Abstract
The effectiveness of standard and combined treatment using photodynamic therapy was evaluated based on the study of the levels of interleukin-2, interleukin-6 and tumor necrosis factor in 84 patients with chronic purulent otitis media. Photodynamic therapy was administered with aqueous solution of methylene blue every other day for 6 days (3 manipulation. It was found that by the end of the course of traditional therapy, a cytokine imbalance persists, indicating ongoing inflammatory changes. The inclusion of photodynamic therapy in the treatment regimen of patients with chronic suppurative otitis media significantly improved cytokine status.