for another 15-20 minutes to avoid dizziness and spatial disorientation. Depending on the severity of the disease, one-time or course treatment is used.

Rehabilitation

After the therapy, it is recommended to stop using headphones for 2-3 weeks, avoid hypothermia, overheating, and swimming in public bodies of water. The patient is advised to take vitamin complexes and restorative drugs, and physiotherapeutic procedures.

How is an appointment with an otolaryngologist at K+31?

During the initial appointment, the doctor questions the patient in detail about complaints, clarifies the history of the disease, and lifestyle. Next, a thorough visual examination of the nose, pharynx, ear, and larynx is carried out. Special tests are prescribed to assess the acuity of hearing and smell.

Our doctors

Spiranskaya Olga Aleksandrovna
Experience 19 years
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Spiranskaya
Olga Aleksandrovna
Head of the otolaryngology department, leading otolaryngologist, ENT surgeon, pediatric ENT
Tetzoeva Zalina Muratovna
Experience 25 years
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Tetzoeva
Zalina Muratovna
Deputy chief physician for outpatient care, otolaryngologist, surgeon
Kochetkova (Minavnina) Yulia Vladimirovna
Experience 14 years
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Kochetkova (Minavnina)
Yulia Vladimirovna
Leading otolaryngologist, ENT surgeon, pediatric ENT
Osipova Irina Andreevna
Experience 26 years
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Osipova
Irina Andreevna
Head of the center for otolaryngology and ENT rheumatology, otolaryngologist, surgeon, leading specialist, expert in ENT pathology in autoimmune diseases
Lapshina Anastasia Andreevna
Experience 12 years
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Lapshina
Anastasia Andreevna
Otolaryngologist, audiologist
Samarin Nikolay Evgenyevich
Experience 19 years
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Samarin
Nikolay Evgenyevich
ENT doctor
Lopatin Andrew Stanislavovich
Experience 46 years
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Lopatin
Andrew Stanislavovich
Otorhinolaryngologist, surgeon
Portnyagina Maria Pavlovna
Experience 14 years
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Portnyagina
Maria Pavlovna
Audiologist-otorhinolaryngologist
Kaspranskaya Galina Rustemovna
Experience 28 years
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Kaspranskaya
Galina Rustemovna
Otorhinolaryngologist, otoneurologist, audiologist
Koblova Tatyana Alexandrovna
Experience 23 years
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Koblova
Tatyana Alexandrovna
ENT doctor
Punkov Maxim Anatolevich
Experience 21 year
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Punkov
Maxim Anatolevich
ENT doctor
Varenkova Olga Vladimirovna
Experience 26 years
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Varenkova
Olga Vladimirovna
Otorhinolaryngologist
Budeikina Liliya Sergeevna
Experience 12 years
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Budeikina
Liliya Sergeevna
Otorhinolaryngologist, phoniatrist
Kornienko Roman Anatolievich
Experience 28 years
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Kornienko
Roman Anatolievich
Otorhinolaryngologist
Budnitskaya Elena Vasilievna
Experience 13 years
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Budnitskaya
Elena Vasilievna
Otorhinolaryngologist
Varvyanskaya Anastasia Vladimirovna
Experience 22 years
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Varvyanskaya
Anastasia Vladimirovna
Otolaryngologist, surgeon, leading specialist, expert in olfactory dysfunction
Mamedov Vasif Eivaz ogly
Experience 9 years
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Mamedov
Vasif Eivaz ogly
Audiologist
Chekaldina Elena Vladimirovna
Experience 14 years
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Chekaldina
Elena Vladimirovna
Leading otolaryngologist, ENT surgeon, pediatric ENT
Samusenkova Ksenia Vladislavovna
Experience 6 years
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Samusenkova
Ksenia Vladislavovna
Otorhinolaryngologist
Polivoda Anna Mikhailovna
Experience 20 years
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Polivoda
Anna Mikhailovna
Otorhinolaryngologist, audiologist, otoneurologist
Balybina Natalia Alekseevna
Experience 5 years
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Balybina
Natalia Alekseevna
Otorhinolaryngologist
Malyavina Ulyana Stanislavovna
Experience 28 years
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Malyavina
Ulyana Stanislavovna
Leading otolaryngologist, ENT surgeon, pediatric ENT
Latysheva Elena Nikolaevna
Experience 16 years
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Latysheva
Elena Nikolaevna
Leading otolaryngologist, ENT surgeon, pediatric ENT
Krasnosheeva Ekaterina Alexandrovna
Experience 9 years
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Krasnosheeva
Ekaterina Alexandrovna
Otorhinolaryngologist
Gergiev Vladimir Felixovich
Experience 10 years
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Gergiev
Vladimir Felixovich
Otorhinolaryngologist
All specialists
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«Good place» according to Yandex
«Good place» according to Yandex

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Our doctors are laureates of the ProDoctors Award
Our doctors are laureates of the ProDoctors Award

The ProDoctors portal collected 500 thousand reviews, compiled a rating of doctors based on them and awarded the best. We are proud that our doctors are among those awarded.

