Mair I W, Haugeto O K, Elverland H H, Schrøder K E
Int J Pediatr Otorhinolaryngol. 1980 Jun;2(2):161-70. doi: 10.1016/0165-5876(80)90017-8.
Of 242 children and teenagers treated surgically for chronic secretory otitis media in 1972, 212 presented for evaluation 5 years later. Although the pure-tone audiometric threshold was 20 dB HL or better in 87.7% of the ears, only 40.6% were judged to be otoscopically normal. The findings at the first myringotomy for insertion of tympanostomy tubes were of no prognostic value for the course of the disease, and the presence of characteristics of middle ear fluid at subsequent myringotomies varied unpredictably. Adenoidectomy performed at an early stage, and in the presence of nasal obstruction, resulted in a significant reduction in the need for re-insertion of tympanostomy tubes.
1972年接受慢性分泌性中耳炎手术治疗的242名儿童和青少年中，5年后有212人前来接受评估。虽然87.7%的耳纯音听阈在20 dB HL或更好，但耳镜检查判定正常的仅占40.6%。首次鼓膜切开置管术的结果对疾病进程无预后价值，后续鼓膜切开术中中耳积液的情况变化不可预测。早期在存在鼻塞的情况下进行腺样体切除术，可显著减少鼓膜造孔管再次置管的需求。
