RESUMO
The author presents statistical information concerning the prevalence of chronic purulent otitis media. Characteristics of typical complaints are described with special reference to cochlear-vestibular disorders in patients presenting with epitympanitis. The results of detailed analysis of the causes of cochlear-vestibular disorders in the patients with chronic purulent otitis media during the preoperative and postoperatve periods are reported.
Assuntos
Perda Auditiva , Complicações Intraoperatórias/prevenção & controle , Otite Média Supurativa , Complicações Pós-Operatórias/prevenção & controle , Timpanoplastia , Doenças do Nervo Vestibulococlear , Nervo Vestibulococlear/fisiopatologia , Condução Óssea , Doença Crônica , Orelha Média/patologia , Orelha Média/cirurgia , Perda Auditiva/diagnóstico , Perda Auditiva/etiologia , Perda Auditiva/fisiopatologia , Humanos , Otite Média Supurativa/complicações , Otite Média Supurativa/diagnóstico , Otite Média Supurativa/epidemiologia , Otite Média Supurativa/fisiopatologia , Avaliação de Resultados em Cuidados de Saúde , Prevalência , Índice de Gravidade de Doença , Timpanoplastia/efeitos adversos , Timpanoplastia/métodos , Testes de Função Vestibular/métodos , Doenças do Nervo Vestibulococlear/diagnóstico , Doenças do Nervo Vestibulococlear/etiologia , Doenças do Nervo Vestibulococlear/fisiopatologiaRESUMO
A total of 177 patients with otosclerosis were selected for this study. Vestibular disorders were diagnosed in 40 (22.6%) of them. The patients were allocated to 2 groups comprising 11 and 18 subjects respectively. Patients of group 1 were given surgical treatment during the current hospitalization. Patients of group 2 were treated by conservative therapy following stapedoplasty performed 1 year or more earlier. The study included analysis of vestibular symptoms and evaluation of clinical effectiveness of the combined treatment in the form of therapy with betahistine dihydrochloride (betaserk) during 2 months and a course of 10-12 sessions of game exercises at a stabilographic complex. The patients of both groups enjoyed reduced severity of subjective and objective vestibular symptoms and statistically significant improvement of the equilibrium function assessed from statokinesigrams. It is concluded that combined vestibuloadaptive therapy is an effective method of preparation for stapedoplasty and correction of postoperative complications.
