Functional and morphological correlations in prolonged otitis media in childhood
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DIACOVA, Svetlana, ABABIY, Ivan, DANILOV, Lucian, MANYUK, Mihail, ABABII, Polina, GAVRILUŢA, Vasile, LEVCENCO, A.. Functional and morphological correlations in prolonged otitis media in childhood. In: IFMBE Proceedings: . 4th International Conference on Nanotechnologies and Biomedical Engineering, Ed. 4, 18-21 septembrie 2019, Chişinău. Switzerland: Springer Nature Switzerland AG, 2020, Ediția 4, Vol.77, pp. 633-637. ISBN 978-303031865-9. ISSN 16800737. DOI: https://doi.org/10.1007/978-3-030-31866-6_112
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IFMBE Proceedings
Ediția 4, Vol.77, 2020
Conferința "Conference on Nanotechnologies and Biomedical Engineering"
4, Chişinău, Moldova, 18-21 septembrie 2019

Functional and morphological correlations in prolonged otitis media in childhood

DOI: https://doi.org/10.1007/978-3-030-31866-6_112

Pag. 633-637

Diacova Svetlana1, Ababiy Ivan1, Danilov Lucian1, Manyuk Mihail1, Ababii Polina12, Gavriluţa Vasile12, Levcenco A.12
 
1 ”Nicolae Testemițanu” State University of Medicine and Pharmacy,
2 IMSC Clinica "Emilian Cotaga", Institutul Mamei și Copilului
 
Proiecte:
 
Disponibil în IBN: 26 octombrie 2020


Rezumat

Recurrent and persistent otitis media (OM) in childhood are characterized by prolonged and clinically different courses. The aim of this work is to study functional and morphological features in children with prolonged OM forms. Children with persistent OM with effusion and recurrent acute OM were examined by impedance audiometry, brainstem evoked response audiometry, registration of oto-acoustical emissions, pneumatic otoscopy, otomicroscopy, computer tomography and examination of surgical findings. Surgery consisted of modified version of tympanostomy. Otomicroscopical, cytological and histological examinations revealed the presence of morphological changes characteristic for chronic inflammation in part of recurrent and persistent OM. Duration of the process (more than 3 months) and previous treatment (physiotherapy and adenoidectomy) correlated with chronic changes in both groups. Prolonged OM forms present interrelated stages of the common inflammatory process in the middle ear. Functional changes, indicating the presence of OM for more than 3 months are the basis for comprehensive treatment, including tympanostomy. Modified tympanostomy permits better evacuation of pathological content from tympanic cavity and improves evaluation of morphological changes.