Escamilla Yolanda, Aguilà Anton F, Saiz José M, Rosell Rosa, Vivancos Josefa, Cardesín Alda
Corporación Sanitaria del Parc Taulí, Sabadell, Barcelona, Spain.
Acta Otorrinolaringol Esp. 2009 Mar-Apr;60(2):84-9.
Tympanostomy tube emplacement is a common surgical procedure in paediatric otolaryngological surgery. This surgery has complications that sometimes depend on the disease and at other times on the treatment. The objective of this study is to know the results obtained with tympanostomy tube emplacement and its complications.
Retrospective study of all the children operated on for tympanostomy tube emplacement over a period of 18 months and with follow-up for at least seven years; this amounted to 143 ears operated on for the first time. The study variables were age, gender, initial appearance of the ear, inner ear contents, type of grommet inserted, duration of grommet and the lack of any hospital monitoring needed after extrusion.
One complication or another arose in 46% of the ears. The Donaldson type of grommet with a diameter of 1.27 mm is the one that produced most complications. There were more complications in ears that were worse in the otoscopic examination regardless of the grommet inserted.
The high prevalence of complications and after-effects after grommet emplacement needs long-term follow-up in patients. The results obtained suggest the use of grommets with a smaller internal diameter.
鼓膜置管术是小儿耳鼻喉科手术中一种常见的外科手术。该手术存在并发症，其有时取决于疾病，有时取决于治疗方法。本研究的目的是了解鼓膜置管术的结果及其并发症。
对18个月内接受鼓膜置管术且随访至少七年的所有儿童进行回顾性研究；这相当于143只首次接受手术的耳朵。研究变量包括年龄、性别、耳部初始外观、内耳内容物、插入的鼓膜通气管类型、鼓膜通气管留置时间以及脱出后是否需要任何医院监测。
46%的耳朵出现了一种或另一种并发症。直径为1.27毫米的唐纳森型鼓膜通气管产生的并发症最多。无论插入何种鼓膜通气管，耳镜检查中情况较差的耳朵出现的并发症更多。
鼓膜通气管置入术后并发症和后遗症的高发生率需要对患者进行长期随访。所获得的结果表明应使用内径较小的鼓膜通气管。
