PECULIARITIES OF HELP MANAGEMENT TO PATIENTS WITH ACUTE OTITIS MEDIA COMPLICATED BY MASTOIDITIS

  • H.Ye. Timen A.I. Kolomiichenko Institute of Otolaryngology of the National Academy of Medical Sciences of Ukraine
  • M.I. Bezeha M.V. Sklifosovskyi Poltava Regional Clinical Hospital
Keywords: acute mastoiditis, papillary process, morphological studies, immunotherapy, antrotomy, mastoidotomy

Abstract

Today, signs of transition from the stage of inflammation - antrocellulitis (inflammation of the lining cells of the mastoid process) to mastoiditis (purulent fusion of bone cells and systems of mastoid process) have not been studied and identified. The purpose of this work is to improve the treatment of patients with acute mastoiditis by new scheme to use conservative therapy and modified antromastoidotomy with drainage. The study was conducted in hospitals, in the Otolaryngology department of Poltava Regional Hospital and Otolaryngology department of Hospital No.2. All patients with acute otitis media were divided into 2 groups: group 1 (n = 48) and comparison group: (group 2 n = 35). In patients of subgroups 1-B and 1- D of investigated group, new developed technique of surgical sanitation of papillary process with draining the atico-antral rubber drainage and postoperative cavity such as teflon tubes with momentary wound suturing was used. Patients of 1-B group underwent tunnel antrotomy. In cases where we observed the phenomena of destruction and necrosis, antromastoidotomy was conducted by our own methodology. Endoscopic methods were used during surgery. During the treatment of patients with acute mastoiditis it is necessary to know and understand clinical signs of disease, data of cone-beam CT, the presence of atico-antral connection, which probably depends on the anatomical features of the structure of the middle ear and the severity and prevalence of inflammatory process. Morphological data necessitate the inclusion of antiviral drugs, in the scheme of treatment which significantly increases the effectiveness of treatment of patients with acute mastoiditis.

Downloads

Download data is not yet available.

