Object
Title: Conditions for hearing improvement in the patients with chronic otitis media after middle ear surgery
Abstract:
Chronic otitis media is characterized by conductive hearing loss, tympanic membrane perforation and persistent or recurrent discharge from the ear. The only successive and permanent method to treat chronic otitis media is otosurgery. The objective of the paper is to assess the conditions for hearing improvement in the patients with chronic otitis media. Hearing improvement after different types of tympanoplasties was tested, also taking into consideration the type of material used for the reconstruction. Statistical correlations and the effect of such symptoms as tinnitus, earache and buzzing noise on the eventual hearing improvement after middle ear surgery were not found. Effective closing of the perforation of the tympanic membrane or the removal of adhesions in the tympanic cavity enable achieving considerable hearing improvement after middle ear surgery. As regards the patients with cholesteatoma, a significant improvement in hearing quality is observed after ossiculoplasty. The presence of granulation changes is an unfavourable prognostic condition in the patients with chronic otitis media. Patient’s modeled ossicle is a valuable and acknowledged material in ossiculoplasty. Ventilation tube used as a partial ossicular replacement prosthesis is another effective alternative for reconstructing the ossicular chain. Severe perceptive hearing loss is an unfavourable condition ; for hearing improvement in the patients with chronic otitis media. The value of the cochlear reserve (air-bone gap) measured before otosurgery often does not reflect actual escalation of the pathological process and hearing improvement after operation cannot be forecast only on its basis.
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otorynolaryngologia ; chirurgia
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Last modified:
Feb 16, 2023
In our library since:
Nov 21, 2012
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3
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0
All available object's versions:
http://dl.cm-uj.krakow.pl:8080/publication/865
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| Edition name | Date |
|---|---|
| ZB-109405 | Feb 16, 2023 |
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