Nurliza I, Lim L H Y
Hospital Sultanah Bahiyah, Alor Star, Kedah, Malaysia.
Med J Malaysia. 2011 Aug;66(3):227-30.
Otitis media with effusion is one of the most common childhood infections, and grommet insertions are done for chronic otitis media which have failed medical therapy. The aims of this study were 1) to determine the patient profile of children needing grommet insertion and 2) to determine if grommet insertion is safe and effective. A retrospective review of 105 children with myringotomy and grommet insertions for chronic otitis media with effusion between 2006 and 2008 was performed. Seventy two percent of patients were younger than 6 years old. Male to female ratio was 4:3. Twelve percent of patients were syndromic. In children with otitis media with effusion, hearing and academic performance improved after grommet insertion. Allergic rhinitis and cleft palate are risk factors for chronic middle ear effusion.
分泌性中耳炎是儿童最常见的感染之一，鼓膜置管术用于治疗药物治疗无效的慢性中耳炎。本研究的目的是：1）确定需要鼓膜置管的儿童的患者概况；2）确定鼓膜置管是否安全有效。对2006年至2008年间105例因慢性分泌性中耳炎行鼓膜切开术和鼓膜置管术的儿童进行了回顾性研究。72%的患者年龄小于6岁。男女比例为4:3。12%的患者有综合征。在分泌性中耳炎患儿中，鼓膜置管后听力和学业成绩有所改善。变应性鼻炎和腭裂是慢性中耳积液的危险因素。
