Washing the attic

The attic is the supratympanic cavity, the upper part tympanic space. In some diseases of the middle ear, it is necessary to cleanse the attic cavity of pus, accumulated exudate with dead membrane cells. Non-invasive attic lavage – available at the K+31 clinic, a relatively new technique that immediately relieves the patient's condition and contributes to the effective treatment of extensive inflammatory processes in the ear.
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Why is it necessary to clean the attic cavity?

Therapeutic manipulation consists of introducing medicinal solutions into the cavity in order to wash out purulent-necrotic masses under their pressure. Along with them, pathogenic microflora is also removed, which helps to quickly reduce the inflammatory process.

With otitis media of the middle ear, under the pressure of purulent contents in the tympanic space and due to the melting of tissues by pus, perforation of the tympanic membrane often occurs in a typical place - the upper part, which is adjacent to the attic. The attic cavity, in turn, becomes clogged with pathological masses.

When the process is neglected and there is no medical care, the inflammatory process threatens to spread to the bone structures. The proximity of the important neurovascular bundle in this area and the brain suggests a high risk to the health and life of the patient.

Why is it necessary to clean the attic cavity?

Why is the attic washed?

  • Removal of cholesteatoma contents (dead epithelial cells soaked in pus)
  • Collection of biomaterial from cavities for subsequent laboratory research
  • Stopping infectious-inflammatory progression
  • Detection of a tumor-like formation - cholesteatoma
  • Prevention of progression of inflammation to adjacent structures

Indications for cleansing the attic cavity

Frequently, washing the attic is an additional procedure in the whole complex of diagnostic and treatment measures.

Non-invasive manipulation is indicated for the following patient complaints:

  • Sharp hearing loss
  • Draining masses from the ear canal with pus and a very unpleasant odor
  • Pain in the area of the ear, temple, behind the earlobe
  • Feeling of fullness inside the ear
  • Dizziness, headaches
  • Noises in the ears (tinnitus)
  • Autophony (the patient hears the amplified sound of his own voice)
  • Hearing impairment

These symptoms indicate the presence of inflammation of the middle ear (otitis). Erased long-term symptoms indicate a chronic course of the disease, and sudden onset short-term symptoms indicate acute inflammation. Discharge from the ear is a sign of perforation (loss of integrity) of the tympanic membrane (drum), which is a condition for performing the procedure.

General information about the procedure

Contraindications

It is not possible to rinse the attic if there is no hole at the top of the eardrum that allows solutions to be poured into the supratympanic space.

The procedure is also not carried out when:

  • High body temperature, signs of fever
  • Unspecified diagnosis and suspicion of other diseases - for example, tumors
  • Complications that have begun

The decision on the advisability of washing the attic is made by an ENT doctor. Before the procedure, the doctor clarifies the indications and always checks whether there are any contraindications to the manipulation.

Preparation in the procedure

No preparation is required on the patient's part. It is not advisable to clean the ear canals of wax on your own, as there is a risk of pushing wax and impurities into the attic.

Before the procedure, a simple examination may be prescribed:

  • General clinical blood test
  • Otoscopy – examination of the ear canal with a special apparatus to clarify the location of the hole and the condition of the tissues. Sometimes microotoscopy is used - examination using a microscope
  • Tone threshold audiometry to determine hearing acuity
  • X-ray or computed tomography of the temporal bone to assess the condition of bones and soft tissues in this area

In the office, before the manipulation, a nurse or ENT doctor performs hygienic cleaning of the external auditory canal from wax, fluid, and pus.

How to wash the attic

The procedure is simple and can be performed at an initial consultation on an outpatient basis.

