Abstract
Chronic secretory otitis media is one of the most common multifactorial diseases in the otolaryngology practice. The disease characteristic features are the resumption of inflammation, with the formation of otorrhea, which can lead to a hyperplastic, sclerotic, and destructive changes. Of particular interest is the influence of acid-related diseases of the gastrointestinal tract on the formation of recurrent and irreversible chronic inflammatory phenomena in the middle ear cavity. The study included 152 patients (82 women and 70 men) with chronic secretory otitis media who were treated from 2021 to 2022 in the Department of Otorhinolaryngology of St. Petersburg City Hospital No. 26. 142 patients underwent installation of a tympanostomy tube, 10 people received a course of conservative therapy. Observation over time allowed us to compare various outcomes of inflammation in groups of patients with and without gastrointestinal tract diseases. In the group of patients with gastrointestinal tract diseases, relapses of inflammation were observed in 43 (39,1%) people over a 12-month period. In 5 (4,9%) participants, tympanostomy tube extrusion was recorded by the end of 3 months of observation, with the formation of persistent perforation of the tympanic membrane. Further, in 2 patients with extrusion of tympanostomy tube and perforation of the pars tensa, we observed the formation of retraction pocket type I pars flaccida. This study allows us to conclude that inflammatory recurrent diseases of the upper gastrointestinal tract can not only cause dysfunction of the eustachian tube but also contribute to inflammatory-degenerative diseases of the tympanic cavity.
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