Prognostic Factors of Chronic Otitis Part
1 - Preoperative Factors
Chrobok V.1, Pellant A.1,2, Meloun M.3, Pokorný K.1, Šimáková E.4
Klinika otorinolaryngologie a chirurgie hlavy a krku, Pardubická krajská nemocnice, a.s. 1 Fakulta zdravotnických studií, Univerzita Pardubice,2 přednosta prof. MUDr. A. Pellant, DrSc. Katedra analytické chemie, Fakulta chemickotechnologická, Univerzita Pardubice, přednosta prof. Ing. K. Vytřas, DrSc.3 Fingerlandův ústav patologie LF UK a FN, Hradec Králové, přednosta prof. MUDr. A. Ryška, Ph.D.4 |
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Summary:
The autors present a retrospective study of 155 patients, surgically treated for chronic otitis in the years
1996 to 2004 at the Clinic of Otolaryngology and of Head and Neck Surgery in Pardubice. A statistical analysis
was performed according to individual observed preoperative factors (sex, presence of cholesteatoma,
type of otitis, perforation of eardrum, condition of middle ear ossicles, granulation in middle ear cavity,
effusion from ear before the operation, preceding surgery in the area of ear, and smoking) was performed
with respect to the state of hearing before and after the operation.
According to the evaluation of hearing before and after the operation the very important preoperative
negative prognostic factors include presence of cholesteatoma, perforation of eardrum, affected middle
car ossicles and preceding type of operation. The less significant negative factors include smoking and
type of otitis. The prognostic factors without significance include sex, presence of granulation in middle
ear cavity and effusion from ear before the operation.
Key words:
chronic otitis, hearing threshold, cholesteatoma, eardrum perforation, middle ear ossicles,
effusion from ear, smoking, statistical, prognostic factors.
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