Section: 
Rewiews
RewiewsOptimization of surgical treatment of patients with posttraumatic chronic otitis media and auditory tube dysfunction
V. S. Isachenko (1), S. A. Eremin (2), A. D. Knyazev (3), V. V. Dvoryanchikov (4), Yu. K. Yanov (5), I. M. D’yakov (6), Yu. S. Aleksanyan (7)
(1), (2), (3), (4), (6), (7) Saint Petersburg Research Institute of Ear, Throat, Nose, and Speech, Saint Petersburg, 190013, Russian Federation, (1) Saint Petersburg State University, Institute of Medicine, Saint Petersburg, 199034, Russian Federation, (4), (5) Kirov Military Medical Academy, Saint Petersburg, 194044, Russian Federation
UDK: УДК 616.284-002.2-001.1+616.286-089.151
DOI: https://doi.org/10.18692/1810-4800-2025-6-103-111
ABSTRACT
Abstract. Today, the urgency of the problem of post-traumatic chronic otitis media is increasing due to the increasing frequency of mine-explosion injuries in modern military conflicts. The leading cause of this disease is barotrauma, which causes permanent damage to the structures of the middle ear. In the presence of concomitant dysfunction of the auditory tube, the traditional treatment of this disease involves several stages: first, rhinological operations are performed, and only after 3-6 months, tympanoplasty. This approach, although it reduces risks, significantly prolongs the duration of treatment and rehabilitation of patients. Simultaneous rhino-otosurgery can be a way to solve this problem—performing operations in the nasal cavity and on the middle ear during a single surgical intervention. The key risk of this approach is the temporary deterioration of the function of the auditory tube in the early postoperative period, which can lead to a number of complications. The aim of this work is to analyze literature data to identify possible mechanisms leading to postoperative ventilation of the tympanic cavity during simultaneous rhino-otosurgery and ways to correct them. The article discusses the theoretical prerequisites for the possibility of this approach and ways to correct the occurrence of adverse outcomes associated with shortening the period between interventions in the nasal cavity and the middle ear.
Publication date:
23.12.2025
Keywords:
chronic otitis media, auditory tube dysfunction, ear trauma, simultaneous rhino-otosurgery For citation:
Isachenko V. S., Eremin S. A., Knyazev A. D., Dvoryanchikov V. V., Yanov Yu. K., D’yakov I. M., Aleksanyan Yu. S. Optimization of surgical treatment of patients with posttraumatic chronic otitis media and auditory tube dysfunction. Russian Otorhinolaryngology. 2025;24(6):103-111. (In Russ.) https://doi.org/10.18692/1810-4800-2025-6-103-111