Paquelin F, Galeanne-Sanders A, Basset J M
Ann Otolaryngol Chir Cervicofac. 1980 Mar;97(3):213-24.
The authors review the diagnostic protocol of mastoiditis based upon 382 cases with 1.3% errors (histological confirmation). Up to the present time, mastoidectomy was the only treatment which could be envisaged. In a new series of 90 cases, 48 constituted the control group and 42 the study group, trans-tympanic drains were inserted routinely in the latter. It was thus possible to avoid mastoidectomy in 62% of cases in the study group (evaluation based upon the number of ears). The period of postoperative observation was on average 8 months. No complications related to the drain were seen. Up to the present time, there exist no precise criteria which may be used to decide between insertion of a drain or mastoidectomy from the outset. Insertion of a drain must thus be considered as a therapeutic test, justified by its harmlessness and simplicity.
作者回顾了基于382例病例（组织学确诊，误诊率为1.3%）的乳突炎诊断方案。到目前为止，乳突根治术是唯一可考虑的治疗方法。在一组新的90例病例中，48例为对照组，42例为研究组，研究组常规插入经鼓膜引流管。因此，研究组62%的病例（根据耳的数量评估）得以避免行乳突根治术。术后平均观察期为8个月。未观察到与引流管相关的并发症。到目前为止，尚无精确的标准可用于从一开始就决定是插入引流管还是行乳突根治术。因此，插入引流管必须被视为一种治疗性试验，因其无害性和简便性而合理。
