Martha Nikolova
Queen Joanna University, Bulgaria
Title: IMPROVED VENTILATION OF THE MIDDLE EAR AFTER RADIOFREQUENCY TUBOPLASTIC SURGERY OF EUSTACHIAN TUBE
Biography
Biography: Martha Nikolova
Abstract
Chronic dysfunction of the Eustachian tube (ETD) with a failure in the ventilation of the middle ear becomes socially significant problem because it causes complications on more than 4% of the adult population in the world. As a result of ETD, chronic inflammatory and adhesion processes are developed in the middle ear. The purpose of this study was to evaluate the results of radiofrequency tuboplastic (RFETP) to solve problems with tubal pathology and the result of otological complications in patients with preserved membranes and those with mesotympanum perforations. A prospective clinical study was carried out at 76 (40 - m. 34 - f.) Patients with chronic multiple ETD treated conservatively and some otological surgery. In all of them RFETP was done with a using of a bipolar electrode, HFITT equipment and fiber optics with a transnasal access. Objective parameters of functional tests for the E. tube patency and the ventilation of the middle ear showed a significant improvement in 68.4% of patients after 2 mounts (74% after 1 year). The function of a tube can be optimized in 70% of patients after removal of the pathological structures in the ostium of E. tube by RFETP, which is recommended in patients with abnormal ventilation of the middle ear.