Optimalization of the patients' treatment with the chronic cholesteatoma otitis media
Journal Title: Otolaryngologia Polska - Year 2011, Vol 65, Issue 3
Abstract
SUMMARY Background: The chronic otitis media is a frequent condition in ENT practice. The presence of cholesteatoma can lead to the destruction of bony structures in the middle ear spaces to a different extent. Aim: We discuss the way of the patients' treatment with the chronic choles-teatoma otitis media that were operated on for the first time. Materia! and methods: We analyze the patients with the chronic chole-steatoma otitis media who were diagnosed, operated on and followed up in our Department between 2006 and 2009. 410 operations on ears were performed in that period of time. We discuss the extent of cholesteatoma, the hearing impairment, the type of otosurgery and the distant results of performed therapy Results: We discuss 44 patients operated on chronic cholesteatomatoma otitis media for the first time. It constitutes ca. 10% of all middle ear operations performed in analyzed period of time and 40% of all individuals operated on cholesteatoma. Conclusions: There is a group of patients with the chronic cholesteatoma otitis media that have no hearing improvement after the reoperation. The main aim of the therapy in this group is to remove the pathology and therefore obtain the 'dry ear' and prevent against otogenous complications.
Authors and Affiliations
Agnieszka Morawska, Krzysztof Oleś, Jacek Składzień, Jerzy Tomik, Robert Przeklasa
Gruźlica narządów głowy i szyi — wciąż aktualny problem w praktyce laryngologicznej
SUMMARY Introduction: It is estimated that between XVI and XIX century one fourth of European population died of tuberculosis. Nowadays tuberculosis is stili one of the most important infectious diseases. In 2009 estimat...
Intraoperative navigation system in endoscopic sinus surgery
SUMMARY Intraoperative navigation systems have been developed to increase the safety and efficiency of endoscopis sinus surgery. The objective of this study was to compare the application and utilization of optical and e...
Application of botulinum toxin A in chronic intrinsic rhinitis
SUMMARY Persistent, intrinsic rhinitis is common disease of heterogeneous etiology, often not responsive or poorly responsive to standard medical therapy. To assess the action of botulinum toxin type A — strong and long-...
Czy stosowanie glikokortykosteroidów donosowych u dzieci jest bezpieczne?
Czterdzieści lat temu w British Medical Journal ukazała się publikacja Nielsa Myginda dotycząca donosowego podawania w alergicznym nieżycie nosa aerozolu zawierającego dipropionian beklometazonu. Praca ta rozpoczęła nową...
Wpływ wybranych czynników kliniczno-morfologicznych na wyniki leczenia chorych z zawansowanym rakiem krtani
Introduction: The aim of the study was to indicate independent prognostic factors of treatment in group of patients with advanced cancer of the larynx. Material and method: The paper presents results of univariate and mu...