Treatment of chronic purulent middle otitis with mixed hearing loss

The aim of the study was to conduct a comparative analysis of two approaches to the treatment of mixed hearing loss developed against the background of chronic suppurative otitis media (CSOM). The research was conducted at the Tashkent Pediatric Medical Institute from January 2019 to January 2023, with the participation of 70 patients. The patients were divided into two groups: Group 1, where hearing-improving surgeries were combined with hearing aid use, and Group 2, where only hearing-improving surgeries were performed. Patients in group 1 experience significantly fewer symptoms, such as ear discharge, pain, congestion, tinnitus, and headaches. They also have a more satisfactory hearing condition and fewer problems with speech intelligibility, both in normal conditions and in noisy environments. The psychological condition of patients in group 1 is also better, with less fear and a smaller impact of the disease on their quality of life. The overall score, which takes into account all aspects of the disease, also shows better results in group 1 compared to group 2. The results showed that the combined approach with hearing aids in Group 1 demonstrated a more pronounced improvement in hearing, both in terms of audiometric results and quality of life indicators (COMOT-15). Group 1 also showed more significant improvements in reducing symptoms such as pain, ear congestion, and hearing functions, as well as in the psychological state of the patients