[Functional results of surgical treatment of patients with various types of acquired cholesteatoma].
| Autor: | Anikin IA; St. Petersburg Research Institute of Ear, Throat, Nose and Speech, St. Petersburg, Russia., Bokuchava TA; Bayandin Murmansk Regional Clinical Hospital, Murmansk, Russia. |
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| Jazyk: | ruština |
| Zdroj: | Vestnik otorinolaringologii [Vestn Otorinolaringol] 2021; Vol. 86 (5), pp. 35-41. |
| DOI: | 10.17116/otorino20218605135 |
| Abstrakt: | Objective: To study the long-term functional results of surgical treatment of patients with acquired cholesteatoma, their dependence on the age of patients, the type of cholesteatoma and the type of surgery. Material and Methods: The article presents the results of a dynamic comparison of the functional results of surgical treatment of 332 adults and 104 children with various forms of acquired middle ear cholesteatoma who underwent both closed and open surgical procedures. Results: There were no statistically significant differences in hearing function into two age's groups depending on the type of cholesteatoma acquired. Average air conduction in adult patients for all types of cholesteatoma were ranked within 34.55-44.19 dB, air-bone gaps - 24.14-31.12 dB; in children - 33.72-39.16 dB and 27.33-34.95 dB, respectively. The exception was a group of adult patients with secondary cholesteatoma of the pars tensa. In the postoperative period, in patients of both age groups with all types of cholesteatoma, an improvement in the average values of air conduction by 18-20 dB and a decrease in the average values of the air-bone thresholds by 17-21 dB were noted. Analysis of the results of open surgical interventions showed a somewhat worse functional efficiency on 5-9 dB for air conduction average and 18-20 dB for air-bone gaps, both for adults and children. The stability of the achieved level of auditory function at all stages of postoperative observation was also noted. Conclusion: Surgical treatment of children and adult with all types of acquired cholesteatoma can improve hearing function and achieve stable results when using closed or open types of operations. |
| Databáze: | MEDLINE |
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