CONDUCTIVE HEARING LOSS AFTER CHRONIC SUPPURATIVE OTITIS MEDIA SURGERY
 
More details
Hide details
1
Clinic of Otorhinolaryngology, University Hospital, Trakia University Stara Zagora, Bulgaria
Publication date: 2011-06-30
 
J Hear Sci 2011;1(2):73–75
 
KEYWORDS
ABSTRACT
Background:
A study on the chronic suppurative otitis media (CSOM) is done.

Materials and Methods:
10 years of gathered material from diagnostics and operative treatment performer on over 186 patients with CSOM (77-epitympanitis and 109-mesotympanitis) is used. For examinations there were applied: medical history, status, audiometry, tympanometry, image diagnostics (X-ray examination, CT, MRI). An oto-endoscope examination was introduced.

Results:
CSOM treatment – over 77 (41.4%) patients were treated with open and closed operative techniques. Very good final functional results of patients’ recovery were obtained in 87.17% at the former and 86.84% at the second ones. The average value of ABG pre/post operation was 27.09 dB/17.42 dB at the operations. 70.09% of the cases show ABG ≤20 dB. In 109 (58.6%) patients reconstructive techniques (tympanoplasty type I, II, III) were performed. The average value of ABG pre/post operation was 24.79 dB/14.06 dB in the plastics done. 95% of the cases show ABG ≤20 dB. CSOM training and experience of our team: internet page www.prootology.domino.bg in ENT specialty and 18 scientific meetings areheld; the 4 cadaver dissections for the otosurgeons were organized.

Conclusions:
The audiological functional results received are comparable with those of leading otosurgeons at home and in the European Union (EU) clinics. A training and qualification is pursued throughout contemporary forms and instruments of education, compatible with the rules and requirements of EU.

 
REFERENCES (11)
1.
Dimov P: Vertigo Meeting in Otology and Neuro-Otolgoy. May 15–18 2003 Stara Zagora Available from: http://www.prootology.domino.b....
 
2.
Magnan JP, Huttenbring KB: III Instructional workshop in otology and neuro-otology of EAONO. Program Neuro-Otology, September 20–24, 2006 Cologne, Germany.
 
3.
Magnan JP: Live international otorhinolaryngolgy network. Videoconference, The 6-th Lion. May 25, 2011 Available from: http://www.lion-web.org/www.
 
4.
Kempf HG, Möckel C, Jahnke K: Hearing ability after cholesteatoma surgery. Laryngorhinootologie, 1990; 69(12): 625–30.
 
5.
Edrev G: Open and closed operative techniques – comparision. Thesis DMs, Sofia: 1986.
 
6.
Fisch U, May J: Tympanoplasty, Myringoplasty, Ossiculoplasty, Special Applications with tympanoplasty. In: Fisch U, May J (eds.), Tympanoplasty, mastoidectomy and stapes surgery. Thieme Medical Publishers, Inc. New York, Chapter 1–4, 1994; 2–144.
 
7.
Tos M: Manuel of middle ear surgery. Mastoid surgery. Thieme Medical Publishers, Inc. New York, vol. 2, part I, 1995; 2–285.
 
8.
Jahnke K: Current topic in otolaryngology-head and neck surgery. Middle ear surgery. Recent advances and future direction. Thieme, Stuttgart – New York, 2000.
 
9.
Jahnke K: Indication of different techniques in cholesteatoma surgery. European Academy of Otology & Neuro-Otology, Second Instructional Workshop. October 21–24, 2004 Cologne, Germany.
 
10.
Gersdorff M, Garin P, Decat M, Juantegui M: Myringoplasty: long-term results in adults and children. Am J Otol, 1995; 16(4); 1: 532–35.
 
11.
Tos M: Manuel of middle ear surgery. In: Tos M (ed.), Ossiculoplasty and Tympano-plasty. Thieme Medical Publishers, Inc. New York, vol. 1, part III, 1993: 238–94.