Martellucci Salvatore, Pagliuca Giulio, de Vincentiis Marco, De Virgilio Armando, Fusconi Massimo, Gallipoli Camilla, Rosato Chiara, Gallo Andrea
Department of Surgical Biotechnologies and Science, ENT Section, "Sapienza" University of Rome, Italy
Department of Surgical Biotechnologies and Science, ENT Section, "Sapienza" University of Rome, Italy.
Otolaryngol Head Neck Surg. 2015 May;152(5):927-30. doi: 10.1177/0194599815576906. Epub 2015 Mar 27.
The purpose of this study is to assess the feasibility of endoscopic-assisted myringotomy and ventilation tube insertion in adults affected by chronic otitis media with effusion, comparing the outcomes of this approach with those obtained with the traditional microscopic technique. Twenty-four patients were enrolled in this trial and alternately assigned to 2 groups of 12 subjects each. In group A, patients underwent myringotomy and ventilation tube insertion under endoscopic view, whereas in group B, the same procedure was performed traditionally using a microscope. All cases were evaluated 1 week after surgery and then monthly until tube extrusion. Type A tympanogram was achieved in 10 of 13 ears in both groups (76.92%). No significant difference in operative times or complication rates was observed (P > .05). Endoscopic technique could be a viable alternative to the microscopic approach for myringotomy and ventilation tube positioning in adults affected by chronic otitis media with effusion.
本研究的目的是评估在患有慢性中耳积液的成人中，内镜辅助下鼓膜切开置管术的可行性，并将该方法的结果与传统显微镜技术的结果进行比较。24名患者参与了该试验，并被交替分配到两组，每组12名受试者。A组患者在内镜观察下进行鼓膜切开置管术，而B组则传统地使用显微镜进行相同的操作。所有病例在术后1周进行评估，然后每月评估一次，直至耳管脱出。两组13只耳朵中的10只（76.92%）获得了A型鼓室图。手术时间或并发症发生率无显著差异（P>.05）。对于患有慢性中耳积液的成人，内镜技术可能是鼓膜切开置管定位的显微镜方法的可行替代方案。