Non-invasive manipulation algorithm:

  1. The patient is in a sitting position. A tray is placed under the auricle into which the liquid from rinsing will drain.
  2. The doctor draws a special medicinal solution into the Zhanet syringe for rinsing. If it is first necessary to collect biomaterial from the attic cavity, prepare a microsuction
  3. The ENT specialist inserts a blunt-ended attic needle into the ear canal, carefully moving it towards the perforation. When the tip has reached the entrance to the attic, pressure on the syringe piston delivers the medicinal solution into the supratympanic cavity. To take biomaterial for analysis, a microsuction is first used, then the medicine is administered
  4. If, after washing, semi-solid masses remain in the attic, they are removed using microsuction, then the cavity is washed again with the solution
  5. The attic needle is removed from the ear. A tissue tourniquet soaked in a liquid antiseptic or antibiotic is placed inside the ear canal, and then a cotton ball lubricated with petroleum jelly

Multi-purpose medications are used to wash the attic. It can be:

  • Antiseptic liquids
  • Antibiotics
  • Corticosteroids
  • Antifungal agents

The choice of solution depends on the nature of the inflammation and the type of pathogen. Sometimes rinsing is done with saline or boiled water. The temperature of liquids should not exceed 37℃.

If in one session it is not possible to soften and remove the dense contents of the attic, the doctor prescribes alkaline drops for 2-3 days to soften the stone, and then repeats the washing procedure.

How long does it take and how often is the attic rinsed

The procedure on one ear canal lasts about 10-15 minutes. The patient is not required to be hospitalized. The patient is advised to spend the next hour in a state of rest and warmth, so as not to provoke complications.

If the procedure is performed for diagnostic purposes only, it is limited to a single session.

The treatment course is developed taking into account the disease and the degree of inflammation. Typically, an ENT doctor prescribes 4-10 sessions daily or at intervals of 1-2 days.

Result of the procedure

The patient will feel an improvement in his condition from the first session, as the pressure on the walls of the attic cavity and the damaged eardrum stops, inflammation is stopped, and the external auditory canal is cleaned. Under the influence of an antibiotic or antiseptic, infectious agents lose their ability to be active, so the infectious-inflammatory disease stops.

Washing the attic at the K+31 clinic, Moscow

Qualified ENT doctors at the K+31 clinic have extensive experience in performing the attic lavage procedure. We provide treatment for otitis media using the most effective treatment methods:

  • Systemic antibiotic therapy
  • Catheterization of the auditory tube
  • Blowing the eustachian (auditory) tube according to Politzer
  • Pneumomassage of the eardrum
  • Physiotherapy

The refined technique of performing the procedure of washing the attic allows it to be performed quickly, without traumatizing the tissues of the auditory sections, without pain and discomfort for the patient.

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 18 years
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Tetzoeva Zalina Muratovna
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Experience 25 years
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Samarin Nikolay Evgenyevich
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Lopatin Andrew Stanislavovich
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Portnyagina Maria Pavlovna
Experience 13 years
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Kaspranskaya Galina Rustemovna
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Koblova Tatyana Alexandrovna
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Punkov Maxim Anatolevich
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Varenkova Olga Vladimirovna
Experience 25 years
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Budeikina Liliya Sergeevna
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Budeikina
Liliya Sergeevna
Otorhinolaryngologist, phoniatrist
Kornienko Roman Anatolievich
Experience 27 years
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Roman Anatolievich
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Budnitskaya Elena Vasilievna
Experience 12 years
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Elena Vasilievna
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Varvyanskaya Anastasia Vladimirovna
Experience 21 year
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Mamedov Vasif Eivaz ogly
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Chekaldina Elena Vladimirovna
Experience 13 years
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Samusenkova Ksenia Vladislavovna
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Ksenia Vladislavovna
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Polivoda Anna Mikhailovna
Experience 19 years
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Balybina Natalia Alekseevna
Experience 4 years
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Reviews 46

