Effect of Otoendoscopey and Microscope Assisted Tympanoplasty on Hearing Recovery in Patients with Chronic Suppurative Otitis Media
Objective:To compare the effect of otoendoscopey and microscope assisted tympanoplasty in patients with chronic suppurative otitis media(CSOM)and its influence on hearing recovery.Method:A total of 84 patients with CSOM admitted to Boda Otolaryngology Hospital,Jiangxi Academy of Medical Science from January 2021 to January 2023 were divided into two groups according to random number table method.The control group(n=42)was treated with microscope assisted tympanoplasty,and the observation group(n=42)was treated with otoendoscopey assisted tympanoplasty.The clinical efficacy,perioperative indexes,inflammatory factors[interleukin-8(IL-8),soluble interleukin-2 receptor(sIL-2R)],hearing status and complications were compared between the two groups.Result:There was no significant difference in the total effective rate between the two groups(P>0.05).The intraoperative bleeding volume in the observation group was less than that in the control group,and the operative time and hospital stay in the observation group were shorter than those in the control group(P<0.05).1 week after surgery,the levels of IL-8 and sIL-2R in observation group were lower than those in control group(P<0.05).3 months after surgery,the air conduction threshold,bone conduction threshold and gas bone conduction difference in observation group were lower than those in control group(P<0.05).Compared with the control group(33.33%),the complication rate in the observation group(9.52%)was lower,the difference was statistically significant(P<0.05).Conclusion:Both otoendoscopy and microscope assisted tympanoplasty can achieve good clinical efficacy in patients with CSOM,but compared with microscope assisted tympanoplasty,otoendoscopy assisted tympanoplasty can reduce intraoperative bleeding volume,shorten operative time and hospital stay,and is more helpful to improve the levels of inflammatory factors,promote patients'hearing recovery and reduce complications.
万方数据
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