No grant support. Abbreviations:Dex -dexamethasone ISSNHL -idiopathic sudden sensorineural hearing loss IT -intratympanic IT-Dex -intratympanic dexamethasone -intratympanic dexamethasone intratympanic dexamethasone IV-Dex -intravenous dexamethasone V-Dex -intravenous dexamethasone -intravenous dexamethasone intravenous dexamethasone PTA -pure�tone audiometry ST -standard reologic and steroid therapy therapy PTA ALL -pure tone average on all frequencies PTA LF -pure tone average on low frequencies PTA MF -pure tone average on medium frequencies PTA HF -pure tone average on high frequencies.
Chronic otitis media (COM) is a widespread pathological condition that affects up to 2% of the general population. Certain forms of this disease markedly deteriorate the quality of life of the patients which makes them overestimate the severity of harm to their health status and can be a cause of inflated expectations as regards the results of the planned surgical treatment. The linking element between the patient's expectations and the outcomes of the surgical intervention may be the recently developed questionnaires for the evaluation of the health-related quality of life (HRQoL). One of them, the COMQ-12 questionnaire, was devised to estimate the subjective reports by the patients concerning the deterioration of their quality of life attributable to chronic otitis media. The objective of the present study was to characterize the value of the 5-point Russian-language version of COMQ-12 for the evaluation of each of its 12 items concerning various aspects of health based on the personal opinions of the patients suffering from chronic otitis media The study included 108 patients 49 of whom were men and 59 women (45% and 55% respectively) at the age varying from 16 to 84 years. The COMQ-12 scores, according to the reports of individual patients, ranged from 4 to 43 of the 60 ones possible. The average score was 19.4 (SD=8.3). The overall median COMQ-12 score was 20, and the mode scored 14. The Cronbach-alpha index was equal to 0.860. The Russian-language version of the COMQ-12 questionnaire provides a reliable tool for the estimation of the quality of life in the patients presenting with various forms of chronic otitis media.
Learning Objectives:Introduction: The Chronic Otitis Media Questionnaire 12 (COMQ-12) is a 12-item multiple-choice disease-specific health-relatedquality-of-life (HRQoL) questionnaire.COMQ-12 allowscorrelation of the patient's expectations from treatment with the need for surgical intervention. We validated the questionnaire and obtained permission by the authors for its use. As a first step, as part of the development and adaptation of the COMQ-12 we must define normal scores, typical for the healthy population. Methods:The study included healthy volunteers who were asked to complete a COMQ-12. Also the following data were recorded: sex, age, and whether they had a history of ear problems other than that of chronic otitis media (COM); this included symptoms of hearing loss, dizziness,tinnitus, ear discomfort, history of ear infections. Patients with COM were excluded from the study.
BACKGROUND: Currently there are two main techniques for cholesteatoma surgery: the closed technique (wall up) and the open technique (wall down). The canal wall down mastoidectomy in cholesteatoma can secure a good operation field and easy removal of the lesion. However, there are some problems: the lifelong care of the cavity, dizziness due to the exposed semicircular canal, difficulty with the fitting of a hearing aid as well as poor cosmetics. The canal wall up technique has a better hygienic status and better functional outcome. This technique is associated with a higher rate of residual disease and a higher rate of recurrent disease. To prevent both residual and recurrent cholesteatoma, we performed canal wall down technique with the obliteration of paratympanic spaces for patients with acquired cholesteatoma. MATERIAL AND METHODS: This paper studies the long-term outcomes of surgical treatment of chronic suppurative otitis media with cholesteatoma to prevent residual disease and its relapses. The results of the postoperative observation of 189 patients during the period from 2009 till 2014 are presented. All patients underwent sanation surgery with the obliteration of paratympanic spaces followed by the restoration of the posterior wall of the external auditory meatus and simultaneous tympanoplasty (closed-type surgery). The patients were examined one year after the treatment with the use of the MRI technology using the non-EPI DWI regime to monitor the residual and recurrence cholesteatoma. RESULTS: We analyzed the postoperative results from 189 patients. The follow-up observation revealed 11cases of residual cholesteatoma. Recurrent cholesteatoma was not observed during the follow-up periods. CONCLUSION: Long-term follow up indicated that the canal wall down technique with bony obliteration is a safe method with which to treat primary cases and to reconstruct unstable cavities. The MRI technology in the non-EPI DWI regime was successful in differentiating soft tissues and enabling the detection of residual or recurrent cholesteatoma after a canal wall down bony obliteration technique procedure.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.