Sagnelli M, Marzullo C, Pollastrini L, Marullo M N
Titolare dell'insegnamento di otorinolaringoiatria pediatrica, Università di Roma La Sapienza.
Medicina (Firenze). 1990 Jan-Mar;10(1):16-22.
The prognostic influence of adenoidectomy on the clinical course of secretory otitis media (S.O.M.) was evaluated in 46 children with abnormal tympanometry, i.e. a flat curve (type B tympanogram) or a middle ear pressure less than 100 mm H2O (type C tympanogram). The children were divided by randomized, blind allocation into one group of 22 subjected to myringotomy with adenoidectomy and another group of 24 subjected to myringotomy without adenoidectomy. All 46 children were followed up by impedance audiometry, pure tone audiometry and otomicroscopy 1, 3, 6 and 15 months after surgery. No significant differences were found between the two groups. Possible pathogenetic mechanisms leading to the development of S.O.M. in the presence of large adenoids are discussed.
对46名鼓室导抗图异常（即平坦曲线，B型鼓室图，或中耳压力小于100 mm H2O，C型鼓室图）的儿童，评估腺样体切除术对分泌性中耳炎（S.O.M.）临床病程的预后影响。通过随机、盲法分配，将这些儿童分为两组，一组22名接受鼓膜切开术加腺样体切除术，另一组24名接受单纯鼓膜切开术。术后1、3、6和15个月，对所有46名儿童进行了声阻抗测听、纯音测听和耳显微镜检查随访。两组之间未发现显著差异。讨论了在腺样体肥大情况下导致分泌性中耳炎发生的可能发病机制。
