Archive of the journal «Russian otorhinolaryngology»

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Content № 1 (86) 2017

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Section:

Science articles

Revision surgical intervention in patients with chronic suppurative otitis media with cholesteatoma after sanitation operations with tympanoplasty

I. A. Anikin (1), T. A. Bokuchava (2), N. N. Khamgushkeeva (1), S. N. Il’in (1), I. F. Mustivyi (3)

(1) Federal State Budgetary Institution “Saint Petersburg Research Institute of Ear, Throat, Nose and Speech”, Ministry of Health of the Russian Federation, Saint Petersburg, Russia (2) Regional State-Financed Health Institution Murmansk Regional Clinical Hospital named after P. A. Bajandin,Murmansk, Russia (3) Children’s Municipal Hospital named after K. A. Rauhfus, Saint Petersburg, Russia

UDK: 616.284-003.21+616.284.258:616.285-089.844

DOI: https://doi.org/10.18692/1810-4800-2017-1-9-20

ABSTRACT

The authors analyzed surgical treatment of 438 patients with chronic suppurative otitis media with cholesteatoma; of them 401 patients have undergone various types of sanitation interventions with sound conducting apparatus reconstruction: 180 persons had the closed type interventions and 221 persons had modified radical surgery. The average follow-up period was 39 months. 226 patients (52 children at the age from 4 to 15 years and 174 adults above 15 years old) had surgical revision at different stages after the primary surgery. Residual cholesteatoma was detected in 26.0% of adults and 21.3% of children, recurrent one – in 7.8% and 7.5% respectively, and correlation of primary and residual cholesteatoma localization was found. The study showed a higher risk of recurrent cholesteatoma development in patients that underwent sanitizing operation with the closed type tympanoplasty. It is noted that the incidence of the disease recurrence increases with the lapse of time after the primary surgery. The authors developed an algorithm for postoperative management of patients with chronic suppurative otitis media with cholesteatoma.

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Publication date:

10.02.2017

Keywords:

residual cholesteatoma, recurrent cholesteatoma, revision surgery.

For citation:

Anikin I. A., Bokuchava T. A., Khamgushkeeva N. N., Il’in S. N., Mustivyi I. F. Revision surgical intervention in patients with chronic suppurative otitis media with cholesteatoma after sanitation operations with tympanoplasty . Rossiiskaya otorinolaringologiya. 2017;1:9–20. https://doi.org/10.18692/1810-4800-2017-1-9-20