Study of simultaneous audition reconstruction to chronic suppurative otitis media in the period of infection
- VernacularTitle:活动期慢性化脓性中耳炎Ⅰ期听力重建的研究
- Author:
Xionghui GAO
;
Jinghua XIE
;
Xiaozhong WU
;
Shunde HUANG
;
Jiangshun SONG
;
Qingxiang MENG
;
Peng LI
- Publication Type:Journal Article
- Keywords:
Otitis media,suppurative;
Tympanoplasty
- From:
Chinese Journal of Postgraduates of Medicine
2008;31(21):34-36
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the possibility and surgical effect of simultaneous tympanoplasty to chronic suppurative otitis media in the period of infection. Methods Forty-eight cases (48 ears) with chronic suppurative otitis media in the period of infection (31 with cholesteatoma, 17 with caries) were underwent simultaneous Wullstein Ⅱ and Ⅲ tympanoplasty on the complete elimination of the lesions (typical or modified mastoidectomy). Results All eases had dry ears within 4-10 weeks with average of 7 weeks. The air-bone gap within 10 dB was in 11 eases, 15 to 20 dB in 25 cases, 25 to 30 dB in 9 eases, no change or worse in 3 eases. Conclusions Infection is not the absolute eontraindication to the tympanoplasty in treating chronic suppurative otitis media, Wullstein Ⅲ tympanoplasty plus mastoid cavity obliteration and eonchaplasty is a suitable choice to treating chronic suppurative otitis media on the complete elimination of lesions and reconstruction of the ventilation system among mastoid cavity, tympanum and eustachian. The malfunction of eustachian is the main eanse to failure of surgery.
