MODERN POSSIBILITIES OF DIAGNOSIS AND TREATMENT OF OTOMYCOSIS

2023

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DOI 10.54500/2790-1203-2023-2-116-12-17
Data confidence 70 medium
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Abstract

Оtomycosis is a fungal infection affecting the structures of the external auditory canal, middle ear, as well as the postoperative cavity of the mastoid process after mastoidotomy. Despite the rapid progress of modern medicine, the number of patients with fungal infections of the ENT organs, in particular the outer and middle ear, including the postoperative cavity of the middle ear, is growing every year. Fungi make up a vast group of lower chlorophyll-free plants. The group of fungi pathogenic for humans includes multicellular and unicellular microorganisms of various origins, different habitats and living conditions. Conditionally pathogenic fungi are widespread in the environment and constantly come into contact with the macroorganism, being commensals, the inflammatory process caused by them should be considered as a manifestation of a violation of the biological protective barriers of the body. The reasons for this are: immunodeficiency states, the use of broad-spectrum antibiotics, corticosteroids and mechanical trauma to the ear. The author analyzes the literature and statistical data about the prevalence of certain types of fungi in case of ear affection, the clinical picture depends on the pathogen, as well as what methods of treatment and diagnostics are used to treat otomycosis. Modern methods of conservative therapy have good results in the treatment of otitis externa. However, there are very few data on the topic of surgical treatment of fungal lesions of the middle ear, as well as postoperative cavities. In general, this topic is relevant for modern society, written in good language in compliance with all the rules for the publication of scientific works and is recommended for publication in the open press.