Siddiq M A, Narula A A
Department of Otorhinolaryngology--Head and Neck Surgery, Leicester Royal Infirmary, Leicester.
Int J Clin Pract. 2003 Nov;57(9):775-7.
Otorrhoea is the commonest complication of ventilation tube (grommet) insertion. In some cases it may be unresponsive to short courses of topical antibiotic/steroid drops and/or systemic antibiotics. This study investigated whether a five-day course of inpatient treatment with intravenous antibiotics, topical medication and daily microsuction was effective in treating persistent otorrhoea. Eleven subjects were included, of whom nine responded to the proposed treatment regimen. We recommend that patients with persistent otorrhoea after ventilation tube insertion should be managed according to these guidelines before considering an examination under anaesthetic or a ventilation tube removal.
耳漏是鼓膜置管（通气管）插入术后最常见的并发症。在某些情况下，短期使用局部抗生素/类固醇滴剂和/或全身抗生素可能无效。本研究调查了静脉使用抗生素、局部用药和每日微吸痰进行为期五天的住院治疗对持续性耳漏是否有效。纳入了11名受试者，其中9名对所提议的治疗方案有反应。我们建议，鼓膜置管术后出现持续性耳漏的患者，在考虑麻醉下检查或取出鼓膜通气管之前，应按照这些指南进行处理。
