Analysis of the effectiveness of surgical treatment of patients with tympanosclerosis

Abstract

The aim of this study was to comparative analysis of the auditory function of the ear before and after surgical treatment of tympanosclerosis. Study of the clinical and audiological conditions of patients with tympanosclerosis. During the examination from December 2021 to May 2022 (6 months), 27 patients with tympanosclerosis were examined. The patients underwent the following examinations: general ENT examination (otoendoscopy, otomicroscopy), audiometry, multislice computed tomography of the temporal bones. According to the results of the above studies, all examined patients were conditionally divided into 3 groups. Due to the absence of perforation of the tympanic membrane and hearing loss in patients of I group, dynamic monitoring of patients was proposed. Patients of II group were offered surgical treatment. During the operation, the tympanic cavity of the patients was cleaned from tympanosclerotic plaques, the handle of the malleus and the rest of the tympanic membrane. The mobility of the auditory ossicles after the removal of the plaques was completely restored. Patients of III group were also recommended surgical treatment. During the operation, tympanosclerotic plaques were removed from the tympanic cavity and around the auditory ossicles. Except the tympanoplasty to the patients who had non-restoration of movements of ossicles were used prosthesis PORP or TORP. If in such cases fixation of the malleus and anvil of the bones is observed, it is necessary to remove the head of the malleus and incus, if the movement of the stirrup is not restored in these patients, it is indicated to prepare for the operation a secondary total ossiculoplasty.