Demir B, Batman C
Department of Otolaryngology, Head and Neck Surgery, Pendik Training and Research Hospital, Marmara University Medical Faculty, Istanbul, Turkey.
J Laryngol Otol. 2020 Nov 18:1-4. doi: 10.1017/S0022215120002340.
This study aimed to compare the outcomes of ventilation tube insertion and balloon Eustachian tuboplasty as a first line treatment for otitis media with effusion in children.
This was a retrospective evaluation of 62 children, 30 cases that underwent balloon Eustachian tuboplasty (group 1) and 32 cases that underwent ventilation tube insertion (group 2), from July 2016 to April 2018.
The pre-operative air-bone gap of patients who underwent balloon Eustachian tuboplasty was 15-35 dB (mean: 27.6 ± 8.2 dB). The mean pre-operative air-bone gap decreased to 9.6 dB after a mean of 14.4 months (p < 0.05). The air-bone gap decreased from 25.6 dB to 17.6 dB in the ventilation tube group. There was a significant improvement in the air-bone gap values in both groups; however, this decrease was significantly higher in the balloon Eustachian tuboplasty group (p = 0.043).
Balloon Eustachian tuboplasty may be an effective and safe method for use as a first-line treatment of otitis media with effusion in children.
本研究旨在比较置管通气和球囊咽鼓管成形术作为儿童分泌性中耳炎一线治疗方法的疗效。
这是一项对2016年7月至2018年4月期间62例儿童的回顾性评估，其中30例行球囊咽鼓管成形术（第1组），32例行置管通气（第2组）。
接受球囊咽鼓管成形术患者的术前气骨导差为15 - 35 dB（平均：27.6 ± 8.2 dB）。平均14.4个月后，平均术前气骨导差降至9.6 dB（p < 0.05）。置管通气组的气骨导差从25.6 dB降至17.6 dB。两组的气骨导差值均有显著改善；然而，球囊咽鼓管成形术组的下降幅度明显更大（p = 0.043）。
球囊咽鼓管成形术可能是治疗儿童分泌性中耳炎的一种有效且安全的一线治疗方法。
