Zhou Yong, Tang Anzhou, Li Jieen, Tan Songhua, Fang Qin
Department of Otolaryngology, the First Affiliated Hospital, Guangxi Medical University, Nanning, 530021, China.
Lin Chuang Er Bi Yan Hou Ke Za Zhi. 2005 Jan;19(1):22-3.
To evaluate the value of grommet insertion for middle ear effusion in the patients of nasopharyngeal carcinoma after radiotherapy.
Thirty-two recrudescent cases(51 ears) with middle ear effusion after myringotomies were treated by grommet insertion again,and then,the eustachian tube function,hearing and the other symptoms were observed, the effect were evaluated.
15.7%(8/51) ears were cured,the total efficiency rate is 96.1%(49/51). The eustachian tube function had been straightened up in 13.7%(7/51)ears,the other symptoms were improved in different degrees for the cars of setting grommet, 25.5% ears occurred otorrhea, 9.8% ears occurred perforation.
Grommet insertion is a favorable way for the eustachian tube function straightened up. For the ears that the eustachian tube function damaged seriously, repeated grommet insertion is a good measure for keeping the ear function. In a word, the benefit is more than the loss after grommet insertion.
评估鼓膜置管术对鼻咽癌放疗后中耳积液患者的价值。
对32例（51耳）鼓膜切开术后中耳积液复发患者再次行鼓膜置管术，观察咽鼓管功能、听力及其他症状，评估疗效。
治愈率为15.7%（8/51）耳，总有效率为96.1%（49/51）。13.7%（7/51）耳咽鼓管功能恢复正常，置管耳其他症状均有不同程度改善，25.5%耳出现耳漏，9.8%耳出现鼓膜穿孔。
鼓膜置管术是改善咽鼓管功能的良好方法。对于咽鼓管功能严重受损的耳，反复鼓膜置管是保留耳功能的良好措施。总之，鼓膜置管术后利大于弊。
