Smith W, Yung M
Department of Otolaryngology, Addenbrookes Hospital NHS Trust, Hills Road, Cambridge, UK.
Clin Otolaryngol. 2006 Feb;31(1):69-72. doi: 10.1111/j.1749-4486.2006.01126.x.
. The literature supports the benefit of adenoidectomy in patients with otitis media with effusion (OME). . It is difficult to clear adenoid tissue from around the Eustachian tubes using curettes and this conventional method of adenoidectomy is contra-indicated in patients with cleft palates. . Laser reduction of peri-Eustachian adenoid tissue without myringotomies or grommet insertion was performed in three patients with OME. Two patients had previous adenoidectomies performed with curettes and one patient had a cleft palate. . In all three patients, the OME resolved and all had closure of the air-bone gap that was maintained during long-term follow-up (14 months-4 years). . This technique resolved OME without the need for myringotomies or grommet insertion and should be considered particularly in patients who have peri-tubal recurrence of adenoidal tissue following conventional adenoidectomy or in patients with cleft palate where there is concern with regards to palatal incompetence.
文献支持腺样体切除术对中耳积液（OME）患者有益。使用刮匙很难清除咽鼓管周围的腺样体组织，这种传统的腺样体切除方法在腭裂患者中是禁忌的。对3例OME患者进行了不做鼓膜切开术或不插入通气管的激光减少咽鼓管周围腺样体组织的操作。2例患者曾用刮匙进行过腺样体切除术，1例患者患有腭裂。在所有3例患者中，OME均得到解决，并且在长期随访（14个月至4年）期间气骨间隙均保持闭合。该技术无需鼓膜切开术或插入通气管即可解决OME，尤其应考虑用于传统腺样体切除术后腺样体组织在咽鼓管周围复发的患者或担心腭功能不全的腭裂患者。
