Prognostic Factors of Chronic Otitis.
Part 2 - Method of Surgical Treatment
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 Pardubice2, 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 state of hearing before and after the operation was evaluated in a retrospective study of patients surgically
treated for chronic otitis according to individual per operation characteristics - the type of surgery,
type of tympanoplasty, reconstruction of the posterior wall of external auditory came, the type of auditory
came plasty, meatoplasty, resection of the mastoid process and obliteration of trepanation cavity.
The hearing improved after myringoplasty in all freguencies by 3 to 8 dB on the average and after myringostapedopexy
on the frequencies 1 and 2 kHz by 2 dB. In the application of PORP the hearing threshold
improved by 5 dB on the frequency of 500 Hz, other frequencies descreased by 1 to 18 dB. In the group
with TORP the aerial conduction improved on the frequencies of 500 Hz by 6 dB and 1 kHz by 2 dB, other
frequencies of 0.5 1 a 2 kHz remained without changes of air conduction, high frequencies of 3 and 4 kHz
deteriorated by 6 and 5 dB.
A more extensive intervention on the temporal bone and middle car ossicles was associated with a deeper
hardness of hearing before as well as after the surgery. The reconstruction of the external auditory
came posterior wall, external auditory came plasty, resection of the mastoid process or obliteration of trepanation
cavity may not be considered as primary negative factors of the state of hearing, since execution
of these kinds of interventions depends on the extent, type and localization of chronic otitis.
Key words:
chronic otitis, hearing threshold, mastoidectomy, tympanoplasty, meatoplasty, obliteration of
trepanation cavity, statistics, prognostic factors.
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