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20世纪和21世纪的浆液性中耳炎:不断演变的观点与治疗方法

Serous otitis media in the 20th and 21st centuries: evolving views and treatments.

作者信息

Ruben Robert J

机构信息

Department of Otorhinolaryngology - Head and Neck Surgery, Albert Einstein College of Medicine, Montefiore Medical Center, Bronx, NY 10467-2490, USA.

出版信息

Acta Otolaryngol. 2009 Apr;129(4):343-7. doi: 10.1080/00016480802454724.

DOI:10.1080/00016480802454724
PMID:18923967
Abstract

CONCLUSIONS

The historical study of serous otitis media (SOM) demonstrates steps in recognition of the disease, shifts in prevalence, and relationships between the disease's affect and evolving economic bases of society.

OBJECTIVE

SOM, although noted in early Roman and Arabic medicine, was only identified as a distinct and significant pathology in the last half of the 20th century. This paper examines the development of understanding of SOM, and ways in which it has been cared for during the 20th and 21st centuries.

MATERIALS AND METHODS

The medical literature from antiquity to the present was reviewed for mention of otological conditions that related to SOM. For this report, the primary source of each notation was examined.

RESULTS

The first part of the 20th century saw little change from earlier times in the recognition or treatment of SOM. Our current 21st century conceptualization and concern for SOM has come about from five advances: antibiotics, the rediscovery of the tympanostomy tube, the clinical use of middle ear impedance, the association of a history of otitis with linguistic deficiency, and recognition of the significance of transformation to a communication-based economy.

摘要

结论

浆液性中耳炎(SOM)的历史研究展示了对该疾病的认知过程、患病率的变化以及该疾病的影响与社会经济基础演变之间的关系。

目的

浆液性中耳炎虽在早期罗马和阿拉伯医学中有所记载,但直到20世纪后半叶才被确认为一种独特且重要的病理学疾病。本文探讨了对浆液性中耳炎认识的发展历程以及在20世纪和21世纪期间对其的治疗方式。

材料与方法

查阅了从古至今的医学文献中提及的与浆液性中耳炎相关的耳科病症。对于本报告,对每个记录的主要来源进行了研究。

结果

20世纪上半叶,在浆液性中耳炎的认知或治疗方面与早期相比变化不大。我们21世纪对浆液性中耳炎的概念化理解和关注源于五项进展:抗生素、鼓膜造孔管的重新发现、中耳阻抗的临床应用、中耳炎病史与语言缺陷的关联以及认识到向基于交流的经济转型的重要性。

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Serous otitis media in the 20th and 21st centuries: evolving views and treatments.20世纪和21世纪的浆液性中耳炎:不断演变的观点与治疗方法
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