Assessment of functional surgery in case of chronic otitis media
Journal Title: Annales Academiae Medicae Silesiensis - Year 2014, Vol 68, Issue 3
Abstract
INTRODUCTION Among the many factors which influence the postoperative condition of an ear, the problems of retraction processes and impaired ventilation of the middle ear cavity seem to be extremely important. The aims of the study were to present a surgical technique for the prevention of retractions and tympanosclerosis as well as to evaluate the effectiveness of pharyngeal muscle kinesiotherapy. MATERIAL AND METHODS The study included 34 patients (21 women and 13 men) who were treated in the otolaryngology department of Grodno City Hospital during the period from 2010 to 2012. The mean age was 31.3 ± 3.3. Аll the patients were treated for chronic atticoantral otitis. The examination included an evaluation of speech, otomicroscopy, audiometry, tympanometry, impedance audiometry, as well as acumetry. Аll the patients underwent reconstructive surgery of the middle ear and comprehensive kinesiotherapy consisting of 10 exercises. RESULTS Positive clinical and morphological results depended on the scope of reconstruction. The number of patients with adequate social hearing after atticoantrotomy with closed tympanoplasty increased from 40% to 69% and after open tympanoplasty, it increased from 22.2% to 61.5%. Tympanogramme analysis revealed a larger increase in P, G, C indicators after carrying out comprehensive kinesiotherapy exercises repeatedly: P of 24, G of 0.014 and C of 0.05. CONCLUSION During reconstructive surgery of the middle ear, it is necessary to focus on the structure of the neotympanic cavity walls to create an adequate aeriferous system. In the postoperative period, measurements assessing middle ear ventilation behaviour are necessary. Comprehensive throat muscle kinesiotherapy is a simple and easily accessible method, which can be performed by the patient under supervision of an otolaryngologist.
Authors and Affiliations
Oleg Khorov, Katsiaryna Halavach
Keywords
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