Abstract:ObjectiveSurgical treatment for suppurative otitis media in patients with aging and systematic diseases usually means high risk of complications during perioperative period. This study is to explore the features of patients’ basic diseases, management principle, in order to acquire a well maintenance of the surgical safety and cure opportunity for those with relative contraindications.MethodsFrom Jan. 2009 to Jan. 2015, 268 cases of chronic suppurative otitis media with aging and combined with basic diseases were hospitalized for preoperative preparation at our department. Based on pattern and severity of the systematic diseases, and effect of perioperative medication on the operative process and postoperative complications, individualized perioperative managements were performed. The rates of reasonable surgical practice, disease progression, as well as dry ears were used to evaluate the efficacy of the perioperative management.ResultsAmong 268 cases, 6 did not receive operation due to their basic diseases out of control and the rest 262 received operation with an implementation rate of 97.8%. Of all the operated patients, 91 cases (91/262, 34.7%) required recontrol of basic disease before operation. After operation, the basic diseases got worsen in 14 cases (14/262, 5.3%), including disorder of blood glucose in 7, disorder of blood pressure in 4, postoperative delirium in one, asthmatic attack in one, and cerebral reinfarction in one. All patients acquired dry ears and there was no case experiencing operationrelated peripheral facial paralysis or sensorineural deafness after operation.ConclusionThe relevant measures based on the different patterns of basic diseases may help to provide a cure opportunity for chronic suppurative otitis media patients in bad situations and to decrease the rate of severe complications during perioperative period.