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Krukov A.I.

Sverzhevsky Moscow Scientific and Practical Othorhinolaryngology Center, Moscow

Kunel’skaya N.L.

N.I. Pirogov Russian National Research Medical University, Moscow, Russia, 117997;
L.I. Sverzhevsky Moscow Research and Practical Centre of Otorhinolaryngology, Moscow Health Department, Moscow, Russia, 117152

Garov E.V.

Moskovskiĭ nauchno-prakticheskiĭ tsentr otorinolaringologii Departamenta zdravookhraneniia Moskvy

Zelikovich E.I.

Otdelenie otorinolaringologii, otdelenie komp'iuternoĭ tomografii Nauchnogo tsentra zdorov'ia deteĭ RAMN, Moskva

Baybakova E.V.

GBUZ "Moskovskiĭ nauchno-prakticheskiĭ tsentr otorinolaringologii im. L.I. Sverzhevskogo", Moskva

Zelenkova V.N.

Moskovskiĭ nauchno-prakticheskiĭ tsentr otorinolaringologii DZ Moskvy

Garova E.E.

GBUZ "Moskovskiĭ nauchno-prakticheskiĭ tsentr otorinolaringologii" Departamenta zdravookhraneniia Moskvy

Martirosyan T.G.

Sverzhevskiy’s Otorhinolaryngology Healthcare Research Institute, Moscow, Russia, 117152

Variants of treatment of the head direction at the festulars of the labi-rint of inflammatory genesis

Authors:

Krukov A.I., Kunel’skaya N.L., Garov E.V., Zelikovich E.I., Baybakova E.V., Zelenkova V.N., Garova E.E., Martirosyan T.G.

More about the authors

Journal: Russian Bulletin of Otorhinolaryngology. 2019;84(5): 20‑25

DOI: 10.17116/otorino20198405120

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To cite this article:

Krukov AI, Kunel’skaya NL, Garov EV, et al. . Variants of treatment of the head direction at the festulars of the labi-rint of inflammatory genesis. Russian Bulletin of Otorhinolaryngology. 2019;84(5):20‑25. (In Russ.)
https://doi.org/10.17116/otorino20198405120

Подписка 2025 (Russian Bulletin of Otorhinolaryngology)
 
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The purpose of the study is to analyze the effectiveness of various methods of treating dizziness with fistulas of the labyrinth (FL) of inflammatory genesis. An analysis of the surgical treatment of 216 patients with chronic suppurative otitis media (CSOM) with cholesteatoma complicated by FL using a variety of FL treatment methods is presented. All patients underwent a debridement operation on the middle ear or revision of the postoperative cavity: in 48 patients with a matrix of cholesteatoma in situ on the fistula, in 109 patients with matrix removal followed by plastic repair or FL filling with various autotissues, in 59 patients with matrix conservation, plastic removal or filling FL and SLD labyrinth. In the last two groups, filling of a semicircular canal (SC) defect was performed in 33 patients, and mastoidoplasty — in 47. Conclusion. All used FL treatment techniques are effective in the treatment of peripheral vestibular disorders. Careful treatment of SC fistula after removal of all pathological conditions in the absence of active inflammation and the appointment of hormone therapy in the postoperative period are the main factors in preserving the functions of the labyrinth in any surgical technique. Filling of the lumen of the SC and mastoidoplasty in patients with CSOM with FL can eliminate peripheral dizziness.

Keywords:

chronic suppurative otitis media
cholesteatoma
labyrinth fistula
surgical treatment

Authors:

Krukov A.I.

Sverzhevsky Moscow Scientific and Practical Othorhinolaryngology Center, Moscow

Kunel’skaya N.L.

N.I. Pirogov Russian National Research Medical University, Moscow, Russia, 117997;
L.I. Sverzhevsky Moscow Research and Practical Centre of Otorhinolaryngology, Moscow Health Department, Moscow, Russia, 117152

Garov E.V.

Moskovskiĭ nauchno-prakticheskiĭ tsentr otorinolaringologii Departamenta zdravookhraneniia Moskvy

Zelikovich E.I.

Otdelenie otorinolaringologii, otdelenie komp'iuternoĭ tomografii Nauchnogo tsentra zdorov'ia deteĭ RAMN, Moskva

Baybakova E.V.

GBUZ "Moskovskiĭ nauchno-prakticheskiĭ tsentr otorinolaringologii im. L.I. Sverzhevskogo", Moskva

Zelenkova V.N.

Moskovskiĭ nauchno-prakticheskiĭ tsentr otorinolaringologii DZ Moskvy

Garova E.E.

GBUZ "Moskovskiĭ nauchno-prakticheskiĭ tsentr otorinolaringologii" Departamenta zdravookhraneniia Moskvy

Martirosyan T.G.

Sverzhevskiy’s Otorhinolaryngology Healthcare Research Institute, Moscow, Russia, 117152

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