Оценка эффективности и прогнозирование результатов различных вариантов тимпанопластики

Аннотация

Objects of research: 447 patients, from them 68 with chronic purulent middle otitis and 379 with dry meso- and cpitympanitis. Purpose of research: to estimate efficiency and forecasting of results of various variants of tympanoplasty. Methods of research: common clinical investigation, voice-frequency threshold and over threshold audiometry, research of hearing in low and expanded range of frequencies, speech audiometry, ultrasound research of hearing, rontgenography of mastoid, computer tomography, otomicroscopy. Received results and their novelty: at chronic purulent middle otitis it is proved carrying out two stage tympanoplasty - as the first stage reconstructive-sanity operations - atticoantrotomy on to the “closed” type with mastoidoplasty, and as the second stage hear improving operations. The way of laying of a transplant is developed and introduced as the “romashki”, raising efficiency of engraftment and functional results. Efficiency is revealed at carrying out myringoplasty and tympanoplasty on a “dry” car. Developed forecasting criteria, based on the objective data for planned operations. Practical value: developed the ways of reconstructive-plastic and hear improving operations, estimation of their efficiency and forecasting expected result at patients with chronic inflammatory diseases of middle car. Degree of embed and economic effectivity: results and conclusions of research arc introduced into practice in ENT-dcpartmcnts and polyclinics, in educational process of Tashkent medical academy. Field of application: otorhinolaryngology.