Olga Vladimirovna is a wonderful, attentive, and professional doctor. I was very pleased with my visit and received all the help and information I needed.
29.11.2025
Yu. Alexey Igorevich
Good approach to children. Everything is great.
29.11.2025
Ch. Roman Vitalievich
I express my deepest gratitude to Natalia Alekseevna for her exceptional professionalism and humane approach. I especially appreciate her rare combination of competence and tact. Natalia Alekseevna knows how to create an atmosphere of trust, where you feel more than just a patient, but someone whose opinion and comfort truly matter. Thank you for your attention to detail, personalized approach, and ability to convey information in accessible language. I recommend Natalia Alekseevna as a doctor with an inner intelligence, a keen interest, and enthusiasm for her work. Doctors like her are worth everything. I was also pleasantly surprised by the atmosphere in the clinic itself: all the staff are polite and attentive, and there's convenient parking. And the bright, inspiring music playing on the first floor reminded me of Kamila Valieva's Olympic short program—the same purity, grace, and sense of wonder. Thank you!
28.11.2025
K. Natalia Vladimirovna
Very attentive and qualified doctor
25.11.2025
A. Nadezhda Valerievna
I really liked the doctor, and I also really liked Zhanna Andreevna. You can tell she's experienced and competent, and the office had a wonderful, open atmosphere. Special thanks to Olesya, the administrator on the first floor. She's very friendly and helpful. Overall, I really liked the clinic.
23.11.2025
P. Daniil Vyacheslavovich
The doctor always listens and hears attentively, which is even unusual. He is genuinely interested in how the patient is feeling and sees them as people.
04.11.2025
O. Tatyana Alexandrovna
The best doctor. Thank you so much.
31.10.2025
Ya. Tatyana Petrovna

About doctor:

Osipova Irina Andreevna

Wonderful doctor! A top-class professional!
28.10.2025
I. Stanislav Arkadevich
A sensitive doctor, it's immediately obvious she's a true professional. She outlined the risks, and we're seeing great progress in treatment.
18.10.2025
E. Stanislav Yurievich
A very knowledgeable and responsible doctor.
16.10.2025
P. Evgeny Arnoldovich
Very attentive and professional doctor.
14.10.2025
R. Evgeniy Anatolyevich
Irina Andreevna is a professional and a master of her craft. That says it all.
14.10.2025
K. Andrey Maksimovich

About doctor:

Osipova Irina Andreevna

A true professional! Highly recommended.
10.10.2025
G. Irik Azamatovich
Tatyana Alexandrovna is a very attentive doctor. She prescribed treatment that helped immediately. She's a pleasant person to talk to. Thank you!
09.10.2025
T. Elena Nikolaevna
Irina Andreevna is a wonderful person, a professional, and what's called a "God-given doctor." The prescribed treatment produced immediate positive results. And despite my disappointing diagnosis, after every conversation with Irina Andreevna, I feel a boost of optimism!
06.10.2025
Sh. Lyudmila Alexandrovna

About doctor:

Osipova Irina Andreevna

Very pleasant to talk to, a professional in her field)
02.10.2025
L. Alexander Gennadievich
I've been seeing Zalina Muratovna for many years. She's a highly qualified doctor with an incredibly attentive and caring attitude toward her patients. Zalina Muratovna performed a septum correction surgery on me several years ago. I'd been advised to have this procedure for years, but it wasn't until I saw Zalina Muratovna that I decided to have it. And I'm so glad I did. My breathing is now free of difficulty, and I no longer suffer from lingering runny noses. Thank you, Zalina Muratovna.
02.10.2025
B. Nadezhda Sergeevna
Everything went great, the doctor was very kind and explained the reason for prescribing each drug.
01.10.2025
Ya. Sergey Sergeevich
Excellent specialist, very pleased with the visit, thank you
01.10.2025
E. Elena Vitalievna
This isn't my first time visiting Anastasia Vladimirovna. I feel like I'm visiting a relative. She's the best doctor. Everything is always delicate, precise, meticulous, and she shows immense care and love for her profession.
25.09.2025
B. Evgeniya Evgenievna
A very competent specialist
24.09.2025
S. Elena Vladimirovna
A very good doctor!) Unfortunately, there are few like him...
18.09.2025
K. Olesya Vyacheslavovna

