ĐẶC ĐIỂM LÂM SÀNG, CẬN LÂM SÀNG Ở BỆNH NHÂN ĐÃ MỔ KHOÉT CHŨM TIỆT CĂN CÒN CHẢY DỊCH

Abstract

Objectives: Describe clinical and subclinical characteristics in patients with radical mastoidectomy with drainage. Objects and Methods: The study design describes a intervention case by case in which 32 patients, after radical mastoidectomy, still had drainage, were treated with revision tympanomastoidectomy. Results: The most common functional symptoms were purulent ear discharge with 32/32 cases (100%) and hearing loss with 30/32 cases (93,8%). There are 5 common problems causing instability of the mastoid cavity: stenosis of external auditory meatus in 2/32 cases (6,3%); high facial wall has 21/32 cases (65,6%); Skin cover the surgical cavity is thin with 12/32 cases (37,5%). Perforated tympanic membrane had 17/32 cases (53,1%) with 7/32 cases of total perforation (21,9%), rate of recurent cholesteatoma had 8/32 cases (25%). 29/29 cases (100%) had ossicular disruption, in which: 29/29 cases (100%) lost the entire incus, 26/29 cases (89,7%) lost the entire malleus, only 65,5% had stapedial footplate fixation 4/29 cases (13,8%). Hearing loss: 18/30 cases (60%) of hearing is moderate and severe. The mean PTA was 66,4±21,2; The mean ABG was 38.5±11.6. Conclusion: The functional and physical symptoms of patients after radical mastoidectomy are still relatively complicated. There are some problems as high facial wall, residual or recurrent lesions, the large mastoid cavity not suitable with small external auditory meatus so cannot clean ear at offices and the patient's hearing is greatly reduced, which can be preoperative assessment criteria and have prognostic value for revision tympanomastoidectomy.