| Autor: |
O, Cavel, O J, Ungar, Y, Oron, R, Ben Ami, M, Dekel, O, Handzel |
| Rok vydání: |
2020 |
| Předmět: |
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| Zdroj: |
European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery. 278(4) |
| ISSN: |
1434-4726 |
| Popis: |
To assess the effectiveness of surgical treatment of active chronic suppurative otitis media (CSOM) with ciprofloxacin-resistant Pseudomonas aeruginosa (P. aeruginosa) that failed comprehensive local and systemic treatment.Retrospective case review.Tertiary referral center.Eleven patients with ciprofloxacin-resistant P. aeruginosa CSOM that remained active despite comprehensive local and systemic treatment. All patients were operated by a single surgeon between February 2016 and July 2019 INTERVENTION(S): Tympanoplasty alone was performed in seven cases and accompanied by mastoidectomy in the other four cases.Resolution of infection and tympanic graft take on otoscopy. The secondary outcome measure is hearing.Tympanic graft take was successful and the infectious process was resolved in 8 out of the 11 cases, yielding a success rate of 73%. The average follow-up was 20 months. No surgical complications occurred.Tympanoplasty, with or without mastoidectomy, is safe and yields acceptable anatomical and functional success rates when intensive local and systemic treatment fails to stop the purulent discharge. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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