Mills R P, Irani B S, Vaughan-Jones R J, Padgham N D
Department of Otolaryngology, Ninewells Hospital and Medical School, Dundee.
J Laryngol Otol. 1994 Oct;108(10):842-4. doi: 10.1017/s0022215100128282.
Sinus radiographs have been carried out on 240 new cases of childhood otitis media with effusion (OME). When the films were suggestive of infection, maxillary sinus washouts were carried out as part of the surgical treatment. Abnormal X-rays were obtained in 28 per cent of the study group, but only 16 cases (seven per cent) of sinus infection were confirmed on antral lavage. In those with positive washouts, there was an apparent relationship between the findings in the maxillary sinuses and middle ears of the same side in some of the cases. There was also evidence of improvement of the middle ear disease when the sinus infection was successfully treated. It does not appear that sinus infection is an important cause of OME, though it may be relevant in a small number of cases.
对240例儿童渗出性中耳炎（OME）新病例进行了鼻窦X光检查。当X光片提示有感染时，作为手术治疗的一部分，进行了上颌窦冲洗。28%的研究组患者获得了异常的X光片，但经上颌窦灌洗仅确诊了16例（7%）鼻窦感染。在冲洗结果呈阳性的患者中，部分病例同侧上颌窦和中耳的检查结果之间存在明显关联。当鼻窦感染得到成功治疗时，也有中耳疾病改善的证据。鼻窦感染似乎不是OME的重要病因，尽管在少数病例中可能有关。
