[Use of allogenic cartilage in reconstruction of the middle ear in patients with chronic otitis media].
We have analysed results treatment of 253 patients with chronic otitis media. Our tactic includes operation with application one-momental sanation and reconstruction of a middle ear. Sanational stage was performed in volume atticoantrotomia or radical operation. Reconstruction included reconstruction of a tympanic cavity and retrotympanic space. The shape of a plate was made so that to make a base for neotympanic membrane and to forma a lateral attic wall. Defect of a drum-type membrane restored free flap of a fascia temporal muscle. The mastoid process cavity was filled allogenic cartilage transplants the first variant of reconstruction formed artificial antrum cartilage by fragments and plates. At the second variant was acted similarly, however the artificial cavity wall of the antrum we made soft and mobile from the skin of external acoustical passage and neotympanic fascia flap. In postoperative period the position of a posterior wall of external acoustical passage was formed depending on intratympanic pressure, which depended on a acoustical tube function. Such technique allowed us to reduce formation retraction complications from 15% up to 6.7%.
Chorow
Oleg
O
Klinika Otolaryngologii Uniwersytetu Medycznego w Grodnie-Białoruś.
Rybak
Roman
R
Aleszczyk
Jan
J
Seniuta
Tatyana
T
Logis
Oleg
O
D002356:Cartilage / Q000637:transplantation*; D002908:Chronic Disease; D004432:Ear, Middle / Q000601:surgery*; D006801:Humans; D010034:Otitis Media with Effusion / Q000601:surgery*; D013506:Otologic Surgical Procedures / Q000379:methods*; D019651:Plastic Surgery Procedures / Q000379:methods; D013524:Surgical Flaps; D013703:Temporal Muscle / Q000601:surgery / Q000637:transplantation*; D013997:Time Factors; D016896:Treatment Outcome