Combination оf bypass surgery of tympanic cavity and radio wave tuboplasty as method of treatment of exudative otitis media caused by nasopharyngeal orifice occlusion

<jats:p>Abstract. Exudative otitis media occupies a leading place in the structure of middle ear pathology. The frequent etiopathogenetic factor in the formation of chronic exudation in the cavities of the middle ear is occlusion of the nasopharyngeal opening of the auditory tube. In the last decade, there has been an increase in the number of such patients. Objective. To evaluate the effectiveness of tympanic cavity shunting in combination with radio wave tuboplasty in comparison with classical shunting. Patients and methods. A total of 40 patients with chronic exudative otitis media were examined and treated at the Botkin Moscow Research and Clinical Center (age from 18 to 60 years, including 23 women and 17 men, duration of the disease before seeking help from 24 ± 1.5 to 4 ± 1.2 months). Results. It was found that shunting of the tympanic cavity in combination with radio wave tuboplasty in patients with chronic/protracted exudative otitis media allows achieving a lasting positive effect (reduced duration of the shunt in the eardrum, cessation of exudation in the tympanic cavity, improvement/normalization of hearing) in comparison with the traditional shunting method (p &lt; 0.05).</jats:p>