Abstract
The authors analyzed surgical treatment of 438 patients with chronic suppurative otitis media with cholesteatoma; of them 401 patients have undergone various types of sanitation interventions with sound conducting apparatus reconstruction: 180 persons had the closed type interventions and 221 persons had modified radical surgery. The average follow-up period was 39 months. 226 patients (52 children at the age from 4 to 15 years and 174 adults above 15 years old) had surgical revision at different stages after the primary surgery. Residual cholesteatoma was detected in 26.0% of adults and 21.3% of children, recurrent one – in 7.8% and 7.5% respectively, and correlation of primary and residual cholesteatoma localization was found. The study showed a higher risk of recurrent cholesteatoma development in patients that underwent sanitizing operation with the closed type tympanoplasty. It is noted that the incidence of the disease recurrence increases with the lapse of time after the primary surgery. The authors developed an algorithm for postoperative management of patients with chronic suppurative otitis media with cholesteatoma.
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