Chronic purulent otitis media: reconstruction of the middle ear - possibilities and prospects
The authors have presented many years' experience in the surgical treatment of chronic purulent otitis media (over 3000 operations in chronic otitis media with considerable destruction of the middle ear). The material shows the trends occurred in the process of improvement of the method of surgical treatment of patients with chronic purulent otitis media. Firstly, they are characterized by the transition to the implementation of reconstructive types of operation mostly in all patients, instead of only sanative procedure. Secondly, they are characterized by the creation of the middle ear by taking into account the maximum number of factors which influence in the final result, including the creation of airiness of the middle ear cavity subject to the possibilities of the ventilation of the neotympanic cavity by the auditory tube. The authors consider that if the achievement of positive clinical surgical results in the hands of qualified surgeons doesn't have fundamental problems, the preservation of long-term results remains a problem that requires eff orts.