Middle ear packing agents

Khamgushkeeva, N. N.; Чернушевич, И. И.; Anikin, I. A.; Кузовков, В. Е.; Dvoryanchikov, V. V.

doi:10.18692/1810-4800-2022-6-94-102

2022

DOI: 10.18692/1810-4800-2022-6-94-102

|View full text |Cite

Middle ear packing agents

N. N. Khamgushkeeva¹,

И. И. Чернушевич²,

I. A. Anikin³

et al.

Abstract: This review aims to describe the materials most commonly used for middle ear packing during tympanoplasty. These materials promote local hemostasis, limit wound surfaces, and fill the volume of the tympanic cavity. The usage of these materials is aimed at reducing the probability of developing cicatricial adhesive changes in the middle ear, stabilizing ossicular prostheses in the desired position, and maintaining the tympanic membrane graft. Main attention is paid to the description of the characteristics of m… Show more

Help me understand this report

Search citation statements

Order By: Relevance

Paper Sections

Select...

Citation Types

Supporting

Mentioning

Contrasting

Year Published

2023

Publication Types

Select...

Article2

Relationship

Self Cite0

Independent2

Authors

Journals

Cited by 2 publications

References 38 publications

(81 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

Classification of pathological epidermization (cholesteatoma) of the middle ear NMAO

2023

View full text Add to dashboard Cite

The periodicals published over the past 5 years showed that interest in the issue of surgical treatment of chronic otitis media, including one complicated by cholesteatoma, did not wane despite the large accumulated experience of schools in otosurgery around the globe. In our opinion, there are currently some significant problems of terminology in the clinical anatomy of the ear, in particular, the nomenclature of the upper floor of tympanic cavity, which negatively affects the comparison and reproducibility of the results of surgical treatment of chronic otitis media. The critical analysis of the current classification of middle ear cholesteatoma proposed in 2017 and validated in Russia in 2021 demonstrates certain difficulties in using the pathohistological term “cholesteatoma”, as well as the basic inaccuracy in defining the concept and structure of the anterior parts of the epitympanum. The work aims to develop and present a new classification of pathological middle ear epidermization (cholesteatoma), which is based on the pathophysiology of middle ear ventilation. The modern concepts on the mechanisms of middle ear ventilation reveal its important role in developing the pathological epidermization and secondary cholesteatoma. The use of three-dimensional modelling of airway ventilation makes it substantially easier to follow the pathophysiological mechanisms of development of tympanic membrane retraction. The tympanic diaphragm consists of more than 10 composite elements. Understanding the pathophysiological principles underlies the proposed classification of pathological middle ear epidermization (cholesteatoma), which is based on the prevalence of middle ear and surrounding anatomical formation injuries. The pathological process area is coded using the abbreviation of the National Medical Association of Otorhinolaryngologists. In this abbreviation, each letter corresponds to a specific anatomical region. The tympanic diaphragm represents the boundary between the regions. Each letter is assigned an index corresponding to the degree of pathological epidermization invasion into the structures of the middle ear, temporal bone and cranial cavity. The authors provide a table, which serves as a visual aid for ease of coding the diagnosis. Examples of how to formulate a diagnosis in accordance with otoscopic illustrations are given.

show abstract

Classification of pathological epidermization (cholesteatoma) of the middle ear NMAO

2023

View full text Add to dashboard Cite

show abstract

The use of a combined flap in closed-type tympanoplasty

Komarov,

Dvorianchikov,

Anikin

2023

Medicinskij sovet

View full text Add to dashboard Cite

Introduction. Cartilage graft has been used in otosurgery since 1959. Cartilage resistance to pressure drops in the tympanic cavity and blood supply deficit in the early postoperative period favorably distinguish it from autofascia. When performing myringoplasty, it is important to create conditions for the formation of a neotympanic membrane that has the same three-dimensional spatial configuration as the native tympanic membrane with full contact of the membrane with the bone tympanic ring and the handle of the malleus. Also, the formation of the neotympanic membrane (myringoplasty) is a key step in tympanoplasty with ossiculoplasty, which ensures not only the restoration of the tightness of the tympanic membrane, but also the contact and proper fixation of the distal part of the prosthesis used to replace the lost elements of the auditory ossicular chain.Objective. Evaluate the effectiveness of closed-type tympanoplasty by using a combined autofascial-autocartilaginous flap.Materials and methods. A study group was formed, including patients who underwent tympanoplasty of types 1–3 according to M. Tos according to the proposed method of using an autofascial-autocartilaginous flap (343 patients), and a comparison group, including patients who underwent type 1 tympanoplasty with using autofascia (54 patients).Results. Long-term anatomical results showed greater stability of the neotympanic membrane formed by the proposed method (2% reperforations). Functional results in the range of speech frequencies had no significant differences. Comparison of functional results in the high frequency range demonstrated a significant advantage of the proposed technique.Conclusion. The conclusion is drawn that the proposed method of forming a neotympanic membrane close in configuration to the native tympanic membrane provides a high functional result with a reduction in the gap in sound conduction between the diseased and healthy ear to 5–10 dB at frequencies of 0.5–16 kHz.

show abstract

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.

Contact Info

hi@scite.ai

10624 S. Eastern Ave., Ste. A-614

Henderson, NV 89052, USA

Blog Terms and Conditions API Terms Privacy Policy Contact Cookie Preferences Do Not Sell or Share My Personal Information

Made with 💙 for researchers

Part of the Research Solutions Family.

Middle ear packing agents

Cited by 2 publications

References 38 publications

Classification of pathological epidermization (cholesteatoma) of the middle ear NMAO

Classification of pathological epidermization (cholesteatoma) of the middle ear NMAO

The use of a combined flap in closed-type tympanoplasty

Contact Info

Product

Resources

About