Semenov F V, Skibitskaya N F
Kubansky State Medical University, Russian Ministry of Health, Krasnodar, Russia, 3500063.
Vestn Otorinolaringol. 2016;81(5):57-58. doi: 10.17116/otorino201681557-58.
The objective of the study was to improve the functional outcomes of the treatment in the patients presenting with chronic otitis media by means of the combined application of platelet-enriched plasma and the biologically compatible cyanacrylate-based glue for the fixation of the reconstructed auditory ossicular chain. The functional results of the surgery were evaluated within 1, 3, and12 months after the intervention making use of tonal threshold audiometry. It was shown that the use of the platelet-enriched plasma with its subsequent fixation by the biologically compatible cyanacrylate-based glue enhances stability of the implanted prosthetic elements, reduces the risk of their displacement during the postoperative period due to the formation of the cicatrical tissue between the structural components of the middle ear. This approach improves the functional result of the described treatment and decreases the frequency of relapses associated with poor stability of the reconstructed sound-conducting system.
本研究的目的是通过联合应用富含血小板的血浆和生物相容性氰基丙烯酸酯基胶水来固定重建的听骨链，从而改善慢性中耳炎患者的治疗功能结果。在干预后的1个月、3个月和12个月内，利用纯音阈值听力测定法评估手术的功能结果。结果表明，使用富含血小板的血浆并随后用生物相容性氰基丙烯酸酯基胶水固定，可提高植入假体元件的稳定性，降低术后由于中耳结构成分之间形成瘢痕组织而导致假体移位的风险。这种方法改善了所述治疗的功能结果，并降低了与重建传声系统稳定性差相关的复发频率。
