Objective:To explore the therapeutic effect of drug stent-assisted endoscopic tympanoplasty type Ⅰ in the treatment of chronic suppurative otitis media.Methods:From October 2022 to January 2024,124 patients with simple chronic suppurative otitis media admitted to our hospital were collected and randomly divided into experimental group[64 cases(64 ears)]and control group[60 cases(60 ears)].The experimental group received drug stent-assisted endoscopic tympanoplasty type Ⅰ,while the control group received traditional endoscopic tympanoplasty type Ⅰ.The bleeding volume,surgical time,hospital stay,dry ear time,therapeutic effect,postoperative adverse reactions,preoperative and postoperative hearing,pain visual analog scale(VAS),cross-sectional area of the affected ear canal,generic quality of life inventory-74(GQOL-74)of the 2 groups were documented.Results:Compared with the control group,the surgical time of the experimental group was significantly increased(P＜0.05).There was no statistically significant difference in bleeding volume and hospital stay between the 2 groups(P＞0.05).Before surgery,the airway hearing threshold,air bone conduction difference,bone conduction hearing threshold,VAS,cross-sectional area of the affected ear canal and quality of life score had no differences between the 2 groups(P＞0.05).At 2 and 4 weeks after surgery,the airway hearing threshold,air bone conduction difference,bone conduction hearing threshold,and VAS of the 2 groups were all reduced(P＜0.05).Compared with the control group,bone conduction hearing threshold,the airway hearing threshold,air bone conduction difference,and VAS of the experimental group were significantly reduced(P＜0.05).Compared with the control group,the cross-sectional area of the affected ear canal and quality of life score of the experimental group was significantly increased at 3 months after surgery,and the dry ear time was significantly reduced(P＜0.05).Compared with the control group,the total effective rate of the experimenal group was significantly increased(P＜0.05).1 patient in each group had mild infection after surgery,and the rest of the patients had mild infection.Conclusion:Drug stent-assisted endoscopic tympanoplasty type Ⅰ can be used to treat chronic suppurative otitis media,which can significantly shorten ear drying time,alleviate pain,improve hearing,increase cross-sectional area of the affected ear canal and improve quality of life.
drug stentendoscopechronic suppurative otitis mediatympanoplasty
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