ABSTRACT
The objective of the present study was to elucidate the spectrum of the pathogenic agents responsible for the development of acute suppurative otitis media in the children of the preschool age and to reveal the specific clinical features of this disease depending on its etiological factors. The study involved 138 patients (186 ears) of either sex at the age from 1 year to 84 months who presented with acute suppurative otitis media. The following methods were employed for the purpose of the study: analysis of the patients' complaints and the past medical histories, examination of the ENT organs, microbiological (bacteriological and virological) studies of secretion from the tympanic cavity, diagnostic endoscopy of the nasal cavity and nasopharynx, laboratory investigations. The study allowed to reveal the characteristic clinical manifestations of the pathology of interest depending on its etiology.
Subject(s)
Coinfection , Nasopharynx , Otitis Media, Suppurative , Acute Disease , Bacteria/classification , Bacteria/isolation & purification , Child, Preschool , Coinfection/diagnosis , Coinfection/epidemiology , Diagnostic Techniques, Otological , Endoscopy/methods , Female , Humans , Infant , Male , Microbiological Techniques/methods , Nasopharynx/diagnostic imaging , Nasopharynx/microbiology , Otitis Media, Suppurative/diagnosis , Otitis Media, Suppurative/epidemiology , Otitis Media, Suppurative/microbiology , Otitis Media, Suppurative/physiopathology , Retrospective Studies , Russia/epidemiology , Viruses/classification , Viruses/isolation & purificationABSTRACT
Digital video-otoscopy (DVO) is one of the modern high-tech methods for otiatric diagnostics that allows to enlarge the image of the area being examined, i.e. the otoscopic picture. DVO has been shown to facilitate the objective dynamic observation of the clinical course of the disease by means of photo- and videodocumentation of he changes in the tympanic membrane and other otoscopicstructures. The DVO technique makes it possible to substantially improve the quality of diagnostics, detect the middle ear conditions at the early stagesof their alteration, and choose the optimal strategy for the continued conservative and/or surgical treatment.