Novosti
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This journal is indexed in Scopus |
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Year 2013 Vol. 21 No 5
OTORHINOLORYNGOLOGY
V.P. SITNIKOV1, EL-REFAI HOSSAM1, E.S. YADCHENCKO2, A.P. LI3
OPTION OF SUBCORTICAL CONSERVATIVE RADICAL OPERATION OF THE EAR
EE "Gomel State Medical University"1,
The Republic of Belarus,
NEE "Kazakhstan-Russian MedicaL University"2,
The Republic of Kazakhstan
Objectives. To improve the efficiency of radical operation of the ear by forming a small trepanation cavity and development of acceleration method of epidermization.
Methods. For period of 2011-2013 yrs. the surgical treatment have been carried out in 26 patients with attico-antral types of chronic suppurative otitis media. Depending on the applied surgical techniques the patients were divided into two groups. The main group of patients (14) were subjected to the subcortical conservative sparing radical operation on the middle ear with the antral drainage according to the worked out methodology. Patients of the control group (12) underwent the classic transcortical conservative sparing radical operation.
Results. In 12 (85,7%) patients of the main group a complete epidermization of small trepanation cavities was registered on the 18th days after surgery, in the control one – in 5 (41,6%) cases. In a year 22 patients have been reexamined: 12 patients of the main group, 10 – of the control one. Recurrence wasn’t observed in 11 (91,6%) patients of the main group. In the control group otorrhea and incomplete cavity epidermization were found in 5 (50%) patients. Aural function in the main group remained on the initial level or improved on 10-15 dB in 8 (57,1%) patients. In the control group the initial aural level was registered only in 2 (20%) patients, whereas in 8 (80%) cases it has worsened.
Conclusions. Option of subcortical conservative sparing radical operation of the ear with subcortical approach and the formation of a small trepanation cavity allows achieving a stable morphological and functional effect in the long-term period in 92,8% of patients.
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- Mishen'kin N V. Osteoplasticheskaia rekonstruktsiia pri timpanoplastike [Osteoplastic reconstruction in tympanoplasty]. Vestn Otorinolaringol. 1975;(4):33–37.
- Tarasov DN, Fedorova OK. Zabolevaniia srednego ukha [Middle ear disease]. Moscow, RF: Meditsina, 1988. 288 p.
- Holt JJ. Transcanal antrotomy. Laryngoscope. 2008 Nov;118(11):2036–39.
- Sitnikov VP, Kaushik A. Rekonstruktsiia tsepi slukhovykh kostochek posle radikal'noi operatsii na srednem ukhe [Reconstruction of the chain of auditory ossicles after radical surgery on the middle ear]. Vestn Otorinolaringol. 2001;(4):16–19.
- Aslan Felek S, Islam A, Celik H, Demirci M, Samim E, Kose SK.The functional and anatomical results of the canal wall down tympanoplasty in extensive cholesteatoma. 2009 Dec;129(12):1388-94.
- Tarasov DI, Fastovskii IaA, Ul'ianov IuP, Itkin GA. Vozrastnaia zavisimost' variantov khirurgicheskogo ugla podkhoda k antrumu [Age-dependent options of surgical angle of approach to the antrum]. 1990, VORL: 62–65.
- Sasaki T, Xu A, Ishimoto S, Ito K, Yamasoba T, Kaga K. Results of hearing tests after total middle ear reconstruction. Acta Otolaryngol. 2007 May;127(5):474–79.
- Pluzhnikov MS, Diskalenko VV, Kurmashova LM. Sovremennoe sostoianie problemy khirurgicheskoi reabilitatsii bol'nykh s khronicheskimi vospalitel'nymi zabolevaniiami srednego ukha [Current status of surgical rehabilitation of patients with chronic inflammatory diseases of the middle ear]. Vestn Otorinolaringol. 2006;(5):63–66.
- Kobrak GG. Srednee ukho [Middle ear]: Per. s angl. Moscow, RF: Medgiz, 1963. 456 p.
- Kunel'skaia V.Ia. Novye podkhody k terapii gribkovogo otita [New approaches to the treatment of fungal otitis]. Vestn Otorinolaringol. 2004;(2):46-48.
- Lee YS, Kim YJ, Choi SH, Shin KH, Jang WS, Lee IH, Chung JW. Di-K19Hc, an antimicrobial peptide as new ototopical agent for treatment of otitis media. Acta Otolaryngol. 2010 Aug;130(8):897–903.
- Ricciardiello F, Cavaliere M, Mesolella M, Iengo M.Notes on the microbiology of cholesteatoma: clinical findings and treatment. Acta Otorhinolaryngol Ital. 2009 Aug;29(4):197–202.
- Potapov II. O metodakh konservativnogo lecheniia khronicheskikh gnoinykh srednikh otitov v sviazi s ikh klassifikatsiei [On the methods of conservative treatment of chronic suppurative otitis due to their classification]. Vestn Otorhinolaryngol. 1959;(4):35–37.
- Zberovskaia NV. K metodike opredeleniia prokhodimosti evstakhievoi truby. Materialy 1 Vseros. s"ezda otorinolaringologov [By the method of determining patency of the eustachian tube]: tez dokl, Volgograd, 1962. Moscow, SSSR: Medgiz, 1963:372–74.
- Undrits VF, Khilov KL, Lozanov NN, Suprunov VK. Bolezni ukha, gorla i nosa [Diseases of the ear, nose and throat]. Leningrad, SSSR: Meditsina, 1969. 572 p.
246050, Respublika Belarus', g. Gomel', ul. Lange, d. 5, UO Gomel'skii gosudarstvennyi meditsinskii universitet, kafedra otorinolaringologii s kursom oftal'mologii,
e-mail: drhossam64@mail.ru,
El'-Refai Khusam
Sitnikov V.P. MD, professor, a scientific consultant of EE "Gomel State Medical University".
El-Refai Hossam. PhD, an associate professor of otorhinolaryngology with the course of ophthalmology of EE "Gomel State Medical University".
Yadchencko E.S. An assistant of the chair of otorhinolaryngology with the course of ophthalmology of EE "Gomel State Medical University".
Li A.P. A postgraduate of the chair of otorhinolaryngology of NEE "Kazakhstan-Russian Medical University".
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