Our experience in the treatment of patients with secretory, fibrous and atelectatic otitis media

Abstract

The article reflects the experience of examination and treatment of 146 patients with secretory otitis media, 52 patients with fibrous otitis media, 80 patients – with atelectatic otitis media and 22 patients with otitis media with tympanic cavity epidermisation. It has been established, that the main link in the pathogenesis of chronic otitis media with fibrosis and atelectasis of tympanic cavity is the scar “block” of the natural tympanic diaphragm fistules. The main reason of tympanic membrane mezotympanic retraction and tympanic cavity epidermization is the noncompensated expressed eustachian tube ventalatory dysfunction. The authors suggested the principles and methods of surgical treatment of patients with this pathology.