Title: Different treatment strategy for patients with secretory otitis media and adenoid vegetation based on the character of tympanic effusion
Abstract:OBJECTIVE To evaluate the value of different treatment for secretory otitis media based on the character of effusion in patients with adenoid vegetation.METHODS Different treatment strategy were appli...OBJECTIVE To evaluate the value of different treatment for secretory otitis media based on the character of effusion in patients with adenoid vegetation.METHODS Different treatment strategy were applied for secretory otitis media based on the character of effusion in the tympanic cavity of the patients with adenoid vegetation treated at this institute from January 2006 to January 2008.Myringotomy with tympanic tube insertion was adopted when the effusion was sticky,and tympanocentesis for thin effusion.All the patients accepted the adenoidectomy.RESULTS Normal peaked tympanogram was 76.1% out of the 167 cases(255 ear in total)of tympanostomy tube insertion group at 2 years postoperatively.From the tympanotomy tube insertion group during the follow-up period,the incidence of recurrence of secretory otitis media was 13.3%,middle ear infection was 9.8%,permanent tympanic membrane perforation was 3.9%,tympanic tube blockage was 10.5%,and the tube off the tympanic membrane was 14.5%.Normal peaked tympanogram was 92.0% in the tympanocentesis group at 2 years postoperatively.From the 68 cases(88 ears in total)of tympanocentesis group during 2 years of follow-up,incidence of recurrence of secretory otitis media was 2.3%,and middle ear infection was 1.1%.The cure rate of otitis media with effusion in the tympanocentesis group was significantly higher than that of myringotomy tube insertion group,and both the incidence of recurrence of secretory otitis media and the incidence of permanent tympanic membrane perforation in the tympanocentesis group were lower than those of tympanotomy tube group.CONCLUSION It is practical to apply different treatment strategy for secretory otitis media based on the character of effusion in the tympanic cavity of the patients with adenoid vegetation.Read More
Publication Year: 2011
Publication Date: 2011-01-01
Language: en
Type: article
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