Zavadskiĭ N V, Zavadskiĭ A V, Ntutumu A N
Vestn Otorinolaringol. 1990 Mar-Apr(2):3-7.
On the basis of published data and their own observations the present authors have concluded that recurrent suppurative otitis media in children of early age groups is not produced, in most cases, by infectious inflammation of the middle ear. It is rather a result of a regularly developing mismatch between the rate with which the embryonic tissue of the middle ear decays and the drainage capacity of the Eustachian tube. They therefore claim that the list of indications for antibiotic therapy of these children should be drastically shortened while that for tympanic paracentesis should be noticeably enlarged. The authors describe two groups of patients they treated at various time periods and show that the new approach is more effective. They consider the results as a verification of their concept of the origin of the above disorder.
基于已发表的数据和他们自己的观察结果，本文作者得出结论：在大多数情况下，幼儿复发性化脓性中耳炎并非由中耳的感染性炎症引起。相反，这是中耳胚胎组织衰退速度与咽鼓管引流能力之间正常发展的不匹配所导致的结果。因此，他们认为这些儿童抗生素治疗的适应证清单应大幅缩短，而鼓膜穿刺术的适应证清单应显著扩大。作者描述了他们在不同时间段治疗的两组患者，并表明新方法更有效。他们将这些结果视为对上述疾病起源概念的验证。