References

1. Avdeeva S.N. The incidence of upper respiratory tract diseases among the urban population at the present stage . Rossijskaja otorinolaringologija. 2006; (3): 33-37. Russian.
2. Bezeha M.I., Rymar V.V. New approaches to surgical treatment of acute mastoiditis. Zhurn. vushnyh, nosovyh і gorlovyh hvorob. 2007; (3): 26-27. Russian.
3. Bezeha M.I., Rymar V.V. Acute mastoiditis, especially conservative and surgical tactics depending on the etiological factor. Zhurn. vushnyh, nosovyh і gorlovyh hvorob. 2008; (3): Russian.
4. Bikbaeva A.I., Shulenov V. M. Some electrical methods of research at otogenic intracranial complications. Vestnik otorynolaringologii. 1978; (5): 70-74. Russian.
5. Harib M. Y. To the question of the etiology, pathogenesis, clinical manifestations and treatment of recurrent suppurative otitis media in young children: Avtoref. Cand. Med. Sciences. M., 1972. Russian.
6. Hariuk H.I., Merkulov A. Y., Hariuk O.H. Computed tomography in the diagnosis of oral diseases of the nose and paranasal sinuses. Kharkiv, 2013. 104 p. Russian.
7. Hurevich P.S., Vertlib Yu.M., Popov N. P. On the protection of the middle ear in acute respiratory viral infection. Journal. Ear, Nose and Throat Diseases. 1978; (2): 37-39. Russian.
8. Drahnev M.K., Stovbun F.I., Shevryhin B.V. The role of middle ear infections in pre-treated with antibiotics. Vestnik otorynolaringologii. 1984;(4):31-34. Russian.
9. Drahnev M.K. Antrum, mastoiditis and chronic otitis media. Kishinev Shtiintsa, 1992. - P. 32-33, 36-37, 46-48. Russian.
10. Zabolotnyi D.I. et al. Meaning of virological research methods in otolaryngology. Zhurn. vushnyh, nosovyh і gorlovyh hvorob. 2008;(5): 67. Russian.
11. Kozlov M.J. The organization of. ENT - the sick disease of the ear. Proc. rep. scientific-practical. Conf. LPMI. - L., 1986. P. 14-16. Russian.
12. Komashko N.A. Treatment of patients with chronic catarrhal sinusitis with Epstein-Barr virus infection: Author. [dissertation]. K., 2009. Russian.
13. Kozlov M. Yu. Acute otitis in children and their complications. L .: Medicine. Leningrad. Dep-tion, 1986. - 232 p. Russian.
14. Laiko A.A.,Zabolotnyi D.І., Horіshnyi Sh.Sh. Secretory otitis of middle ear. Navch. method. posіb. For doctors and interns. pіslyadiplomn. osvіti. - Singapore: Logos, 2006. 120 p. Ukrainian.
15. Luchikhin L.A . Modern views on the diagnosis and treatment of mastoiditis. Vestnik otorynolaringologii. 1999;(6):9-13. Russian.
16. Mishenkin N.V. Labyrinthitis . Guide Otolaryngology. Ed. IB Soldatov. M.: Medicine, 1997. 608 p. Russian.
17. Moіseyenko R.O. Protocol of children treatment, ailing at GOSTR middle otitis. Med. іndeks. hіrurgіya. 2006;(1):25-26. Ukrainian.
18. Bahrіy M.M., Dіbrova V.A., Popadinets O.G., Hrischuk M.І. Methods of morfologіc investigation: monograph; of Ed. Bagrіya M.M., Dіbrova V.A. - Vіnnitsya: Nova Book, 2016. 328 p. Ukrainian.
19. Petrov I. F., Chaukina V.A., Rymsha M. A. Acute otitis media neperforativny: the value of laboratory diagnosis in determining the tactics of local treatment. Rossijskaja otorinolaringologija. 2007; (6): 115-119. Russian
20. Petrova L.N., Makarevich I.G. Milkint K.K., Rumeli N.B. Diagnosis of acute otitis viral non perforativ using of immuno fluorescence method. Zhurn. vushnyh, nosovyh і gorlovyh hvorob. 1986;(4):56-59. Russian.
21. Serhienko P.V., Pushkareva N.S., Elchaninova I.I. Some aspects of the etiology of the pathogen, clinics and treatment of lingering forms of acute otitis media. Zhurn. vushnyh, nosovyh і gorlovyh hvorob.1975;(1):40-45. Russian.
22. Slavinskiy A.A., Semenov F.I. Controversial aspects of otitis media with effusion // Vestnik otorynolaringologii. 2006;(2):62-65. Russian.
23. Trofimov A.E. Pharmaco epidemiology of acute and chronic suppurative otitis media in urban and rural residents: [dissertation]. Smolensk, 2006. 20 p. Russian.
24. Fall N.I., Sushko Y.A., Rymar V. V. Diagnosis and treatment of purulent anaerobic. Zhurn. vushnyh, nosovyh і gorlovyh hvorob. 1985;(5):10-14. Russian.
25. Eyad Mahmoud Izzat Tannineh. Clinical and patomorphologic justification for surgical treatment of patients with chronic purulent epi, epimezotimpanitom: [dissertation]. 2004. 24 p. Russian.
26. Yanahisava Ye. S. Kmucha Otorhinolaryngology and Head and Neck Surgery. Ed. J. Lee (USA). - Kiev: Health, 1995. Section 6. P. 78-82. Russian.
27. Berenyi J., Jori J. Az otitis media ehsudativa koris merese es kerelese. Ful. orr. gegegyogy. 1983;V.29;(4):229-235.
28. Brook I., Schwartz R. Anaerobic bacteria inacute otitis media. Actaotolaryngol. 1981;71(1-2):111-114. English.
29. Hayasky M., Sato H. Eustachian tube function and otitis media with effusion. Reviewofliterature. Pract. Otol. 1987; 80(5):819-824. English.
30. Karma P., Palva A., Kokko E. Immunological Defects in children with Otitis Media. Actaotolaryng. (Stockh.). 1976;82(3-4):193-195. English.
31. Lim D.J., DeMaria T.F. Paneldiscussion: Patho¬gene¬sisofotitismedia. Bacteriology and immunology. Laryngoscope. 1982;98(1, 2):2-9. English.
32. Dai C., Wood M.W., Gan R.Z. Tympanometry and laser Doppler interferometry measurements otitis media with effusion modelin human temporal bones. Otol. Neurotol. 2007;28(4):551-558. English.
33. Migirov L., Yakirevitch A., Kronenberg J. Mastoid subperiosteal abscess: a reviewof 51 cases. Int. J. Pediat. Otorhinolaryngol. 2005;69(11):1529-1533. English.
Tokumaru A., Eguchi T., Watanabe K. Characteristics of migrating cells ineffusion of the middle ear inpatients with «eosinophilicotitis media». 2007;110(11):713-719. English.
Published
2017-12-26
How to Cite
Timen, H., & Bezeha, M. (2017). PECULIARITIES OF HELP MANAGEMENT TO PATIENTS WITH ACUTE OTITIS MEDIA COMPLICATED BY MASTOIDITIS. The Medical and Ecological Problems, 21(5-6), 40-45. Retrieved from https://ecomed-journal.org/index.php/journal/article/view/101