Tactics of surgical treatment of patients with chronic suppurative otitis media complicated by destruction of the middle ear
Abstract
Objective of the study. To optimize surgical treatment of patients with chronic suppurative otitis media.
Material and methods of the study. In the conditions of the audiology department of the ENT clinic of the State Medical Center of Radiology and Radiology “Shifobakhsh” for the period 20172020. We examined and operated on 126 patients aged 19 to 45 years (including 56 women and 70 men) suffering from unilateral chronic suppurative otitis media with varying degrees of hearing loss.
Results of the study and their discussion. All patients with chronic suppurative otitis media had various complaints, which were divided into local (ear pain, otorrhea, hearing loss, putrid odor from the ear, tinnitus) and general intoxication (headache, weakness, chills).
Conclusions. The choice of surgical treatment for chronic suppurative otitis media depends on the degree of damage to the structures of the middle ear. Endoural atticoanthrotomy is effective in the sclerotic type of the mastoid process with a limited purulent process. With severe destructive changes in the cavities of the middle ear, radical surgery is effective, which improves access to the source of infection and provides an opportunity for good sanitation. Closure of the Eustachian tube during radical operations prevents the spread of infection from the nasopharynx to the middle ear.
About the Authors
A. A. Makhamadiev
GOU «Tajik State Medical University named after Abuali ibni Sino»
Tajikistan
Tajikistan
Department of Otorhinolaryngology
M. D. Davronzoda
GOU «Tajik State Medical University named after Abuali ibni Sino»
Tajikistan
Tajikistan
Davronzoda Manuchehr Davronsho – candidate of medical sciences, assistant of the otolaryngology department.
Phone: (+992) 93-400-47-57
A. Sh. Yusupov
GOU «Tajik State Medical University named after Abuali ibni Sino»
Tajikistan
Tajikistan
Department of Otorhinolaryngology
References
1. Anikin I.A. Surgical tactics for repeated operations on the middle ear / I.A. Anikin, S.V. Astaschenko, B.A. Zavarzin // Russian otorhinolaryngology. – 2008. – No. 4. – P. 3-8.
2. Disease of the operated ear: clinical characteristics and pathomorphological substantiation / Yu. K. Yanov et al. // Ros. otorhinol. — 2005. No. 4. P. 149 155.
3. Anikin I.A. Surgical tactics for repeated operations on the middle ear / I.A. Anikin, S.V. Astaschenko, B.A. Zavarzin // Russian otorhinolaryngology. – 2008. – No. 4. – P. 3-8.
4. Anikin I.A. Methods of surgical sanitation of hard-to-reach parts of the middle ear in patients with chronic purulent otitis media with cholesteatoma / Anikin I.A., Bokucheva T.A. // Bulletin of otorhinolaryngology. – 2016. No. 6. – pp. 67-72.
5. Astashchenko S.V. Reasons for unsatisfactory results of surgical treatment of patients with chronic suppurative otitis media who underwent sanitary interventions on the middle ear. Retrospective analysis / S.V. Astaschenko, I.A. Anikin, R.V. Karapetyan // Russian Otorhinolaryngology. – 2011. – No. 6 (55). – P.3-11.
6. Control of chronic otitis media and sensorineural hearing loss in C3H/HeJ mice: Glucocorticoids vs. mineralocorticoids/C.J. MacArthur [et al.] // Otolaryngol head neck surg. 2008. – No. 139. – P. 646–653.
Review
For citations:
Makhamadiev A.A., Davronzoda M.D., Yusupov A.Sh. Tactics of surgical treatment of patients with chronic suppurative otitis media complicated by destruction of the middle ear. Herald of the medical and social institute of Tajikistan. 2024;(4):34-40. (In Russ.)
Views:
37
Email this article 