About doctor:

Punkov Maxim Anatolevich

A professional in his field. An excellent doctor.
16.09.2025
M. Natalia Vladimirovna
Wonderful doctor, simply wonderful! Tactful, kind, very responsive!
08.09.2025
E. Ekaterina Alexandrovna
Good afternoon! I would like to express my gratitude to Maria Pavlovna Portnyagina. A competent doctor, an impeccable appointment, an examination was conducted, an ultrasound was immediately agreed upon, a full examination and a set of measures to identify the problem were conducted. Thanks to Maria Pavlovna's appointment, we found out what was going on. I left with an understanding of my health condition and exhaled after the examinations, this rarely happens when you think - this is a doctor, it was not in vain that I came to her. I ask the management to note according to the procedures and policies of the Clinic. I left the appointment with a feeling that you were heard, the problem was considered, the most valuable thing is quickly, efficiently, and not indifferently. That very case when you think - it was not in vain that I went to the doctor. Everything is clear, precise, competent. Time is always very precious, you can spend a lot of time and leave with nothing. Whether you were or were not at the doctor, with the same questions, fears, uncertainty. The best ENT doctor in my life! Maria Pavlovna - thank you. Sincerely, Elena
07.09.2025
K. Elena Vladimirovna
I was extremely satisfied. The doctor was very attentive and competent. Thank you very much.
01.09.2025
L. Vladislava Vasilievna

About doctor:

Osipova Irina Andreevna

Excellent professional, attentive, neat.
28.08.2025
L. Alexander Sergeevich
After the injury, I started having serious hearing problems. I didn't go to the doctor right away and let the disease get worse. I made an appointment with audiologist-otorhinolaryngologist M.P. Portnyagina. The doctor is experienced, responsive, with a lot of work experience. She identified my problem from the first minutes of the appointment and was generally very pleasant to talk to. The doctor showed me all possible hearing aid options - the consultation was clear and understandable. Thank you for the opportunity to be observed by such competent specialists.
25.08.2025
Anonymously
I was very pleased with my visit to Doctor Varvyanskaya A.V. The doctor listened to me attentively, examined my larynx in the most thorough manner, asked me in detail about the symptoms, compared the data from various tests, sorted out my problem, gave detailed explanations of the diagnosis and recommendations for treatment. I left calm and confident that everything would be fine with me.
18.08.2025
Goryunov M. A.
I express my heartfelt gratitude to the ENT doctor Tetsoeva Z.M. for her professionalism, attentiveness and kindness. The doctor carefully examined my throat, explained everything and gave recommendations for treatment. At the appointment, I felt a sincere desire to find the cause of my illness and help with the solution of this health problem. I confidently recommend this specialist.
18.08.2025
Goryunov M. A.
I liked everything, the doctor examined me and explained everything within the framework of my request, and the doctor was also very pleasant to talk to!
12.08.2025
D. Dmitry Vladimirovich

About doctor:

Punkov Maxim Anatolevich

The best clinic I've ever been to! Doctor Osipova I.A. is the best ENT!!! I had an appointment with Fotina E.V. A real female doctor, a wonderful specialist and person❤️
11.08.2025
Vasilisa M.
I visited the ENT doctor Varvyanskaya A.V. twice. I liked everything, the appointments are very comfortable, I will be happy to recommend the clinic and the doctor to my friends.
08.08.2025
Anonymously
Appointment with Dr. Samarin. The only otolaryngologist in Moscow that I trust. Thank you for your professionalism and sensitivity.
08.08.2025
Anonymously
Amazing doctor, helped me to understand my ear and nose issues, explained everything and prescribed adequate treatment
06.08.2025
K. Andrey Yuryevich

About doctor:

