Salam M A, Wengraf C
Department of Otolaryngology and Head and Neck Surgery, Hull Royal Infirmary.
J Laryngol Otol. 1992 Nov;106(11):974-6. doi: 10.1017/s0022215100121504.
One hundred and thirteen children with bilateral otitis media with effusion (OME) underwent myringotomy and insertion of Shah grommets. They were classified into three groups according to the presence or absence of 'glue under pressure' unilaterally or bilaterally. The follow up period ranging between 18 and 32 months determined the comparative rate of recurrence of OME and the number of grommet reinsertions. This study shows a significantly higher incidence of recurrent OME, requiring grommet reinsertion, in ears with glue under pressure (60 per cent) compared to those with glue not under pressure (7.4 per cent). Thus it was possible to identify a subset of children with OME who have a poorer prognosis for recurrence and who should be treated with long-stay grommets in the first instance.
113名双侧中耳积液（OME）患儿接受了鼓膜切开术并插入了Shah通气管。根据单侧或双侧是否存在“压力下的胶状物”，他们被分为三组。随访期为18至32个月，确定了OME的复发率和通气管再次插入的次数。这项研究表明，与没有压力下胶状物的耳朵（7.4%）相比，有压力下胶状物的耳朵中，复发性OME的发生率显著更高，需要再次插入通气管（60%）。因此，有可能识别出OME患儿中复发预后较差的一个亚组，这些患儿应首先使用长效通气管进行治疗。
