KRONİK OTİTİS MEDİA CERRAHİSİNDE KULLANILAN DIŞ KULAK YOLU TAMPON MATERYALLERİNİN YARA İYİLEŞMESİNE ETKİLERİNİN İNCELENMESİ: RANDOMİZE PROSPEKTİF KONTROLLÜ ÇALIŞMA

Amaç: Bu çalışmada kronik otitis media (KOM) cerrahisi yapılan hastalarda kullanılan üç farklı tampon materyalinin ameliyat sonrasıdış kulak yolu (DKY) iyileşmesi ve DKY bakteri kolonizasyonuna etkilerinin incelenmesi amaçlanmıştır. Hastalar ve Yöntem: Çalışma prospektif olarak tasarlandı. Tip-1 timpanoplasti planlanan hastalar randomize bir şekilde kullanılan tampon materyaline göre üç farklı çalışma grubuna (spongostan, merosel ve gas şerit) dahil edildi. Tüm hastalardan operasyondan bir gün önce ve operasyondan yedi gün sonra DKY tamponu boşaltıldıktan sonra oto-mikroskop altında steril sürüntü örneği alındı. Flep iyileşmesi ameliyat sonrası üçüncü haftada oto-mikroskop altında fizik muayene ile değerlendirildi. Bulgular: Yirmi dört (33.8%) hasta merosel, 24 hasta (33.8%) spongostan rulo ve 23 hasta (32.4%) gas şerit grubunda yer aldı. Operasyon sonrası üçüncü haftada yapılan DKY muayenesinde flep iyileşmesinin 17 hastada (23.9%) tam olarak gerçekleşmediği görüldü. Flep iyileşmesi spongostan grubunda anlamlı olarak daha iyi (p=0.022) iken, gas şerit grubunda iyileşmenin anlamlı olarak daha fazla defekt oranı bulundu (p=0.002). DKY iyileşmenin tamamlanma süresi spongostan grubunda ortalama 20.6±1.9 gün ile en kısa ve gas şerit grubunda ortalama 29.0±3.2 gün ile en uzun olarak tespit edildi (p

INVESTIGATION OF THE EFFECTS OF EXTERNAL EAR PACKING MATERIALS ON HEALING AFTER CHRONIC OTITIS MEDIA SURGERY: A RANDOMIZED PROSPECTIVE CONTROLLED STUDY

Objective: To investigate the effects of three different external ear canal (EEC) wick materials used after chronic otitis media (COM) surgery on postoperative EEC healing and bacterial colonization. Patients and Method: The study was designed prospectively. Patients who underwent type-1 tympanoplasty were randomly included in three study groups (sponge, merocel, and gas strip) according to the ear wick material. A sterile swab sample was collected under the oto-microscope just before the operation and after removing the EEC wick on the seventh day after the operation. Wound healing was evaluated with oto-microscope after three weeks from the operation. Results: Twenty-four (33.8%) patients were included in the merocel group, 24 (33.8%) patients in the sponge group, and 23 (32.4%) patients in the gas strip group. ECC flaps of 17 patients were not completely healed at the end of the third week after the surgery. While flap healing was significantly better in the sponge group (p = 0.022), a significantly higher defect rate was found in the gas strip group (p = 0.002). The shortest time for EEC flap recovery was in the sponge group with 20.6 ± 1.9 days. The same duration was 29.0 ± 3.2 days in the gas strip group as the longest (p

Kaynakça

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