Section: 
Science articles
Science articlesThe prevention of adhesive process in the tympanic cavity during the middle ear surgery
P. A. Korovin (1), F. A. Syroezhkin (1), V. V. Dvoryanchikov (1), A. E. Golovanov (1), V. R. Gofman (1), V. S. Isachenko (1), D. D. Styazhkin (1)
(1) Kirov Military Medical Academy Ministry of Defense of Russia, Saint Petersburg, 194044, Russia
UDK: 616.285-089.844:616.284-002.253-089.819.1
DOI: https://doi.org/10.18692/1810-4800-2019-2-42-48
ABSTRACT
The authors studied the efficacy of the use of a set of preventive activities including the prolonged drainage of neotympanic cavity in the early post-operative period and the injection of drugs into the antrum cavity or postoperative cavity during the middle ear operations. 91 patients with chronic tubotympanic suppurative otitis media were observed. All the patients underwent surgery in the volume of tympanoplasty with the intraoperative installation of microcatheter into the neotympanic cavity through antrum or through the auditory tube. The condition of air cells of the middle air was assessed based on the computer-aided tomography results in various post-operative periods: in 3, 6 and 9 months. Besides, the morphological and functional results were assessed in the remote period – 12 months after the operation. It has been found that in 1, 3 and 6 months, 100% of patients did not have any adhesive changes. However, in 9 months, the adhesion process was detected in 5 (9.6%) patients, 1 (1.1%) person had a tympanic membrane perforation of due to barotrauma. The installation of a microcatheter in the antrum cavity or the drainage of the neotympanic cavity through the auditory tube with the injection of drugs is an efficient and safe method of prevention of adhesive process in the tympanic cavity during the middle ear surgery.
Publication date:
28.03.2019
Keywords:
tympanoplasty, microcatheter, prevention, chronic tubotimpanal suppurative otitis media, adhesive process. For citation:
Korovin P. A., Syroezhkin F. A., Dvoryanchikov V. V., Golovanov A. E., Gofman V. R., Isachenko V. S., Styazhkin D. D. The prevention of adhesive process in the tympanic cavity during the middle ear surgery. Rossiiskaya otorinolaringologiya. 2019;18(2):42–48. https://doi.org/ 10.18692/1810-4800-2019-1-42-48