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 wasnt 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.

Keywords: chronic suppurative otitis media, subcortical conservative radical operation on middle ear, antrodrainage
p. 86 90 of the original issue
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Address for correspondence:
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
Information about the authors:
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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