Mastoid obliteration using platelet-rich plasma



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Abstract

The aim of the research.  Increasing the effectiveness of treatment of children with chronic purulent otitis media with cholesteatoma by improving the method of obliteration of the mastoid cavity.

Materials and methods.  At the Krasnoyarsk Interdistrict Children's Hospital No. 4, Children's Department of Purulent Surgery, 54 children with chronic purulent otitis media with cholesteatoma underwent reoperation in the period from 2019 to 2024. In group 1 we used bone chips for mastoid obliteration, in group 2 bone chips, platelet-rich plasma and plasma gel were used. All children underwent a comprehensive examination upon admission and 1 year after surgery.

Results.  In otomicroscopy and MSCT/MRI in non-EPI DWI mode of the temporal bones after 1 year in the group where the classical method of obliteration with bone chips was used, recurrence of cholesteatoma was detected in 36% of patients. When using PRP and plasma gel in addition to bone chips, cholesteatoma was detected in 1 patient (4%).

Conclusion. The technique is characterized by simplicity of implementation, safety and has demonstrated effectiveness in patients with chronic purulent otitis media with cholesteatoma.

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About the authors

Daria D. Pozharskaya

Professor V.F.Voino-Yasenetsky Krasnoyarsk State Medical University

Author for correspondence.
Email: cherdaria1@mail.ru
ORCID iD: 0000-0001-7284-274X
ResearcherId: AAK76142021

graduate student
Russian Federation, 1, Partizan Zhelezyanka str., Krasnoyarsk, Russian Federation, 660022

Sergey G. Vakhrushev

Professor V.F.Voino-Yasenetsky Krasnoyarsk State Medical University

Email: vsg20061@yandex.ru
ORCID iD: 0000-0002-7774-0969

MD,
Professor, Head of the Department of ENT diseases
Russian Federation, 1, Partizan Zhelezyanka str., Krasnoyarsk, Russian Federation, 660022

Irina A. Kashirtseva

Professor V.F.Voino-Yasenetsky Krasnoyarsk State Medical University; Krasnoyarsk Interdistrict Children's Hospital No. 4

Email: irenek@mail.ru
ORCID iD: 0000-0002-6276-1185

Head of the Otolaryngology Department of the Krasnoyarsk Interdistrict Children's Hospital No. 4, Department of ENT Disease assistant

Russian Federation, 1, Partizan Zhelezyanka str., Krasnoyarsk, Russian Federation, 660022; 22A, Yushkova St., Krasnoyarsk, Russian Federation, 660113

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