Costantino M
Dipartimento di Medicina Sperimentale, Scuola di Specializzazione in Idrologia Medica, Seconda Università degli Studi di Napoli, Italia.
Clin Ter. 2008 Sep-Oct;159(5):311-5.
The sulphur SPA inhalation therapy is useful in respiratory and otolaryngologic chronic inflammatory diseases in adult subjects and children. The therapeutic action relies on anti-inflammatory, mucolytic and trophic effects. Particularly in children, the sulphur SPA inhalation therapy, using endotympanic ventilation or Politzer method, would be suitable in the treatment of the rhinogenic deafness. Several reports have demonstrated the effectiveness of endotympanic ventilation while the results on the Politzer method are inconclusive. On the basis of these considerations, aim of our study was to analyze the effectiveness and the safety of the aerosol+Politzer with a sulphur mineral water in children affected by rhinogenic deafness or chronic inflammatory processes responsible for the onset or persistence of rhinogenic deafness.
The study has been performed on 23 subjects in pediatric age (61% women and 39% males; mean age: 6+/-2.4 years; age range: 3-14 years) affected by chronic catarrhalis otitis, chronic rhino-pharyngitis inflammations, chronic or recurrent adenoiditis with dysfunction of the Eustachian Tube. The investigated subjects underwent 12 consecutive days sulphur SPA inhalation therapy (aerosol+Politzer) at the Terme of Stabia in Castellammare (Naples, Italy). At the beginning and at the end of the SPA cycle the functionality of the middle ear and the tolerability were evaluated.
The results have shown an increase of the impedance curves that correspond to the normal ventilation of the tympanic box (type A (13% before therapy and of 57% post-therapy) and a decrease of the pathological curves of type B and type C (87% pre-therapy and of 43% post-therapy); a significant increase of compliance (p 0.05) in pathological curves of type B and C. No adverse reaction to the SPA inhalation therapy has been reported during the study.
In concordance with the literature our data demonstrated that the sulphur SPA inhalation treatment induce a improvement of middle ear function of the subjects examined with good local and systemic tolerability.
硫磺温泉吸入疗法对成人和儿童的呼吸道及耳鼻喉慢性炎症性疾病有效。其治疗作用依赖于抗炎、溶解黏液和营养作用。特别是对于儿童，采用鼓膜内通气或波利策法的硫磺温泉吸入疗法适用于治疗鼻源性耳聋。一些报告已证实鼓膜内通气的有效性，而关于波利策法的结果尚无定论。基于这些考虑，我们研究的目的是分析使用硫磺矿泉水进行雾化+波利策法对患有鼻源性耳聋或导致鼻源性耳聋发生或持续的慢性炎症过程的儿童的有效性和安全性。
该研究针对23名儿科患者（61%为女性，39%为男性；平均年龄：6±2.4岁；年龄范围：3 - 14岁）进行，这些患者患有慢性卡他性中耳炎、慢性鼻咽炎、伴有咽鼓管功能障碍的慢性或复发性腺样体炎。研究对象在意大利那不勒斯卡斯特拉马雷的斯塔比亚温泉连续接受12天的硫磺温泉吸入疗法（雾化+波利策法）。在温泉治疗周期开始和结束时，评估中耳功能和耐受性。
结果显示，对应鼓膜腔正常通气的阻抗曲线增加（治疗前为A型的13%，治疗后为57%），B型和C型病理曲线减少（治疗前为87%，治疗后为43%）；B型和C型病理曲线的顺应性显著增加（p<0.05）。研究期间未报告对温泉吸入疗法的不良反应。
与文献一致，我们的数据表明硫磺温泉吸入治疗可改善所检查受试者的中耳功能，且具有良好的局部和全身耐受性。
