Background: A study on the chronic suppurative otitis media (CSOM) is done.
Materials and Methods: 10 years of gathered material from diagnostics and operative treatment performer on over 186 patients
with CSOM (77-epitympanitis and 109-mesotympanitis) is used. For examinations there were applied: medical history, status,
audiometry, tympanometry, image diagnostics (X-ray examination, CT, MRI). An oto-endoscope examination was introduced.
Results: CSOM treatment – over 77 (41.4%) patients were treated with open and closed operative techniques. Very good final functional results of patients’ recovery were obtained in 87.17% at the former and 86.84% at the second ones. The average value of ABG pre/post operation was 27.09 dB/17.42 dB at the operations. 70.09% of the cases show ABG ≤20 dB. In 109
(58.6%) patients reconstructive techniques (tympanoplasty type I, II, III) were performed. The average value of ABG pre/post
operation was 24.79 dB/14.06 dB in the plastics done. 95% of the cases show ABG ≤20 dB. CSOM training and experience of our team: internet page www.prootology.domino.bg in ENT specialty and 18 scientific meetings areheld; the 4 cadaver dissections for the otosurgeons were organized.
Conclusions: The audiological functional results received are comparable with those of leading otosurgeons at home and in
the European Union (EU) clinics. A training and qualification is pursued throughout contemporary forms and instruments
of education, compatible with the rules and requirements of EU.
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Magnan JP, Huttenbring KB: III Instructional workshop in otology and neuro-otology of EAONO. Program Neuro-Otology, September 20–24, 2006 Cologne, Germany.
Fisch U, May J: Tympanoplasty, Myringoplasty, Ossiculoplasty, Special Applications with tympanoplasty. In: Fisch U, May J (eds.), Tympanoplasty, mastoidectomy and stapes surgery. Thieme Medical Publishers, Inc. New York, Chapter 1–4, 1994; 2–144.
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Jahnke K: Indication of different techniques in cholesteatoma surgery. European Academy of Otology & Neuro-Otology, Second Instructional Workshop. October 21–24, 2004 Cologne, Germany.
Tos M: Manuel of middle ear surgery. In: Tos M (ed.), Ossiculoplasty and Tympano-plasty. Thieme Medical Publishers, Inc. New York, vol. 1, part III, 1993: 238–94.
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