REVIEW OF SURGICAL TREATMENT OPTIONS OF CHRONIC OTITIS MEDIA WITH RESPECT TO ADENOID HYPERTROPHY IN PEDIATRIC POPULATION
Introduction. Optimization of management of chronic inflammatory diseases of the middle ear in children is one of the priority tasks in otiatric practice. Hearing impairment can lead to deteriorated socialization, cognitive and behavioral disorders of the child. At the same time, the pathology of the middle ear in children is often accompanied by inflammatory processes in other ENT organs. In particular, hyperproliferative changes in the adenoids and tonsillar tissue of the pharynx can serve as a reservoir of persistent microbial infection. Integration of the surgical treatment of adenoid vegetations into the management of patients with inflammatory middle ear pathology can significantly optimize the anatomical and functional outcomes of the surgical treatment of the disease.
Objective: to review the literature on the existing methods of surgical treatment of chronic otitis media (COM) and the contribution of timely treatment of adenoid hypertrophy to the management of COM.
Search strategy: The search for sources was carried out in the following databases: Pubmed, ResearchGate, Cyberleninka, eLibrary. Inclusion criteria were full-text publications in Russian and English; research conducted on humans and animals; primary studies (descriptive and analytical studies, clinical trials); secondary studies (systematic reviews and meta-analyzes); educating manuals; clinical guidelines and protocols.
Results and conclusions. Our review showed that the most frequently used surgical interventions in the treatment of COM are I and II tympanoplasty types by Wullstein. There are studies conducted to compare endoscopic and microscopic imaging options for tympanoplasty. In addition, performing adenoidectomy before tympanoplasty in patients with COM has certain clinical advantages.
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Shamshudinov T., Taukeleva S. Review of surgical treatment options of chronic otitis media with respect to adenoid hypertrophy in pediatric population // Nauka i Zdravookhranenie [Science & Healthcare]. 2021, (Vol.23) 6, pp. 123-129. doi 10.34689/SH.2021.23.6.014Похожие публикации:
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