Prognostic Factors of Chronic Otitis Part 3 – Postoperative Factors
Authors:
Viktor Chrobok 1
; A. Pellant 1,2; M. Meloun 3; K. Pokorný 1; E. Šimáková 4
Authors place of work:
Klinika otorinolaryngologie a chirurgie hlavy a krku, Pardubické krajské nemocnice, a. s.
; přednosta prof. MUDr. A. Pellant, DrSc.
Fakulta zdravotnických studií, Univerzita Pardubice
1; přednosta prof. MUDr. A. Pellant, DrSc.
Katedra analytické chemie, Fakulta chemickotechnologická, Univerzita Pardubice
2; přednosta prof. Ing. K. Vytřas, DrSc.
Fingerlandův ústav patologie, LF UK a FN, Hradec Králové
3; přednosta prof. MUDr. A. Ryška, Ph. D.
4
Published in the journal:
Otorinolaryngol Foniatr, 57, 2008, No. 1, pp. 3-15.
Category:
Original Article
Summary
The retrospective study in 155 patients surgically treated for chronic otitis media followed and statistically evaluated the state of hearing before and after the operation according to individual postoperative observed symptoms. The significant negative postoperative prognostic factors for the state of hearing should include present secretion from the ear (trepanation cavities) in a long-term observation and present postoperative consequences (conductive, sensori neural hearnig IaSS and vertigo). The non-significant factors include the present secretion in the course of early healing after the operation and postoperatively present granulations in the trepanation cavity.
The authors also compared early healing and the long-term state of the ear (trepanation cavities) according to individual preoperative and perioperative characteristics. A more frequent secretion from the ear in the course of early and long-term observation was detected in patients with cholesteatoma, perforation of tympanic, membrane defects of all middle ear ossicles, permanent secretion before the operation, revision operation, less usual plasty of external auditory came (Stacke I, three-lobar), resection of mastoid process and obliteration of trepanation cavity by less usual materials – bone or cartilage.
Key words:
chronic middle ear inflammation, auditory threshold, secretion from ear, trepanation cavity, complication, statistics, prognostic factors
Zdroje
1. Aggarwal, R., Saeed, S. R., Green, K. J. M.: Myringoplasty. J. Laryngol. Otol., 120, 2006, s. 429-432.
2. Ajalloueyan M.: Experience with surgical management of cholesteatomas. Arch. Otolaryngol. Head Neck Surg., 132, 2006, s. 931-932.
3. Angeli, S. I., Kulak, J. L., Guyan, J.: Lateral tympanoplasty for total or near-total perforation: prognostic factors. Laryngoscope, 116, 2006, s. 1594-1599.
4. Becvarovski, Z., Kartush, J. M.: Smoking and tympanoplasty: implications for prognosis and the middle ear risk index (MERI). Laryngoscope, 111, 2001, s. 1806-1811.
5. Černý, E., Betka, J.: Atlas chirurgie ucha. Victoria Publishing Praha, 1996, s. 190.
6. Golembiovská, D., Hoffmanová, D., Hložek, J., Smilek, P., Kostřica, R.: Chirurgická léčba cholesteatomu s perzistující otevřenou trepanační dutinou. Choroby hlavy a krku, 2003, 3, 4, s. 28-32.
7. Golembiovská, D., Kostřica, R., Hoffmanová, D.: Chirurgická léčba cholesteatomu. Otorinolaryng. a Foniat. /Prague/, 55, 2006, s. 84-87.
8. Hybášek I.: Uzavřená a otevřená chirurgie středoušního cholesteatomu. Otorinolaryng. a Foniat. /Prague/, 52, 2003, s. 115-118.
9. Chadha, S. K., Agarwal, A. K., Gulati, A., Garg, A.: A comparative evaluation of ear diseases in children of higher versus lower socioeconomic status. J. Laryngol. Otol., 120, 2006, s. 16-19.
10. Kartush, J. M., Michaelides, E. M., Becvarovski, Z., LaRouere, M. J.: Over-under tympanoplasty. Laryngoscope, 112, 2002, s. 802-807.
11. Kim, H. H., Battista, R. A., Kumar, A., Wiet, R. J.: Should ossicular reconstruction be staged following tympanomastoidectomy. Laryngoscope, 116, 2006, s. 47-51.
12. Koval’, J.: Chirurgická liečba chronického stredoušného zápalu. USPO Bratislava, 1998, s. 141.
13. Mahendran, S., Bennett, A. M. D., Jones, S. E. M., Young, B. A., Prinsley, P. R.: Audit of specialist registrar training in tympanomastoid surgery for chronic otitis media. J. Laryngol. Otol., 120, 2006, s. 193-199.
14. Meloun, M., Militký, J.: Statistická analýza experimentálních dat. Academia, 2. vydání, Praha, 2004, s. 264-271.
15. Merchant, S. N., Rosowski, J. J., McKenna, M. J.: Tympanoplasty. Oper. Tech. Otolaryngol. Head Neck Surg., 14, 2003, s. 224-236.
16. Merchant, S. N., Wang, P., Jang, C., Glynn, R. J., Rauch, S. D., McKenna, M. J., Nadol, J. B. Jr.: Efficacy of tympanomastoid surgery for control of infection in active chronic otitis media. Laryngoscope, 107, 1997, s. 872-877.
17. Nadol, J. B. jr., Schuknecht, H. F.: Surgery of the ear and temporal bone. Raven Press, Ltd., New York, 1993, s. 155-170.
18. Pellant A.: Záněty ucha, nosu, vedlejších nosních dutin a nitrolebí a jejich vzájemné vztahy [habilitační práce]. Hradec Králové, Lékařská fakulta UK; 1995.
19. Ramsey, M. J., Merchant, S. N., McKenna, M. J.: Postauricular periosteal-pericranial flap for mastoid obliteration and canal wall down tympanomastoidectomy. Otol. Neurootol., 25, 2004, 873-878.
20. Stehy, J. L.: Cholesteatoma surgery: canal wall down procedures. Ann. Otol. Rhinol. Laryngol., 97, 1988, s. 30-35.
21. Shirazi, M. A., Muzaffar, K., Leonetti, J. P., Marzo, S.: Surgical treatment of pediatric cholesteatomas. Laryngoscope, 116, 2006, s. 1603-1607.
22. Skřivan, J., Vačkář, M., Tichý, T.: Funkční zhodnocení výsledků rekonstrukční ušní chirurgie: otochirurgická databáze, evidence a zpracování dat. Otorinolaryngol. /Prague/, 48, 1999, s. 97-99.
Štítky
Audiology Paediatric ENT ENT (Otorhinolaryngology)Článok vyšiel v časopise
Otorhinolaryngology and Phoniatrics
2008 Číslo 1
Najčítanejšie v tomto čísle
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- Defensins – an Important Component of Natural Immunity in Defense against Infection
- Evaluation of Dysphagia, Treatment Possibilities of the Patient with Dysphagia at the ENT Departments in the Czech and Slovak Republics
- Cleft Defects and Their Role in the Origin of Chronic Otitis in Older Children and Adolescents