The optimization of patient management after otosurgical interventions

Egorov V.I.; Kochneva A.O.

doi:https://doi.org/10.17116/otorino20259005113

Egorov V.I.

Vladimirsky Moscow Regional Research and Clinical Institute

ORCID: 0000-0002-8825-5096

Kochneva A.O.

Vladimirsky Moscow Regional Research and Clinical Institute

ORCID: 0000-0003-0509-0730

The optimization of patient management after otosurgical interventions

Authors:

Egorov V.I., Kochneva A.O.

More about the authors

Journal: Russian Bulletin of Otorhinolaryngology. 2025;90(5): 13‑16

DOI: 10.17116/otorino20259005113

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To cite this article:

Egorov VI, Kochneva AO. The optimization of patient management after otosurgical interventions. Russian Bulletin of Otorhinolaryngology. 2025;90(5):13‑16. (In Russ.)
https://doi.org/10.17116/otorino20259005113

Подписка 2026 Вестник оториноларингологии (Russian Bulletin of Otorhinolaryngology)

Использование инфографики авторами научных работ

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Abstract:

The auditory tube performs drainage, ventilation and protective functions. The impairments of those functions play an important role in the development of chronic middle ear pathology, in addition, they also largely determine the outcome of the disease and the results of surgical treatment. Protective and drainage functions are performed using the ciliated epithelium lining the lumen of the auditory tube. The results of our study showed that patients with chronic tubotimpanal otitis media, even with satisfactory patency of the auditory tube, may show signs of impaired drainage function, which may affect the success of tympanoplasty. Therefore, the appointment of mucoactive preparations, including the drug Sinupret, as a preoperative preparation, in order to improve mucociliary clearance, is appropriate and justified.

Keywords:

auditory tube

auditory tube dysfunction

mucociliary clearance

preoperative preparation

perforation

tympanoplasty

chromosalpingoscopy

Authors:

Egorov V.I.

Vladimirsky Moscow Regional Research and Clinical Institute

ORCID: 0000-0002-8825-5096

Kochneva A.O.

Vladimirsky Moscow Regional Research and Clinical Institute

ORCID: 0000-0003-0509-0730

Received:

12.08.2025

Accepted:

27.08.2025

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References:

Allakhveranov DA, Diab KhM, Korvyakov VS. Appropriateness of antibacterial therapy in the surgicaltreatment of tubotympanic form of chronic suppurativeotitis media (literature review). Russian Otorhinolaryngology. 2017;2:104-112. (In Russ.). https://doi.org/10.18692/1810-4800-2017-2-104-112
Pal’chun VT, Gurov AV, Mikhaleva LM, Gordienko MV. The modern approaches to the evaluation of the importance of chronic inflammation in the mucous membrane of the middle ear. Russian Bulletin of Otorhinolaryngology. 2018;83(1):75-80. (In Russ.). https://doi.org/10.17116/otorino201883175-80
Garov EV, Garova EE. Sovremennye printsipy diagnostiki i lecheniya patsientov s khronicheskim gnoinym srednim otitom. RMZh. 2012;27:1355-1359. (In Russ.).
Yakovlev VN, Kryukov AI, Garov EV, Krechetov GM, Zakharova AF. New trends in the treatment of uncomplicated acute otitis media in adults: evidence-based approach. Russian Bulletin of Otorhinolaryngology. 2010;6:31-33. (In Russ.).
Chauhan B, Chauhan K. A Comparative Study of Eustachian Tube Functions in Normal and Diseased Ears with Tympanometry and Videonasopharyngoscopy. Indian J Otolaryngol Head Neck Surg.2013;65(3):468-476. https://doi.org/10.1007/s12070-011-0312-9
Krukov AI, Garov EV, Sidorina NG, Akmuldieva NR. Eustachian tube dysfunction. Russian Bulletin of Otorhinolaryngology. 2014;(5):80-84. (In Russ.)
Lin AC, Messner AH. Pediatric tympanoplasty: Factors affecting success. Curr Opin Otolaryngol Head Neck Surg. 2008;16(1):64-68. https://doi.org/10.1097/moo.0b013e3282f43430
Khamgushkeeva NN, Dvoryanchikov VV, Naumenko AN. Case report of surgical treatment for chronic obstructive eustachian tubes dysfunction due to iatrogenic origin. Russian Otorhinolaryngology. 2023;22(2):88-94. (In Russ.). https://doi.org/10.18692/1810-4800-2023-2-88-94
Takahashi H. The middle ear. The role of ventilation in disease and surgery. Berlin: Springer-Verlag; 2001:3-91. https://doi.org/10.1007/978-4-431-68377-3_1
Ruan K, Li J, Tan S, Liu L, Tang A. Comparison of sonotubometry, impedance tubo-tympano-aerography, and tubomanometry to test eustachian tube function. Am J Otolaryngol. 2020;41(2):102384. https://doi.org/10.1016/j.amjoto.2019.102384
Avramenko LV, Kenig MP. Kliniko-rentgenologicheskoe issledovanie sluhovoj truby u bol’nykh khronicheskimi i sukhimi perforativnymi otitami. Zhurnal ushnykh, nosovykh i gorlovykh boleznej. 1964;4:44-50. (In Russ.).
Ikehata M, Ohta S, Mishiro Y, Katsura H, Miuchi S, Tsuzuki K, Sakagami M. Usefulness of the Saccharin Test for Assessment of Eustachian Tube Function in Patients With Chronic Otitis Media With Perforation. Otol Neurotol. 2017 Jan;38(1):60-65. https://doi.org/10.1097/mao.0000000000001249
Holmquist J. Eustachian tube function in patients with ear drum perforations following chronic otitis media. Results of a simplified testing procedure by deflation and aspiration methods. Acta Otolaryngol. 1969 Nov;68(5):391-401. https://doi.org/10.3109/00016486909121577