Stangerup S E, Sederberg-Olsen J, Balle V
Ear, Nose, and Throat Clinic, Helsingor Hospital, Hellerup, Denmark.
Arch Otolaryngol Head Neck Surg. 1992 Feb;118(2):149-52. doi: 10.1001/archotol.1992.01880020041013.
This study was undertaken to evaluate the effect of a new method of autoinflation as an alternative treatment of secretory otitis media. Up to 80% of all children experience one or more episodes of eustachian tube dysfunction and secretory otitis media before school age. Common treatment of this condition is insertion of a ventilation tube in the tympanic membrane. Because of the very high incidence of secretory otitis media in childhood, insertion of ventilation tubes is the most frequently performed operation under general anesthesia in children. In addition to possible anesthetic complications, insertion of ventilation tubes may be associated with purulent suppuration, pathologic findings in the eardrum, and hearing impairment. One hundred children were consecutively randomized to undergo either autoinflation, using a new device, or placed in a control group. The children were between 3 and 10 years of age and were entered into the study after having had secretory otitis media for at least 3 months, as verified by tympanometric findings. Tympanometry was repeated at 2 weeks and at 1, 2, and 3 months after the children were entered into the study. After 2 weeks of autoinflation, the tympanometric conditions were improved in 64% of ears, unchanged in 34%, and deteriorated in the remaining 2%. In the control group, tympanometric findings were improved in 15% of ears, unchanged in 71%, and deteriorated in the remaining 14%.
本研究旨在评估一种新型自动充气方法作为分泌性中耳炎替代治疗方法的效果。高达80%的儿童在学龄前期会经历一次或多次咽鼓管功能障碍和分泌性中耳炎发作。这种疾病的常见治疗方法是在鼓膜插入通气管。由于儿童分泌性中耳炎的发病率非常高，插入通气管是儿童全身麻醉下最常进行的手术。除了可能的麻醉并发症外，插入通气管还可能伴有脓性化脓、鼓膜病理改变和听力损害。100名儿童被连续随机分组，分别使用一种新设备进行自动充气或进入对照组。这些儿童年龄在3至10岁之间，经鼓室图检查证实患有分泌性中耳炎至少3个月后进入研究。在儿童进入研究后的2周、1个月、2个月和3个月时重复进行鼓室图检查。自动充气2周后，64%的耳朵鼓室图情况改善，34%无变化，其余2%恶化。在对照组中，15%的耳朵鼓室图检查结果改善，71%无变化，其余14%恶化。
