Section: 
Science articles
Science articlesDiagnosis and treatment of non-allergic rhinitis
I. A. Anikin (1), S. A. Eremin (1), A. E. Shinkareva (1)
(1)Saint Petersburg Institute of Ear, Throat, Nose and Speech,Saint Petersburg, 190013, Russia
UDK: 616.211-002.2; 616.211-002.253;616.211-08; 616.211-008.8
DOI: https://doi.org/10.18692/1810-4800-2020-4-27-33
ABSTRACT
Otosurgery plays an important role in the rehabilitation of patients with hearing loss. Any operation can be accompanied by a long inflammatory process with excessive development of connective tissue, forming atresia or stenosis of the external auditory canal. Formed scars in the external auditory canal reduce the effectiveness of treatment and can lead to reoperation. In the treatment of scars, the use of injections of a suspension of prolonged steroids directly into the developing connective tissue is effective. We have developed a method of injecting drugs into the scar tissue of the bone section of the external auditory canal, which allows the use of such therapy in patients after otosurgery. 12 people were treated with the proposed technique. All patients had an inflammatory process in the external auditory canal with undesirable growth of connective tissue. Previous local therapy did not bring a satisfactory result. Patients received injections of a suspension of steroids into developing scar tissue. The treatment period was 1-8 weeks, for which 1 to 4 sessions of injections were performed. As a result of treatment according to the developed method, in all cases a cessation of the pathological inflammatory process was observed. Timely therapy made it possible to completely eliminate the excess granulation tissue (100%), to stop the growth of the scar, or even to cause a significant decrease (33%). The developed method allows to use of a small dose of a substance (0,1–0,5 ml) for injection to achieve the desired therapeutic effect.
Publication date:
24.08.2020
Keywords:
otosurgery, atresia, inflammation, triamcinolone, scar treatment, external auditory canal, steroids.
For citation:
Anikin I. A., Eremin S. A., Shinkareva A. E. Method for the prevention of inflammatory processes in the bone part of the external auditory canal accompanied by the growth of connective tissue. Rossiiskaya otorinolaringologiya. 2020;19(4):21–26. https://doi.org/10.18692/1810-4800-2020-4-21-26