Publication Details
Abstract
The article presents a description and scientific substantiation of cytological aspects of confirming the stages of chronic exudative otitis media (CEOM). Pathophysiological mechanisms leading to the formation of exudate in the middle ear cavity are presented. The nature of changes in the cellular landscape in accordance with the stage of the disease is substantiated. Based on the study, cytograms were analyzed that reflect a certain stage of the disease. Each type of cytogram allows for a reliable assessment of the degree of degenerative changes in the mucous membrane of the tympanic cavity. The proposed cytological study of exudate in CEOM allows for determining the type of inflammatory process in the tympanic cavity, and also contributes to the final establishment of the stage of the process from the standpoint of morphofunctional classification according to N. S. Dmitriev et al. (1996), classification of M. Tos ( 1976). At present, a cytological classification of exudate in CEOM depending on the stage of the disease has not been developed, which complicates the clinical and instrumental diagnostics of the features of the disease in question. The ability to assess the state of local immunity (cytological examination of the middle ear secretion) allows us to predict the clinical course of the disease with subsequent optimal selection of personalized treatment tactics in a hospital setting and during outpatient treatment.