Article
Chronic Otitis Media – Diagnostic, Treatment and Training: our experience
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Published: | April 17, 2009 |
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Objective: A study over the chronic otitis media (COM)
Material: 10 years gathered material 266 patients – 80 (30%) chronic otitis media with effusion (COME) and 186 (70%) – chronic otitis media purulenta (COMP)
Methods: audiometry, tympanometry, otoacoustic emissions, immunohistochemical, computer tomography, magnetic resonance, otoendoscopy, myringotomy, tympanostomy, open, closed operative techniques
Results: COM treatment – COME: average value (AV) of BCG pre/post operation 32.33/12.73 dB. 98.72% show BCG ≤ 20 dB. COMP: 77 patients with open (50.65%) and closed (49.35%) techniques are performed. Very good final results are obtained – 87.17% at the former and 86.84% at the second ones. AV of BCG pre/post operation – 27.09 dB/17.42 dB. 70.09% show BCG ≤ 20 dB. At 109 patients tympanoplasty type I, II, III are performed. AV of BCG pre/post operation - 25.54 dB/13.15 dB. 95% show BCG ≤ 20 dB.
COM training: BJONO “Pro Otology”, web page www.prootology.domino.bg, on-line ONO magazine, e-posters, 1 video-film, 1 CD-ROM are created; 13 international scientific meetings, 2 cadaver dissections, accreditations after UEMS are done.
Conclusion: The results are comparable with those of otosurgeons in EU. A training and qualification is pursued throughout contemporary forms and instruments of education, compatible with the rules and requirements of EU.