Section: 
Otiology
OtiologyChronic inflammation within time intervals and its impact on hearing function of patients with atticoantral chronic suppurative otitis media
V. V. Dvoryanchikov (1), D. D. Styazhkin (2), A. E. Golovanov (3), A. V. Eshenko (4), E. V. Vostrikova (5)
(1), (3) Saint Petersburg Scientific Research Institute of Ear, Throat, Nose and Speech, Saint Petersburg, 190013, Russian Federation, (1), (2), (3), (4), (5) Kirov Military Medical Academy, Saint Petersburg, 194044, Russian Federation
UDK: УДК 616.284-002.3:616.28-008.14-089.166.1
DOI: https://doi.org/10.18692/1810-4800-2025-5-78-85
ABSTRACT
Abstract. Objective. To study the effect of disease duration on speech intelligibility in the long-term postoperative period in patients with atticoantral chronic suppurative otitis media. Materials and methods. The study includes the results of surgical treatment of 187 patients. Surgical techniques: closed-type sanitization surgery (canal wall-up mastoidectomy). Functional features: results of hardware speech audiometry (speech detection threshold level, SDT; optimal speech level, OSL). Duration of the disease (time intervals in years): from zero to two years; from three to five years; from five to ten years; more than ten years. Conclusion. The duration of the disease worsens the speech intelligibility in the long-term postoperative period in patients with atticoantral chronic purulent otitis media (p < 0.05). The functional results of surgical treatment of patients with conductive hearing loss in atticoantral chronic purulent otitis media with a disease duration of up to 24 months are better than in patients with a disease duration of more than 24 months (p < 0.05). To prevent a decrease in speech intelligibility in patients with conductive hearing loss and chronic suppurative otitis media, surgical intervention should be performed between 0 and 24 months after the onset of the disease.
Publication date:
20.10.2025
Keywords:
audiovisual deprivation, conductive hearing loss, duration of the chronic inflammation, hardware speech audiometry, speech intelligibility, chronic suppurative otitis media, atticoantral chronic suppurative otitis media, tympanoplasty, wall down surgery, functional results, and lon For citation:
Dvoryanchikov V. V., Styazhkin D. D., Golovanov A. E., Eshenko A. V., Vostrikova E. V. Chronic inflammation within time intervals and its impact on hearing function of patients with atticoantral chronic suppurative otitis media. Russian Otorhinolaryngology. 2025;24(5):78-85. (In Russ.) https://doi.org/10.18692/1810-4800-2025-5-78-85