Van Cauwenberge P, Cauwe F, Kluyskens P
Int J Pediatr Otorhinolaryngol. 1979 Sep;1(2):109-16. doi: 10.1016/0165-5876(79)90002-8.
In the present report we discuss the short-term and long-term results of treatment with transtympanic ventilation tubes in 140 children with chronic secretory otitis media. Important findings are: after 6 months only 40% and after 12 months only 5% of the inserted grommets are still draining. A good clinical result is obtained in 72% after 6 months, and in 52% after 12 months. With a long follow-up, up to 10 years, 71% of the children suffering from chronic secretory otitis media and treated with grommets, can be considered as cured, with or without a small complication. The poorest results are obtained after a follow-up of 2-3 years. Children under 7 years have a better prognosis than older children. There is also a better prognosis in children with serous effusions than in those with a glue ear. We noticed very few complications in our treatment with grommets: no sensorineural hearing loss and a persisting perforation in 2% of the treated ears.
在本报告中，我们讨论了140例慢性分泌性中耳炎患儿鼓膜置管治疗的短期和长期结果。重要发现如下：6个月后，仅40%的置入通气管仍有引流，12个月后仅5%仍有引流。6个月时72%的患儿临床效果良好，12个月时52%临床效果良好。经过长达10年的长期随访，71%接受通气管治疗的慢性分泌性中耳炎患儿，无论有无轻微并发症，均可视为治愈。随访2 - 3年时效果最差。7岁以下儿童的预后比大龄儿童更好。浆液性积液患儿的预后也比胶耳患儿更好。我们在鼓膜置管治疗中发现的并发症极少：未出现感音神经性听力损失，2%的患耳有持续性穿孔。
