Effect of Tympanoplasty Combined with Open Radical Mastoidectomy in the Treatment of Chronic Otitis Media and its Influence on Hearing Changes
Objective To investigate the effect of tympanoplasty combined with open radical mastoidectomy in the treatment of chronic otitis media and its effect on hearing changes.Methods A total of 52 patients with chronic otitis media admitted to Jiangxi Fengcheng Hospital of Traditional Chinese Medicine from January 2021 to July 2024 were selected as the research objects.According to the random number table method,they were divided into control group and study group,with 26 patients in each group.The control group was treated with classical radical mastoidectomy,and the study group was treated with tympanoplasty combined with open radical mastoidectomy.The therapeutic effect,hearing recovery(air conduction hearing threshold,bone conduction hearing threshold,air bone conduction hearing difference),clinical symptom improvement time(tympanic membrane congestion symptom disappearance time,perforation healing time,ear pain symptom disappearance time,middle ear empyema disappearance time),and incidence of adverse reactions(tympanic nerve injury,middle and external auditory canal stenosis,infection,tympanic membrane perforation)were compared between the two groups.Results The total effective rate of treatment in the study group was 96.15%,which was higher than 73.08%in the control group(P<0.05).The postoperative air conduction hearing threshold,bone conduction hearing threshold and air-bone conduction hearing difference in the study group were lower than those in the control group(P<0.05).The disappearance time of tympanic membrane congestion symptoms,perforation healing time,ear pain symptoms and middle ear empyema in the study group were shorter than those in the control group(P<0.05).The incidence of adverse reactions in the study group was lower than that in the control group(P<0.05).Conclusion Tympanoplasty combined with open radical mastoidectomy has a definite clinical effect in the treatment of chronic otitis media,which can improve the hearing of patients,accelerate the improvement of clinical symptoms,and has high safety.
TympanoplastyOpen radical mastoidectomyChronic otitis media
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