Mastoid obliteration using platelet-rich plasma



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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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Sobre autores

Daria Pozharskaya

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

Autor responsável pela correspondência
Email: cherdaria1@mail.ru
ORCID ID: 0000-0001-7284-274X
Researcher ID: AAK76142021

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

Sergey 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
Rússia, 1, Partizan Zhelezyanka str., Krasnoyarsk, Russian Federation, 660022

Irina 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

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

Bibliografia

  1. Vlasova GV. Age aspects of the clinical course of the middle ear cholesteatoma in children. Vestnik otorinolaringologii. 2020;85(1):25-29. https://doi.org/10.17116/otorino20208501125
  2. Styazhkin DD, Dvoryanchikov VV, Syroezhkin FA, Korovin PA. The important issues of mastoidoplasty during reconstructive operations on the middle ear. Rossiiskaya otorinolaringologiya. 2019;18(5):82–88. https://doi.org/10.18692/1810-4800-2019-5-82-88
  3. Rusetsky YuYu, Chernova OV, Meytel IYu, et al. Obliteration of the middle ear cavity in children: the current state of the problem and our first experience. Vestnik otorinolaringologii. 2021;86(2):21–27. https://doi.org/10.17116/otorino20218602121
  4. Semenov FV, Reznikov RV, Skibitskaya NF. Application of bone-plastic materials for mastoidoplasty. Vestnik otorinolaringologii. 2019;84(1):78-81. https://doi.org/10.17116/otorino20198401178
  5. Remangeon F, Lahlou G, Alciato L, et al. Management of tegmen defects with mastoid and epitympanic obliteration using S53P4 bioactive glass. Laryngoscope Investigative Otolaryngology. 2020;5(2):297-304. https://doi.org/10.1002/lio2.374
  6. Smith MCF, Huins C, Bhutta M. Surgical treatment of chronic ear disease in remote or resource-constrained environments. The Journal of Laryngology & Otology. 2018;133(1):49-58. https://doi.org/10.1017/s0022215118002165
  7. Fischer JL, Nesbitt NB, Littlefield PD. Bone Pate Obliteration in Canal Wall Down Mastoidectomy: Modifications of an Established Technique. Otology & Neurotology. 2020;41(3):352-358. https://doi.org/10.1097/mao.0000000000002529
  8. Virk JS, Patel N. Primary mastoid reconstruction with Sofradex®-soaked autologous bone pâté: is there a sensorineural hearing effect? Clinical Otolaryngology. 2016;42(3):758-761. https://doi.org/10.1111/coa.12679
  9. Morozov II, Grachev NS, Gorbunova NV. Experience of the surgical treatment of chronic suppurative otitis media with mastoidoplasty. Bulletin of the Medical Institute of Continuing Education. 2023;3(1): 64–67. https://doi.org/10.36107/2782-1714_2023-3-1-64-67
  10. Askar SM, Saber IM, Omar M. Mastoid Reconstruction With Platelet-Rich Plasma and Bone Pate After Canal Wall Down Mastoidectomy: A Preliminary Report. Ear, Nose & Throat Journal. 2021;100(7):485-489. https://doi.org/10.1177/0145561319879789
  11. Elbary M, Nasr W, Sorour S. Platelet-Rich Plasma in Reconstruction of Posterior Meatal Wall after Canal Wall Down Mastoidectomy. International Archives of Otorhinolaryngology. 2017;22(02):103-107. https://doi.org/10.1177/0145561319879789
  12. Boldyreva OV, Vakhrushev SG, Toropova LA. The effectiveness of the use of platelet rich plasma in medical practice. Modern problems of science and education. 2016;5:18-20.
  13. Kosyakov SYa, Pchelenok EV. The results of surgical ablation of parathympanic spaces in the patients presenting with cholesteatoma. Vestnik otorinolaringologii. 2018;83(6):22-26. https://doi.org/10.17116/otorino20188306122

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