Myringoplasty in the early post-traumatic period
https://doi.org/10.21518/ms2025-459
Abstract
Introduction. To date, there is no uniform treatment and management strategy for patients with traumatic ear injuries.
Aim. To improve the myringoplasty technique in the early post-traumatic period by shielding the perforation with a silicone disc in combination with endaural helium-neon laser therapy, and to study the immediate and long-term results of the effectiveness of the proposed method.
Materials and methods. More than 40 years of experience using laser therapy in combination with traditional treatments for diseases of the outer and middle ear demonstrates the effectiveness of this combination of methods in treating patients. A treatment method has been developed for patients with traumatic eardrum perforations using silicone disc shielding in combination with endaural helium-neon laser therapy. A total of 134 patients were divided into three groups. The first group (47 patients) received silicone disc shielding in combination with endaural helium-neon laser therapy. The second group (46 patients) received silicone disc shielding alone. The third group (41 patients) underwent restoration without any medical interventions.
Results. Changes in defect area and the time to restoration of eardrum integrity were assessed over a three-month follow-up period. The average duration of restoration of the eardrum defect and the effectiveness of treatment in patients in the first group was 13 ± 5 days, and in 94% (44 patients), in the second group 16 ± 6 days, and in 87% (40 patients), in the third group 27 ± 12 days, and in 73% (30 patients).
Conclusions. Thus, it is advisable to screen the defect with a silicone disk in the early post-traumatic period, which acts as a skeleton and accelerates the repair process compared to natural healing. Combining screening with endo-auricular helium-neon laser therapy stimulates the regeneration of damaged tissues and shortens the treatment time. The study yielded statistically significant results using the developed method.
About the Authors
N. A. Daikhes
National Medical Research Center for Otorhinolaryngology of the Federal Medico-Biological Agency of Russia
Russian Federation
Russian Federation
Nikolai A. Daikhes, Corr. Member RAS, Dr. Sci. (Med.), Professor, Director
30, Bldg. 2, Volokolamskoe Shosse, Moscow, 123182
S. N. Kocherov
National Medical Research Center for Otorhinolaryngology of the Federal Medico-Biological Agency of Russia
Russian Federation
Russian Federation
Stanislav N. Kocherov, Otorhinolaryngologist
30, Bldg. 2, Volokolamskoe Shosse, Moscow, 123182
A. S. Machalov
National Medical Research Center for Otorhinolaryngology of the Federal Medico-Biological Agency of Russia;
Russian Medical Academy of Continuous Professional Education
Russian Federation
Russian Federation
Anton S. Machalov, Dr. Sci. (Med.), Associate Professor, Deputy Director for Science and Education, National Medical Research Center for Otorhinolaryngology of the Federal Medico-Biological Agency of Russia; Head of the Department of Technologies for the Rehabilitation of Sensory Disorders, Russian Medical Academy of Continuous Professional Education
30, Bldg. 2, Volokolamskoe Shosse, Moscow, 123182,,
2/1, Bldg. 1, Barrikadnaya St., Moscow, 125993
T. I. Garashchenko
National Medical Research Center for Otorhinolaryngology of the Federal Medico-Biological Agency of Russia;
Pirogov Russian National Research Medical University
Russian Federation
Russian Federation
Tatiana I. Garashchenko, Dr. Sci. (Med.), Professor, National Medical Research Center for Otorhinolaryngology of the Federal Medico-Biological Agency of Russia; Professor of Otorhinolaryngolory Department at the Faculty of Additional Professional Education of the Institute of Scientific and Practical Otolaryngology, Pirogov Russian National Research Medical University
30, Bldg. 2, Volokolamskoe Shosse, Moscow, 123182,
1, Ostrovityanov St., Moscow, 117997
A. N. Daykhes
National Medical Research Center for Otorhinolaryngology of the Federal Medico-Biological Agency of Russia
Russian Federation
Russian Federation
Andrey N. Daykhes, Audiologist-Otorhinolaryngologist
30, Bldg. 2, Volokolamskoe Shosse, Moscow, 123182
L. N. Khulugurova
National Medical Research Center for Otorhinolaryngology of the Federal Medico-Biological Agency of Russia;
Russian Medical Academy of Continuous Professional Education
Russian Federation
Russian Federation
Larisa N. Khulugurova, Audiologist-Otorhinolaryngologist, National Medical Research Center for Otorhinolaryngology of the Federal MedicoBiological Agency of Russia; Assistant of the Department of Technologies for the Rehabilitation of Sensory Disorders, Russian Medical Academy of Continuous Professional Education
30, Bldg. 2, Volokolamskoe Shosse, Moscow, 123182,,
2/1, Bldg. 1, Barrikadnaya St., Moscow, 125993
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For citations:
Daikhes NA, Kocherov SN, Machalov AS, Garashchenko TI, Daykhes AN, Khulugurova LN. Myringoplasty in the early post-traumatic period. Meditsinskiy sovet = Medical Council. 2025;(18):100-106. (In Russ.) https://doi.org/10.21518/ms2025-459
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