• Comparative pathology nose and paranasal sinuses in children and adolescents with chronic suppurative otitis media 
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Comparative pathology nose and paranasal sinuses in children and adolescents with chronic suppurative otitis media 

SOVREMENNAYA PEDIATRIYA.2015.5(69):55-58; doi 10.15574/SP.2015.69.55 
 

Comparative pathology nose and paranasal sinuses in children and adolescents with chronic suppurative otitis media 
 

Kokorkin D. N.

SI Zaporozhye Medical Academy of Postgraduate Education, Ministry of Health of Ukraine, Department of Otorhinolaryngology, Ukraine 
 

Actuality. It is known that in the genesis of most chronic suppurative purulent otitis media is rhinotubar traced the path of the disease. Affects whether the reorganization of the nasal cavity and sinuses on the clinical course of chronic otitis media with bad quality over. 
 

Objective: To identify the surgical pathology of nose and paranasal sinuses in children, adolescents and adults with substandard forms of chronic suppurative otitis media. 
 

Materials and methods. Research conducted in three groups of patients. The first group included 125 children aged 5–14 years. The second group — 147 adolescents 15–18 years old, and third group — 160 adults older than 25 years. In all groups of patients suffered substandard forms of chronic suppurative otitis media. 
 

Results and discussion. The highest proportion of nasal pathology is found in the group of children — 87.2% of cases. Thus, advantageously meets adenoid hypertrophy in combination with relapsed acute sinusitis. In the group of adolescents with substandard forms of purulent otitis media pathology of nose and paranasal sinuses found in 73% of cases, the most frequently diagnosed chronic rhino — sinusitis in conjunction with the deformation of the nasal septum. In adult patients, nasal and sinus pathology occurs in 70% of cases. For this category of patients is most common chronic hyperplasic sinusitis in conjunction with the deformation of the nasal septum. 
 

Conclusion. The positive results of phase rhinosurgery can expect 63% of children, 54% of teens and 40% of adult patients with bad quality clinical courseof chronic suppurative otitis media. 
 

Key words: chronic otitis media, nasal and sinus pathology, children, adolescents. 
 

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