Sente M, Ivkić M, Rakić N, Berkes B
Medicinski centar, Subotica, Bolnica.
Med Pregl. 1993;46(5-6):195-7.
The authors review their experiences in the treatment of secretory otitis in children. They detected a significantly higher number of positive allergometric tests to standard groups of inhalation allergens than expected. The patients were divided into two groups; in the first group the allergometric test was negative, in the second positive. The therapeutical approach was identical, consisting of the initial medicamentous treatment which did not give any results. After this, adenoidectomy, paracentesis with secretion aspiration and aeration tube implantation were performed in general endotracheal anesthesia. The comparison of the results of the treatment showed that allergic disease, being one of the etiological factors, significantly influence the course of the treatment as well as the prognosis of the disease. It has been concluded that allergy, an etiological cause of chronic secretory otitis in children, should be given a special regard to help an adequate approach to the phenomenon.
作者回顾了他们治疗儿童分泌性中耳炎的经验。他们发现,吸入性过敏原标准组的变应原检测呈阳性的数量明显高于预期。患者被分为两组;第一组变应原检测为阴性,第二组为阳性。治疗方法相同,最初的药物治疗均未取得任何效果。在此之后,在全身气管内麻醉下进行腺样体切除术、穿刺抽液及鼓膜置管术。治疗结果的比较表明,作为病因之一的过敏性疾病,对治疗过程以及疾病预后有显著影响。得出的结论是,过敏作为儿童慢性分泌性中耳炎的病因,应予以特别关注,以便对这一现象采取适当的处理方法。