Zielnik-Jurkiewicz Beata, Olszewska-Sosińska Olga
Oddział Otolaryngologiczny, Szpitala Dzieciecego SZPZOZ im. prof. J. Bogdanowicza w Warszawie.
Otolaryngol Pol. 2005;59(3):399-402.
Otitis media with effusion and eustachitis occur very often in childhood. In dependence on advanced of otitis media with effusion and eustachitis, we use surgical and nonsurgical treatment. In short-term otitis media with effusion and eustachitis performs tympanotomy, insufflation of the Eustachian tube by Politzer and Valsava's methods and vibro-pressure massage AMSA. The aim of this study is estimation of efficacy vibro-pressure massage AMSA in otitis media with effusion and eustachitis in children. The study population consisted of 34 children and youth aged between 3-17 years with otitis media with effusion or eustachitis. In all people we performed 10 procedures of vibro-pressure massage AMSA administered 4 mg dexamethasone in vibro-aerosol. Efficiency of treatment was estimated by comparison otolaryngology examination, pure tone audiometry and tympanometry. In 76.7% ears with eustachitis we observed correct results of examinations of hearing acuity after treatment. It was more two times better then in children with otitis media with effusion. Vibro-pressure massage AMSA 10 times with 4 mg dexamethasone in vibro-aerosol is good method in treatment of eustachitis. In otitis media with effusion isn't efficacious enough. In this case we recommended tympanostomy tube.
分泌性中耳炎和咽鼓管炎在儿童时期非常常见。根据分泌性中耳炎和咽鼓管炎的进展情况，我们采用手术和非手术治疗方法。对于短期的分泌性中耳炎和咽鼓管炎，可进行鼓膜切开术、采用波利策尔法和瓦尔萨尔瓦法对咽鼓管进行吹张以及进行AMSA振动压力按摩。本研究的目的是评估AMSA振动压力按摩对儿童分泌性中耳炎和咽鼓管炎的疗效。研究对象包括34名年龄在3至17岁之间患有分泌性中耳炎或咽鼓管炎的儿童和青少年。我们对所有人进行了10次AMSA振动压力按摩操作，并在振动气雾剂中给予4毫克地塞米松。通过比较耳鼻喉科检查、纯音听力测定和鼓室图来评估治疗效果。在76.7%的咽鼓管炎患儿中，治疗后听力检查结果正常。这比分泌性中耳炎患儿的情况好两倍多。在振动气雾剂中使用4毫克地塞米松进行10次AMSA振动压力按摩是治疗咽鼓管炎的好方法。对于分泌性中耳炎，其疗效不够显著。在这种情况下，我们建议进行鼓膜置管术。
