Maw A R
J R Soc Med. 1985 Dec;78(12):1014-8. doi: 10.1177/014107688507801207.
One hundred and fifty-five children suffering bilateral otitis media with effusion (OME) and observed for three months have been followed postoperatively for twelve months. Surgery was randomly allocated into three groups: adenotonsillectomy; adenoidectomy; and no surgery. In all cases unilateral myringotomy and grommet insertion was performed. The contralateral unoperated ear was assessed subsequently for clearance of the effusion. Adenoidectomy produced resolution of the effusion in 31-45% of cases at one year, but tonsillectomy conferred no additional benefit. There was improved resolution in those with longer compared with shorter histories, and in older as opposed to younger children. Assessment of preoperative lateral cephalometric radiographs show improved resolution of the effusion following removal of larger, compared with smaller adenoids, but this effect was only demonstrable for three months. The effect of age was longer-lasting for up to one year postoperatively.
155名患有双侧中耳积液（OME）且已观察3个月的儿童在术后接受了12个月的随访。手术被随机分为三组：腺样体扁桃体切除术；腺样体切除术；以及不进行手术。所有病例均进行了单侧鼓膜切开术并插入通气管。随后对未手术的对侧耳进行积液清除情况评估。腺样体切除术在一年时使31% - 45%的病例积液消退，但扁桃体切除术并未带来额外益处。病程较长的儿童与病程较短的儿童相比，以及年龄较大的儿童与年龄较小的儿童相比，积液消退情况有所改善。术前头颅侧位X线片评估显示，与较小的腺样体相比，切除较大的腺样体后积液消退情况有所改善，但这种效果仅在三个月内可观察到。年龄的影响在术后长达一年的时间里持续时间更长。