Punkov Maxim Anatolevich

I would like to express my sincere gratitude to the ENT doctor Irina Andreevna Osipova. She is a true professional with extensive experience and deep knowledge in the field of ENT rheumatology. She listened carefully to all the complaints, and approached my case — Wegener's vasculitis — very competently. She gave clear, well-founded recommendations, explained everything in understandable language, and instilled confidence. It is obvious that the doctor works with soul and sincerely cares about her patients. Thank her for her sensitivity, attentiveness, and high professionalism!
06.08.2025
K. Sergey Alexandrovich

About doctor:

Osipova Irina Andreevna

The doctor is very attentive and professional. I really enjoyed the visit.
30.07.2025
V. Yulia Nikolaevna
Excellent doctor, very competent in resolving the issue. Listened to the complaint, provided due assistance.
29.07.2025
D. Nikolai Dmitrievich
Everything is great as always, I hope the treatment will be beneficial!
23.07.2025
K. Ekaterina Alexandrovna
Everything is great, they prescribed treatment, we will continue!
01.07.2025
N. Roman Gennadievich
Irina Andreevna, simply the best! The problem I have lived with for the last 15 years has been solved! In January 2025, an operation was performed, after which life became easier. I visited a lot of doctors, they all advised the same thing: washing, rinsing, etc. And only Irina Andreevna said that surgery was necessary. After the operation, I was a little nervous about how everything would heal. Thanks to the doctor, I didn't have any of this. Everything was explained in detail. I am incredibly grateful to her!!!!!
05.02.2025
Khazhar Ruslanovna K.

About doctor:

Osipova Irina Andreevna

Zalina Muratovna, super professional doctor. I am being observed and had surgery with her two weeks ago to remove tonsils. With her light hand, healing is going very well. I definitely recommend the doctor. In addition to her professionalism, she is also a very pleasant doctor to talk to! Thank you, Zalina Muratovna! Elena P.
29.07.2024
Pogibelnaya Elena Anatolyevna
Nikolai Nikolaevich performed surgery on my tear ducts. In this review I want to once again convey to him my deepest gratitude. He is a surgeon from God. I am glad for all future patients with the problem of dacryocystology (and on its basis, for example, dangerous purulent processes), if they end up being treated by Nikolai Nikolaevich.
12.07.2024
Tamara Veniaminovna
Many thanks to Zalina Muratovna!!! I had severe otitis media. Other doctors in other clinics whom I initially contacted could not help. Life has become a nightmare. Pain, deafness, panic attacks, deterioration in health. And when I finally found this wonderful doctor, I came back to life. In 2 days of intensive I came back to life, and then competent treatment returned everything to its place. Thank you for a full and bright life. Good luck and happiness to everyone
30.05.2024
Tatyana Grigorievna Sokolova
Zalina Muratovna is a doctor from God! Thanks to her, my entire family’s noses can breathe, their ears can hear, and their throats don’t hurt)))
23.05.2024
Stepanova Oksana Nikolaevna
I would like to express my gratitude to my attending physician - the wonderful otorhinolaryngologist Anastasia Vladimirovna Varvyanskaya for his professionalism, attentiveness and kindness! And also to all employees of the K+31 West clinic who took part in the operation and the pre/postoperative period, these are: head of the ENT department Zalina Muratovna Tetsoeva, anesthesiologist Kristina Inalovna Siukaeva, head of the anesthesiology and resuscitation department Zarina Igorevna Sypkova, all nurses, secondary and to the junior medical staff, Alexander, who drove me to the operating room and back, hospitalization managers, administrators and everyone, everyone, everyone! I had surgery on March 14, 2024 for a deviated nasal septum and hypertrophied nasal turbinates (septoplasty + osteoconchotomy). I have been suffering from difficulty breathing through my nose for a long time. I got an appointment with Dr. A.V. Varvyanskaya. I immediately realized that I was ready for surgery with this specialist. The surgery and recovery went flawlessly. Finally, after many years of torment, my nose could breathe freely. Thank you!
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