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[The optimization of patient management after otosurgical interventions]
1Vladimirsky Moscow Regional Research Clinical Institute, Moscow, Russia.
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.
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