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Otorhinolaryngologist primary appointment
from 5 460 ₽
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from 5 460 ₽
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from 18 810 ₽
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Почему К+31?
К + 31 — full-cycle multidisciplinary medical centers, including the possibility of providing medical services of European quality level.
К + 31 — are leading doctors and diagnostics using high-tech equipment from world manufacturers (Karl Storz, Olympus, Siemens, Toshiba, Bausch&Lomb, Technolas, Zeiss, Topcon).
К + 31 — is ethical. The staff of K+31 clinics maintain open relationships with patients and partners. An individual approach to each patient is the basis of our service standards.
К + 31 — is modernity. On call 24/7: call center operators will answer your questions at any time and book you an appointment with doctors. Contact us by phone, through the feedback form on the website and Max.

Reviews

Excellent doctor. Calm, attentive, professional.
06.02.2026
Z. Tatyana Gennadievna
THE BEST DOCTOR WITH A PROFESSIONAL AND ATTENTIVE APPROACH! Elena Vasilievna is very attentive! I thank her for everything!
06.02.2026
K. Tatyana Olegovna
A huge thank you to Tatyana Alexandrovna. She was friendly and positive. She explained the procedure clearly. At the end of the appointment, she reiterated how to take the medications and perform the procedures. It's so nice to feel cared for.
06.02.2026
B. Natalia Ivanovna
An excellent doctor, a master of his craft!
03.02.2026
S. Olga Yuryevna

About doctor:

Osipova Irina Andreevna

I had a planned tonsillectomy with E.V. Chekaldina. She's truly a God, not a doctor. As a patient with high anxiety, I received answers to all my questions. She also provided moral and psychological support before and after the procedure. The surgery itself was excellent, with a quick recovery. Visiting Elena Vladimirovna was like visiting a special someone.
30.01.2026
Gregory K.
Zalina Muratovna, I express my deep gratitude to you for your tremendous assistance, high-quality treatment, and professionalism in your work.
29.01.2026
Nadezhda B.
Excellent doctor, helped me with the treatment of a lingering runny nose. I am very grateful to her.
26.01.2026
L. Alexander Sergeevich
Huge thanks to Magomed Akhmedovich for his professionalism and attentive attitude.
25.01.2026
T. Elizaveta Igorevna
A very attentive and knowledgeable doctor
20.01.2026
F. Nikolai Nikolaevich

About doctor:

Punkov Maxim Anatolevich

A huge thank you to Zalina Muratovna for her high level of professionalism and caring attitude towards her patients. We need more doctors like her.
15.01.2026
B. Nadezhda Alekseevna

Our clinics

K+31 on Lobachevskogo

st. Lobachevskogo, 42/4

+7 499 999-31-31

Subway
1
11
Prospect Vernadsky Station
By a car
Lobachevsky, we pass the first barrier (security post of the City Clinical Hospital No. 31), turn right at the second barrier (security post K+31)
Parking pass
Opening hours
Mon-Fri: 08:00 – 21:00
Saturday: 09:00 – 19:00
Sunday: 09:00 – 18:00
K+31 Petrovskie Vorota

1st Kolobovsky pereulok, 4

74999993131

Subway
9
Tsvetnoy Bulvar
10
Trubnaya
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Moving along Petrovsky Boulevard, turn onto st. Petrovka, right after - on the 1st Kolobovsky per. Municipal parking
Opening hours
Mon-Fri: 08:00 – 21:00
Sat-Sun: 09:00 – 19:00
K+31 West

Orshanskaya, 16/2; Ak. Pavlova, 22

74999993131

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3
Molodezhnaya
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Moving along Orshanskaya street, we turn to the barrier with the guard post K+31. You do not need to order a pass, they will open it for you
Opening hours
Mon-Fri: 08:00 – 21:00
Sat-Sun: 09:00 – 18:00
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