Improvement of simultaneous tympanoplasty after chronic purulent otitis media

In recent years, views on the indications and nature of surgical interventions in otitis media have been significantly revised. The position of striving for the earliest possible surgical effect on the focus of chronic infection in order to preserve the most complete auditory function is increasingly recognized. For a long time, the success of surgical intervention was associated with the qualification, the level of professional training of an otosurgeon, the availability of high-quality magnifying optics and modern microsurgical instruments. However, practice has shown a clear insufficiency of such an approach, which in general is currently manifested in all medical specialties and requires the development of fundamentally new approaches to improving the effectiveness and quality of treatment. The scientific search of the last decades in this direction has practically led to the creation of three new concepts and methodological approaches: the concept of quality of life, the concept of quality of medical care and the concept of evidence-based medicine. All these concepts are closely intertwined and mutually complement each other, solving one main task - improving the effectiveness and quality of treatment of patients.