Section: 
Reviews
ReviewsFeatures of wound healing after canal wall down mastoidectomy on the middle ear
V. S. Untevskii (1), F. V. Semenov (2)
(1) Kuban State Medical University, Krasnodar, 350063, Russian Federation
UDK: УДК 616.284-002.2/.3-001.4-089.168.1
DOI: https://doi.org/10.18692/1810-4800-2024-5-112-120
ABSTRACT
Abstract. Middle ear surgery is an integral part of the treatment of chronic suppurative otitis media. Depending on the preservation of the posterior wall of the bony part of the auditory canal, these interventions are classified into two fundamentally different types: canal wall up and canal wall down. The latter are accompanied by the formation of a large wound surface. Wound healing after such interventions occurs according to the general laws of the wound process, but with morphofunctional features inherent in this area. The final result of treatment depends on the speed and completeness of epithelization of the wound surface. Under unfavorable conditions, inflammation in the middle ear cavity can be maintained with the formation of trepanation cavity disease. The clinician’s understanding of the principles of healing of damaged tissue, knowledge of the key points of postoperative care, and the use of modern capabilities aimed at accelerating regeneration will help reduce the frequency of complications, speedy rehabilitation of patients, and their return to a full working life.
Publication date:
17.10.2024
Keywords:
wound process, wound healing, mastoidectomy, middle ear, postoperative treatment For citation:
Untevskii V. S., Semenov F. V. Features of wound healing after canal wall down mastoidectomy on the middle ear. Russian otorhinolaryngology. 2024;23(5):112-120. (In Russ.) https://doi.org/10.18692/1810-4800-2024-5-112-120