Surgical intervention for otitis media with effusion in children

Transcription

1 121 ( ), (82 ) PTA (pure-tone threshold average, 500 Hz, Hz, Hz, Hz ) 8 db HL ~ 61 db HL, (34.8 ± 12.09) db HL PTA 0 db HL ~ 38 db HL, (15.9 ± 7.88) db HL, 3, 4, 75, 91.5%, 18.9 db HL : 9, + 29, ; ; ; ; R764.21, R A (2009) Surgical intervention for otitis media with effusion in children PAN Tao, MA Fu-rong, KE Jia Dept. of Otolaryngology, Peking University Third Hospital, Beijing Abstract Objective To review surgically treated pediatric otitis media with effusion (OME) cases for better understanding of surgical intervention and hearing screening in such cases. Methods From 90 OME cases surgically treated between 2004 and 2008, 45 (82 ears) with complete clinical data were reviewed for their age distribution, hearing loss duration, surgical techniques and pre- and post-operative hearing data. Results The PTA over 500, 1 000, and 4000 Hz improved from 34.8 ± db HL pre-operatively to 15.9 ± 7.88 db HLpost-operativelyt. Post-operative hearing improved in 75 ears(91.5%), remained unchanged in 4 ears and deteriorated in 3 ears. Conclusion Adenoidectomy and ventilation tube placement are basic surgical treatments for OME in children. Tonsillectomy should not be a routine treatment option for pediatric OME patients. Surgical management for OME in children should be individualized. Key words Hearing screening; Otitis media with effusion; Surgical intervention, 4,, [1] [3],,,,,, [4, 5] [2], [6] [7] [8] : ( : :, 2007BAI18B12 ) ( : ) :,, : pantao6422@gmail.com :, furongma@126.com,,, 2004

2 122 Chinese Journal of Otology Vol. 7, No.2, 2009 [3],,, [9] 2008,,,, [10] 1,, , 75% ~ 90% 3, 90,, 45, 82, 39, 4 3, 4 32, 13 4 ~ 17, [11] ; (8.1 ± 3.39) 45 1 [3, 9] : 45 (45 / 45, 100%),, 12 (12 / 45, 26.7% ), 26 (26 / 45, 57.8%), 18 (18 / 45, 40.0%) [12],, 3 ~ 120, [13-16] ; (23.9 ± 24.20),, 2; PTA (pure-tone threshold average, 500 Hz, Hz, Hz, Hz [15,17],, ) 8 db HL ~ 61 db HL, (34.8 ± 12.09) db,, HL 35, 5,, B 73, 10 [18] C 9 27, 39

3 123, ,,,, B C 1 +, 1.3 ( 1)

4 124 Chinese Journal of Otology Vol. 7, No.2, :,,, [22],, :, 30,,,,,, PTA 0 db HL ~ 38 db HL,, [16] (15.9 ± 7.88 db HL 3, 4 ; 75 (75 / 82, 91.5%), db HL 3, , (12 / 12) 26, (26 / 26) :,,,,,, +, +, + +, Armstrong 1954,, 3 ~ 6, [19, 20],,, Lous [3], + 6, 45 29,,, 12 ~ 14 [9],, van Heerbeek [21], , 9,, Meyer 19 [3, 9], Roydhouse + Maw [23] +, Paradise [17], (6 ), (3 ) 3.1.2,,,,, 91.5%

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