Medical and social aspects of the problem of chronic purulent otitis media

Abstract

One of the current trends in otology is the prevention and treatment of chronic purulent otitis media (HCSO). The disease leads to decreased social activity, deterioration in the patients’ quality of life, often causes severe intracranial complications, and reduced perception of sounds at different frequencies with hearing impairment. The social significance of chronic purulent otitis media consists in a violation of working capacity in persons of the most mature age – 25–50 years, in connection with which, the disease causes certain economic damage to the state. In modern otorhinolaryngology, new therapeutic and diagnostic techniques are gradually being introduced, methodological approaches to surgical treatment and medicines for the treatment of HCG are being developed, which causes therapeutic and diagnostic progress, but in this regard has significantly increased the cost of medical care. The purpose of this work is to analyze from an economic, social and clinical point of view the effectiveness of medical care provided to patients with chronic purulent otitis media. The analysis was carried out on the basis of a literature review, collection and processing of material from official studies, published articles in domestic and foreign publications. Despite the significant advances made by modern otorhinolaryngology, the discussion regarding such a sinister disease and its medical and social aspects is still relevant. We can say that the etiological factors, the pathogenesis of HCSO have been studied quite carefully, the basic concepts of treatment have been developed. But there are new information and directions in this matter that need to be investigated. The problem of treating patients with chronic purulent otitis is of urgent importance for otosurgeons. Questions are being discussed about which type of surgical treatment (tympanoplasty) will be optimal, how many stages of intervention are required, what materials should be used. Тhe question of medical, economic and social justification for the disease of chronic purulent otitis media is subject to study. It is in this aspect that this problem is relevant.