ULTRASONIC EXAMINATION OF VENTILATION TUBES PATENCY IN PATIENTS WITH OTITIS MEDIA WITH EFFUSION AFTER TIMPANOSTOMY
https://doi.org/10.20538/1682-0363-2014-1-129-134
Abstract
The aim of this study was to improve the accuracy and sensitivity of methods for ventilation tube patency evaluation after timpanostomy. New method of one-dimensional ultrasound middle ear sonography was developed. We studied ventilation tubes patency in 40 patients with otitis media with effusion, after timpanostomy. All patients tympanometry and one-dimensional ultrasound sonography was obtained at 4, 7th and one month after surgery. After timpanostomy in children with the otitis media with effusion, at 4 days after the surgery one-dimensional ultrasound sonography detected normal function of ventilation tubes in 75% patients. At the same time, according to tympanometry ventilation tube patency was recorded in 80% patients. On 7th day after surgery one-dimensional ultrasound sonography detected normal function of ventilation tubes in 85% patients. According to tympanometry the 90% patients demonstrated normal ventilation tube function. One month after surgery one-dimensional ultrasound sonography detected normal function of ventilation tubes in 92.5% patients. At the same time, according to tympa nometry ventilation tube patency was recorded in 95% people. Calculation of ultrasound sonography sensitivity and specificity showed that the sensitivity of this process is 97.4%, specificity – 100%. The statistical significance of differences in ventilation tube patency assessment is not determined. Thus, we have proved one-dimensional ultrasound sonography the sensitive method for ventilation tubes patency validation. The method is simple, requires a bit of time for application, so it can be widely recommended for outpatient network.
About the Authors
N. V. Shcherbik
Siberian State Medical University, Tomsk; Tomsk Branch of the Research Center of Otorhinolaryngology, FMBA of Russia, Tomsk
Russian Federation
Shcherbik Natalia V.
Russian Federation
Shcherbik Natalia V.
V. A. Konushkin
Siberian State Medical University, Tomsk
Russian Federation
Konushkin Vitaly A.
Russian Federation
Konushkin Vitaly A.
A. V. Starokha
Siberian State Medical University, Tomsk; Tomsk Branch of the Research Center of Otorhinolaryngology, FMBA of Russia, Tomsk
Russian Federation
Starokha Alexander V.
Russian Federation
Starokha Alexander V.
M. M. Litvak
Siberian State Medical University, Tomsk; Tomsk Branch of the Research Center of Otorhinolaryngology, FMBA of Russia, Tomsk
Russian Federation
Litvak Maxim M.
Russian Federation
Litvak Maxim M.
References
1. Loginov S.N., Bisharova G.I. Screening acoustic impedancemetry in a preschool children investigation. Russian Otorhinolaryngology, 2003, vol. 5, no. 2, pp. 97–101 (in Russian).
2. Mileshina N.A., Dmitriyev N.S., Volod'kina V.V. Algorithm of patients with otitis media with effusion management. Russian Otorhinolaryngology, 2007, appl., pp. 164–167 (in Russian).
3. Preobrazhensky N.A., Goldman I.I., Otitis media with effusion. Moscow, Medicine Publ., 1987. 192 p. (in Russian).
4. Shcherbik N.V., Khulugurova L.N., Chuikova K.I. Rationality of antiviral therapy in the treatment of otitis media with effusion in children. Annual Proceedings of the IV All- Russian Congress on Infectious Diseases. Moscow, 2012, 435 p. (in Russian).
5. Shcherbik N.V., Khulugurova L.N., Chuikova K.I. Virological aspects of the otitis media with effusion formation in children. Proceedings of the XVIII Russian otolaryngologists Congress. Saint Petersburg, 2011, vol. 1, pp. 430–432 (in Russian).
6. Levina Yu.V., Luchikhin L.A., Karsyuk A.A. Erespal effectiveness in exudative otitis media. Vestnik Otorinolaringologii, 2003, no. 4, pp. 48–50 (in Russian).
7. Coates H., Thornton R., Langlands J. et al. The role of chronic infection in children with otitis media with effusion: evidence for intracellular persistence of bacteria. Otolaryngol. Head Neck Surg, 2008, vol. 138, no. 6, pp. 778–781.
8. Jezewska E., Kukwa A., Jabłońska J., et al. The efficacy of tympanopunction in children with OMS. Otolaryngol. Pol., 2008, vol. 62, no. 3, pp. 288–290.
9. Tos M. Epidemiology and natural history of secretory otitis. Am. J. Otol., 1984, vol. 5, pp. 459–462.
10. Piskunov S.Z., Zaviyalov F.N., Salikov A.V. Sinupret in the management of otitis media with effusion. Russian Rhinology, 2008, no. 3, pp. 4–10. (in Russian).
11. Otorhinolaryngology: national guidance. Ed. By V.T. Pal'chun. Moscow, GEOTAR-Media, 2008, 960 p. (in Russian).
12. Keyhani S., Kleinman L.C., Rothschild M. et al. Clinical characteristics of New York City children who received tympanostomy tubes in 2002. Pediatrics, 2008, vol. 121, no. 1, pp. 24–33.
13. Williamson I. Otitis media with effusion. Clin. Evid., 2001, vol. 5, pp. 359–366.
14. Starokha A.V., Davydov A.V., Litvak M.M. et al. Method for diagnosing of auditory tube diseases. RF, Patent 2342072, December 27, 2008 (in Russian).
Review
For citations:
Shcherbik N.V., Konushkin V.A., Starokha A.V., Litvak M.M. ULTRASONIC EXAMINATION OF VENTILATION TUBES PATENCY IN PATIENTS WITH OTITIS MEDIA WITH EFFUSION AFTER TIMPANOSTOMY. Bulletin of Siberian Medicine. 2014;13(1):129-134. (In Russ.) https://doi.org/10.20538/1682-0363-2014-1-129-134
Views:
839
Email this article 