[Long-term results of closed sanatory operation in patients with chronic pyo-carious epimesotympanitis in preparation to hearing-improving surgery].
Depending on the involvement of the middle ear cavities, 4 variants of sanitary operations were performed in 219 patients with chronic pyo-carious epimesotympanitis (CPCE). Morphological effect 6 months to 7 years after CPCE was assessed by 6 objective parameters of healing of the operated ear. Functional result was judged by tonal thresholds of the air-conducted sounds in combination with bone-air interval before and after the operation. Cleaning of the purulent focus was achieved in 83% of the patients. Plastic microsurgery as the second surgical stage is justified only in 51% of the patients with epithelial variant of tympanic healing. Surgical policy of the second stage is decided by correlation of the "morphological" and "functional" efficiency of closed surgery.
Krotov
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D000293:Adolescent; D000328:Adult; D002908:Chronic Disease; D003646:Debridement / Q000379:methods*; D004432:Ear, Middle / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006309:Hearing / Q000502:physiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D010035:Otitis Media, Suppurative / Q000503:physiopathology / Q000601:surgery*; D016896:Treatment Outcome; D014433:Tympanoplasty / Q000379:methods*