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.
Best specialists
Best
specialists
Expert equipment
Expert
equipment
Advanced diagnostic treatment
Advanced diagnostic
treatment

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

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.

Preparation

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.

How is the procedure?

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.

Rehabilitation

Our doctors

Sokolova Vera Nikolaevna
Experience 17 years
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Sokolova
Vera Nikolaevna
Otorhinolaryngologist, audiologist-otorhinolaryngologist
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
Selenina Tatyana Vitalievna
Experience 22 years
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Selenina
Tatyana Vitalievna
ENT doctor
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 21 year
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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
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
Akhmedov
Magomed Akhmedovich
Otorhinolaryngologist, pediatric ENT
Putkaradze Ekaterina Iosifovnz
Experience 3 years
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Putkaradze
Ekaterina Iosifovnz
Otorhinolaryngologist, phoniatrist
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
Astasheva Vera Markovna
Experience 10 years
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Astasheva
Vera Markovna
Otorhinolaryngologist
All specialists
2GIS Award
2GIS Award

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«Good place» according to Yandex
«Good place» according to Yandex

This award is given to clinics with the highest ratings according to user ratings. It means that the place is known, loved, and definitely worth visiting.

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.

Make an appointment at a convenient time on the nearest date

Price

Otorhinolaryngologist primary appointment
from 6 450 ₽
Otolaryngologist repeated appointment
from 5 700 ₽
Reception of an otorhinolaryngologist at home in Moscow within the Moscow Ring Road
from 18 810 ₽
Planned remote online consultation of an otorhinolaryngologist using telemedicine technologies

Appointment to the doctor

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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

Irina Andreevna is a very competent specialist, thank you for the reception
04.05.2026
Yuliya Ya.

About doctor:

Osipova Irina Andreevna

An excellent doctor. He is very attentive and competent. He listened to me completely, examined me and explained everything so clearly that there were no questions left and we went for surgery. He performed the operation flawlessly.
01.05.2026
Rasul U.
Thanks to Tatiana Alexandrovna for the appointments that quickly put me in order!
30.04.2026
Svetlana N.
Kochetkova Yulia Vladimirovna is a wonderful doctor!!! She is very polite, neat, and a good specialist. We are satisfied with the reception!
30.04.2026
A. Lom.
Ulyana and Natalia OVL, attentive and responsive attitude.
27.04.2026
V. Ter.
I would like to sincerely thank Anastasia Vladimirovna Varvyanskaya for her high professionalism and a rare combination of calmness, attention and human kindness. I've been dealing with a long-standing nasal breathing problem. At the consultation, the doctor understood the situation very carefully, explained everything in detail and in clear language, and suggested the optimal treatment plan and further actions — without unnecessary promises, but with confidence and clear logic. The operation and postoperative management were carried out as carefully as possible: at each stage there was a feeling that you were in safe hands. Separately, I would like to note the delicacy, care and warm attitude — this is especially important when you are worried and go to the intervention. Now the recovery is going well, nasal breathing has already become noticeably better. Many thanks for the result and for the attitude towards the patient. I recommend it with confidence!
26.04.2026
Aleksandr T.
I am very grateful for the detailed explanation during the appointment to the doctor Akhmedov M. A.
26.04.2026
A. Tol.
During the year I traveled all over our Russia, the diagnosis was very difficult for me, as it turned out, and finally I was very lucky, I came across wonderful doctors Osipova I.A. and Shevtsova T.P. and now I am in safe hands. Thanks to these doctors for not rejecting me, they immediately determined the diagnosis, and prescribed therapy. The doctors are very polite, they listened to me very carefully from beginning to end. If everyone had such doctors, there would be much fewer sick people. I wish you all good health and never get sick.
25.04.2026
Mariya
Thank you so much for your attentive attitude and help!in solving the problem!
25.04.2026
Artem O.

About doctor:

Astasheva Vera Markovna

Our clinics

Address K+31 on Lobachevskogo

st. Lobachevskogo, 42/4

Contacts

+7 499 999-31-31

Opening hours

Mon-Fri: 08:00 – 21:00
Weekend: 09:00 – 19:00

Opening hours on holidays

01.05—03.05: 09:00—19:00

09.05—11.05: 09:00—19:00

Address K+31 Lobachevskogo 2

st. Lobachevskogo, 42/7

Contacts

+7 499 999-31-31

Opening hours

Mon-Fri: 08:00 – 21:00
Weekend: 09:00 – 19:00

Address K+31 Petrovskie Vorota

1st Kolobovsky pereulok, 4

Contacts

+7 499 999-31-31

Opening hours

Mon-Fri: 08:00 – 21:00
Sat-Sun: 09:00 – 19:00

Opening hours on holidays

01.05—03.05: 09:00—18:00

09.05: нерабочий день

10.05—11.05: 09:00—18:00

Address K+31 West

Orshanskaya, 16/2; Ak. Pavlova, 22

Contacts

+7 499 999-31-31

Opening hours

Mon-Fri: 08:00 – 21:00
Sat-Sun: 09:00 – 18:00

Opening hours on holidays

01.05—03.05: 09:00—18:00

09.05—11.05: 09:00—18:00

K+31 Lobachevskogo 2
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