Comparative clinical-audiological characteristics of the acoustic analyzer in patients with chronic tubotimponal otitis media with perforation of the tympanic membrane after injury and because chronic inflammation before and after tympanoplasty


  • І.І. Grynko
Keywords: chronic tubotimponal otitis media, auditory dysfunction, tonal audiometry, perforation of the tympanic membrane, barotrauma.

Abstract

A comparative clinical and audiological characteristic of the condition of the auditory analyzer before and after tympanoplasty in patients with perforation of the tympanic membrane after trauma and as a result of chronic inflammation was conducted. Patients with T/bvt and AT/bvt have similar features of the thresholds of perception of air-operated sounds at the frequencies of 0.5, 1.0 and 4.0 kHz - gradual decrease with an increase in time after surgical intervention (3–6–12 months). In patients with AT/bvt, unlike patients with T/bvt at frequency 2.0 kHz, the most pronounced decrease in the thresholds for the perception of airborne sounds is observed only after 3 months, and at the frequency of 8.0 kHz these figures are practically unchanged. Dynamics of thresholds for the perception of bone-carved sounds at different frequencies in patients with T/bvt and AT/bvt after surgery have in most cases multi-directional nature. The dynamics of bone and air intervals at frequencies of 0.5, 1.0 and 2.0 kHz in patients with T/bvt and AT/bvt after surgery is similar — gradual decrease with an increase in time after surgery (3–6–12 months) the most pronounced decrease is noted in the first 3 months. In patients with AT/bvt, unlike patients with T/bvt at a frequency of 4.0 kHz in the first 6 months, a gradual slight decrease in the value of this indicator is observed, and between the 6th and 12-th months after the operation its size even increases, and on the frequency of 8.0 kHz with an increase in time after surgical intervention, the value of this indicator is practically unchanged.

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Published
2017-09-29
How to Cite
GrynkoІ. (2017). Comparative clinical-audiological characteristics of the acoustic analyzer in patients with chronic tubotimponal otitis media with perforation of the tympanic membrane after injury and because chronic inflammation before and after tympanoplasty. Reports of Vinnytsia National Medical University, 21(2), 414-419. Retrieved from https://reports-vnmedical.com.ua/index.php/journal/article/view/16