Kent S E
Walsgrave Hospital, Coventry, U.K.
Int J Pediatr Otorhinolaryngol. 1989 Feb;17(1):31-5. doi: 10.1016/0165-5876(89)90291-7.
This paper presents the findings of a study of thermal myringotomy compared with the insertion of a grommet, in 30 children with secretory otitis media. The procedure was found to be easy to perform and free from complications. It provided ventilation of the middle ear for up to 8 weeks. However, there was a recurrence of the middle ear effusion in 40% of the thermal myringotomy ears. On the other hand, grommets were very effective in eliminating effusion over a 6 month period. I was unable to identify any parameter that will predict which patients will remain free of effusion after ventilation with a thermal myringotomy.
本文介绍了一项针对30例分泌性中耳炎患儿进行的鼓膜热切开术与鼓膜置管术对比研究的结果。结果发现该手术操作简便且无并发症。它能为中耳提供长达8周的通气。然而，鼓膜热切开术治疗的耳朵中有40%出现了中耳积液复发。另一方面，鼓膜置管在6个月的时间里能非常有效地消除积液。我无法确定任何能预测哪些患者在接受鼓膜热切开术通气后不会出现积液的参数。
