Treatment of adhesive otitis media by tympanoplasty combined with fascia grafting catheterization

Clinical retrospective study on the efficacy and safety of endoscopic ear surgery for adhesive otitis media

“…The main causes of chronic deficient ventilation of the middle ear are gas diffusion dysfunction of the middle ear and mastoid process mucosa, auditory tube ventilation dysfunction, tympanic membrane and mastoid process air chamber pressure cushioning dysfunction, and tympanic membrane structural and functional dysfunction (13). Traditional treatment modalities usually include tympanoplasty in conjunction with simultaneous temporal muscle fascia-tympanic membrane tube placement (4,14). The EES allows for better cholesteatoma screening in cases of chronic otitis media, better visualization of anterior poor ventilation of the mesotympanum, improved access to selective Middle ear cholesteatoma 4 [24] Middle ear cholesterol granuloma 2 [12] Tympanosclerosis 3 [18] Combined sinus or nasopharyngeal disorders Sinusitis 3 [18] Nasopharyngitis 3 [18] Table 1 (continued) epitympanic poor ventilation and secondary selective chronic otitis media, superior vision and reconstruction of anterior tympanic membrane perforations, Sheehy's lateral graft tympanoplasty via a trans-canal style, and increases the likelihood of preoperative recognition of ossicular chain disruption accompanied by perforations (15).…”

“…Moreover, the middle ear ossicles may be encased in soft tissue debris (1)(2)(3). Adhesive otitis media may be unilateral or bilateral, and is characterized as a chunky, sticky secretion similar to glue that collects in the middle ear and is thus generally termed "glue ear" (4,5). Fibrosis and adhesions form in the middle ear due to various causes, resulting in impaired movement of the middle ear sound transmission system, leading to conductive deafness (6,7).…”