Clinical Analysis Of Postoperative Complications Of Chronic Suppurative Otitis Media

Background:Chronic suppurative otitis media is different from acute otitis media in more than 6 weeks.Its lesions invade the middle ear mucosa,tympanic membrane or deep bone,often with chronic mastoiditis.Chronic suppurative otitis media chooses different surgical methods according to the degree of disease.The traditional surgical methods only remove the lesions.With the advancement of science and technology,the development of pathology and imaging technology,and the in-depth study of the disease mechanism,it is now developing.In order to remove the lesions while considering hearing reconstruction,the quality of life of patients after surgery is greatly improved.In 2012,China’s latest guideline classifies chronic suppurative otitis media into active and stationary phases.The types of otitis media are divided into four categories.The first category is ventricular angioplasty that considers the reconstruction of middle ear transmission function,and the second type is the treatment of middle ear lesions with simple lesion resection.The third category was middle ear lesion resection and tympanoplasty,which considered both lesion resection and hearing reconstruction.The fourth category was used as a supplement for other middle ear related surgeries.The ultimate goal of surgical treatment is to completely remove the lesions under the premise of ensuring the patient’s life.Careful operation during the operation to prevent the occurrence of intracranial and extracranial complications,reduce the chance of recurrence,and preserve or reconstruct the hearing as much as possible under the condition of the condition.The symptoms of each patient’s admission were different.Preoperative symptoms such as ear ooze,hearing loss,tinnitus,headache,and severe intracranial or extracranial complications may be postoperative recovery.The occurrence of complications must have an impact.Objective:Inductive analysis of the hospitalized surgical treatment and postoperative recovery of patients with chronic suppurative otitis in recent years provides a reference for future clinical work.Methods:In this article,according to the 2012 otitis media clinical classification and surgical guidelines,the main retrospective analysis from January 2013 to December 2017 in our hospital for patients with chronic suppurative otitis media surgery,a total of 147 cases,the average age range of 5-78 years old,including 83 females and 64 males.The clinical data required include information on admission history,and relevant preoperative examinations such as CT scan of the humerus,electrical audiometry,TV otoscopy,chest X-ray and electrocardiogram.Necessary blood results such as liver function,renal function,coagulation and virus series,surgical records,hospitalization course,two-week postoperative iodoform gauze packing,and some patients were randomly selected for electrical testing after half a year.The clinical characteristics of patients with chronic suppurative otitis media admitted to our hospital and the recovery of patients after surgical treatment were summarized.The postoperative complications of the patients were mainly facial paralysis,dizziness,postoperative ear canal pus and tinnitus.Result:1.There was no statistically significant difference in the age composition between the quiescent and active phases of chronic suppurative otitis media(p>0.05).2.The effective rate of patients with ear pus after surgery was 87.2%,the effective rate of hearing improvement was 82.3%,the effective rate of headache was 68.7%,and the effective rate of tinnitus was 62.5%.3.There was statistically significant difference in postoperative complications between chronic septic otitis media and active phase(p<0.05).4.Chronic suppurative otitis media was statistically significant in the quiescent and active surgical procedures(p<0.05).5.The main postoperative complications were facial paralysis,dizziness,hearing loss,tinnitus and taste disturbance.Among them,3 patients with facial paralysis,one of which was delayed facial paralysis,with facial paralysis symptoms about 3 days after discharge,and 2 patients with dizziness.One patient with dysgexia and two patients with tinnitus occurred during hospitalization.The patients with hearing loss were self-experienced after 2 weeks of discharge from the external auditory canal and were found after half-year follow-up.Conclusion:1.Chronic suppurative otitis media in the quiescent period mainly chooses the mastoid mastoid incision + tympanoplasty in the surgical selection,and the postoperative complications are less likely to occur in the chronic active suppurative otitis media.2.Chronic suppurative otitis media is more prone to open mastoid incision +tympanoplasty or tympanoplasty,and the postoperative complications are more likely than chronic septic otitis media.3.Postoperative complications of chronic suppurative otitis media may occur,but the incidence is low.Whether it is quiescent or active,surgical treatment plays an important role in disease control as long as it meets the surgical conditions..