Novosti
Khirurgii
This journal is
indexed in Scopus



Year 2012 Vol. 20 No 1

OTORHINOLORYNGOLOGY

D.M. PLAVSKY, O.G. KHOROV

ENHANCEMENT OF SIMULTANEOUS TYMPANOPLASTY AFTER SANITATION EAR SURGERIES

EE Grodno State Medical University,
the Republic of Belarus

Objectives. To determine the optimal thickness of the cartilage graft to improve the efficiency of surgical treatment of chronic suppurative otitis media and to estimate the clinical and morphological results of the performed treatment.
Methods. Experimental research aimed to study amplitude-frequency characteristics of the cartilage graft used at the reconstructive stage during operations on the middle ear permitting to determine its optimal thickness was carried out. 57 patients with chronic suppurative otitis media were operated on, in whom different operative interventions with the application of the methods suggested by the authors were used.
Results. The optimum thickness of the cartilage transplant was determined and it made up 0.2-0.3 mm as well as appropriateness of making incisures on it according to the suggested technique was proved. High and stable clinical and morphological results during all periods of observation in the operated patients were obtained.
Conclusions. Application of the suggested operation technique is substantiated and effective.

Keywords: tympanoplasty, atticotomy, tragus perichondrium, fascia of the temporal muscle, cartilage plate
p. 93 99 of the original issue
References

1.Skarzhinski G, Baryliak R, Lorens A. Novaia era v otokhirurgii [A new era in otosurgery]. Zhurn Ushn Nos i Gorlov Boleznei. 2008;( 2):3543.
2.Stacke L. Die operative Freilegung der Mittelohrraume. Berlin Klin. Wochenschr; Germany; 1890. 96 p.
3.Zaufal E. Technik der Trepanation der Processus mastoideus nach Kusterschen Grundsatzen. Nurnberg, Germany; 1890.
4.Egorov LV, Kozlov MIa, Petrov AV. Khirurgicheskaia taktika pri destruktivnykh protsessakh srednego ukha u detei [Surgical tactics in destructive processes of the middle ear in children]. Vestn Otorinolaringol. 1999;(6):1416.
5.Pluzhnikov MS, Diskalenko VV, Kurmashova LM. Sovremennoe sostoianie problemy khirurgicheskoi reabilitatsii bol'nykh s khronicheskimi vospalitel'nymi zabolevaniiami srednego ukha [Current state of surgical rehabilitation of patients with chronic inflammatory diseases of the middle ear]. Vestn Otorinolaringol. 2006;(5):6366.
6. Skarzhinskii Kh. Funktsional'nye rezul'taty rekonstruktivnykh vmeshatel'stv posle modifitsirovannoi (konservativno shchadiashchei) radikal'noi operatsii ukha [Functional results of reconstructive interventions after modified (conservative-sparing) radical surgery on the ear]. Ros Otorinolaringol. 2004; 2(9):105107.
7.El'-Rafai Khusam, Sitnikov VP, Kunitskii VS. Effektivnost' khirurgicheskogo lecheniia bol'nykh khronicheskim gnoinym chasto retsidiviruiushchim tubotimpanal'nym otitom [The effectiveness of surgical treatment of chronic suppurative often recurrent tubotimpanal otitis media]. Zhurn ARS Medica. 2009;(2):12425.
8.Borisenko ON. Zakrytyi variant etapnoi timpanoplastiki s mastoidektomiei u bol'nykh khronicheskim gnoinym srednim otitom [The closed version of staged tympanoplasty with mastoidectomy in chronic suppurative otitis media]. Vestn Otorinolaringol. 2001;(2):2327.
9.Mikhasev GI, Firsov MA, Sitnikov VP. Modelirovanie svobodnykh kolebanii zvukoprovodiashchei sistemy rekonstruirovannogo srednego ukha [Model of free oscillations of the reconstructed sound-conducting system of the middle ear]. Rosi Zhurn Biomekhaniki. 2005;(1):5262.
10.Khorov OG, Plavskii DM. Sposob plastiki barabannoi pereponki [Method of drum plastic]: pat. 13296 Resp. Belarus', zaiavitel' UO GrGMU 20080341; Ofitsial'nyi Biul Nats Tsentr Intellektual'noi Sobstvennosti. 2010;(3):58.
11.Kunitskii VS, Krishtopova MA. Ustroistvo dlia posloinogo polucheniia srezov khriashchevykh tkanei [A device for obtaining layered slices of cartilage tissue]: pat. 1472 Resp. Belarus', zaiavitel' VGMU u 20060102; Ofitsial'nyi Biul Nats Tsentr Intellektual Sobstvennosti. 2006;(6):164.
12.Fisch U. Tympanoplastyka, mastoidoplastyka i chirurgia strzemiaczka. Wroslaw, Poland; 2004. 284 p.

Address for correspondence:
230009, Respublika Belarus', g. Grodno, ul. Gor'kogo, d. 80, UO Grodnenskii gosudarstvennyi meditsinskii universitet, kafedra otorinolaringologii, stomatologii,
e-mail: plavskij_1982@mail.ru,
Plavsky Dmitrii Mikhailovich
Information about the authors:
Plavsky D.M. Assistant of otolaryngology, dentistry chair of EE Grodno State Medical University.
Khorov O.G. Doctor of medical sciences, professor, head of otolaryngology, dentistry chair of EE Grodno State Medical University.
Contacts | ©Vitebsk State Medical University, 2007