Pang K P, Ang A H C, Tan H K K
Department of Otolaryngology, National University Hospital, 5 Lower Kent Ridge Road, Singapore 119074.
Med J Malaysia. 2002 Sep;57(3):376-82; quiz 383.
Otitis media with effusion (OME) is a very common condition seen in children, and is the commonest cause of hearing loss in an infant. It is also a fairly common condition encountered by the family practitioner, and often the family practitioner is the first doctor the parents bring the child to. Otitis media with effusion is a simple condition but, if left undiagnosed or untreated, can lead to preventable long-term consequences. Hence, a high index of suspicion is necessary, early and accurate diagnosis, prompt treatment, with close follow-up is of essence. The epidemiology, aetiological factors, clinical presentations, diagnosis, various medical and surgical options, cost-effectiveness of therapy and the impact of OME on the child's development are discussed.
分泌性中耳炎（OME）是儿童常见疾病，也是婴幼儿听力丧失的最常见原因。它也是家庭医生经常遇到的一种较为常见的病症，而且家长往往会首先带孩子去看家庭医生。分泌性中耳炎病情简单，但如果未被诊断或未得到治疗，可能会导致可预防的长期后果。因此，必须保持高度的怀疑指数，早期准确诊断、及时治疗并密切随访至关重要。本文将讨论分泌性中耳炎的流行病学、病因、临床表现、诊断、各种药物和手术治疗方案、治疗的成本效益以及分泌性中耳炎对儿童发育的影响。
