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Information × Registration Number 0216U000210, 0113U000118 , R & D reports Title To improve the treatment of patients with recurrent secretory otitis media popup.stage_title Head Soushko Yuri Olexandrovych, Доктор медичних наук Registration Date 25-01-2016 Organization Kiyv Research Institute of Otolaryngology named after prof. O.S.Kolomiychenko popup.description2 Frequency of chronic secretory otitis media recidivisms and main causes of its nature were established. Middle ear cavity pressure was measured before treatment and in follow-up. Main indications to surgical treatment the patients with RCSOM were based on anamnesis data and middle ear ventilation features in patients with stable tubal dysfunction. Patients were divided into three groups due to CT-scan data: middle ear ventilation problems, aditus and Eustachian tube obstruction. Indications for surgical treatment of Eustachian tube obstruction were proposed. Prolonged tympanostomy recommended in cases without any CT-scan signs of aditus obstruction. Tympanostomy and mastoidotomy with double mastoid drainages indicated for cases with middle ear ventilation problems and aditus obstruction. Tympanostomy and mastoidotomy with double mastoid drainage and one-stage renewal of Eustachian tube cross abilities indicated for cases with aditus and tube blockage. Results of treatment were evaluated in nearest period and in follow-up with positive and negative pressure measuring. Time objective criteria of tympanic tube stay were found - due to the evaluation of inflation-deflation test. Grommets should be stay 9 months in patients of 1stgroup and 12 months in patients of 2nd group. Middle ear cavity ventilation recovery in follow up was noted in 87 % of patients. Product Description popup.authors Гринько І. Карась А.Ф. Міщанчук Ніна Сергіївна Моргун М.М. Нечипоренко П.В. Сребняк Ілона Анатоліївна Шевченко Т.О. popup.nrat_date 2020-04-02 Close