From the *Department of Otolaryngology; and †Department of Paediatrics, University of Oulu, Oulu, Finland.
Pediatr Infect Dis J. 2014 Jul;33(7):715-9. doi: 10.1097/INF.0000000000000265.
Tympanostomy with or without adenoidectomy is effective in preventing recurrences of acute otitis media (RAOM), but little is known about the effect of these operations on the quality of life (QOL). We evaluated the efficacy of insertion of tympanostomy tubes with and without adenoidectomy for improving QOL in young children in a controlled, randomized trial.
QOL was evaluated in the 159 children aged 10 months to 2 years participating in our larger study in which children with RAOM were randomly assigned to receive tympanostomy tubes, tympanostomy tubes with adenoidectomy or neither. The caregiver of the child completed otitis media-specific QOL questionnaires (Otitis Media-6) at entry and after 4 months and 12 months of follow up.
Scores on the global ear-related QOL and the subsets of caregiver concern, emotional distress and physical suffering in the questionnaires improved with time during the follow up, but the groups did not differ from each other.
QOL in children with RAOM improves with time when the subjects are closely followed. Tympanostomy with adenoidectomy does not provide any additional QOL benefit for children with RAOM, even though these operations are effective in preventing further otitis media episodes.
鼓膜切开术联合或不联合腺样体切除术可有效预防急性中耳炎（AOM）的复发，但对于这些手术对生活质量（QOL）的影响知之甚少。我们在一项对照、随机试验中评估了鼓膜切开置管术联合或不联合腺样体切除术对改善患有 AOM 的幼儿 QOL 的疗效。
我们对参加较大规模研究的 159 名 10 个月至 2 岁的儿童进行了 QOL 评估，这些儿童被随机分配接受鼓膜切开置管术、鼓膜切开置管术联合腺样体切除术或不接受手术。在入组时以及 4 个月和 12 个月随访时，患儿的照料者完成中耳炎特异性 QOL 问卷（Otitis Media-6）。
问卷中的全球耳部相关 QOL 评分以及照料者关注、情绪困扰和身体不适的子量表评分在随访期间随时间推移而改善，但各组之间无差异。
当对患有 AOM 的患儿进行密切随访时，其 QOL 会随时间推移而改善。对于患有 AOM 的患儿，鼓膜切开置管术联合腺样体切除术并不能提供任何额外的 QOL 益处，尽管这些手术可有效预防进一步的中耳炎发作。
