Upadhya Ila, Datar J
Department of ENT, New Civil Hospital, Government Medical College, Majuragate, Surat, 3950002 Gujarat India ; 803, Abhilasha Apartment, Opposite Mathra Nagari, Adajan Gam, Surat, 3950009 India.
Department of ENT, New Civil Hospital, Government Medical College, Majuragate, Surat, 3950002 Gujarat India.
Indian J Otolaryngol Head Neck Surg. 2014 Jan;66(Suppl 1):191-7. doi: 10.1007/s12070-011-0423-3. Epub 2011 Dec 13.
Secretary Otitis media with effusion (OME) is the accumulation of mucus in the middle ear and sometimes in the mastoid air cell system. The main etiological factor is alteration in mucociliary system of middle ear secondary to ET malfunction which may be primary or secondary. OME is the cause of concern due to its occurance in paediatric age group, highest at 2 years of age, presenting as impairment of hearing leading to delayed speech and language development, poor academic performance and behavioral problems. In spite of this there are no confirmed guidelines of treatment to overcome. Many treatment options are available medical as well as surgical. Prospective study conducted to evaluate various treatment options revealed that auto inflation of ET is the main stay of treatment. If the ET malfunction is due to any reasons like adenoids, deviated nasal septum, hypertrophied turbinates or any other cause surgical intervention of the same gives 100% results. Medical management gives good results but recurrence is equally common.
分泌性中耳炎（OME）是中耳有时还有乳突气房系统内黏液的积聚。主要病因是咽鼓管功能障碍继发的中耳黏液纤毛系统改变，这可能是原发性的或继发性的。OME令人担忧，因为它在儿童年龄组中发生率最高，在2岁时达到峰值，表现为听力受损，导致语言发育迟缓、学业成绩差和行为问题。尽管如此，目前尚无得到确认的治疗指南。有多种治疗选择，包括药物治疗和手术治疗。一项旨在评估各种治疗选择的前瞻性研究表明，咽鼓管自动通气是主要的治疗方法。如果咽鼓管功能障碍是由腺样体、鼻中隔偏曲、鼻甲肥大或任何其他原因引起的，对这些病因进行手术干预可获得100%的效果。药物治疗效果良好，但复发同样常见。
