Felder H
Pediatr Ann. 1976 Aug;5(8):474-7.
There are two main types of chronic otitis media in children. The "benign" type with a central tympanic membrane perforation may heal spontaneously with conservative management. However, if the central tympanic membrane perforation fails to heal, it should be closed surgically--preferably at the age when the incidence of ear disease in children is lowest. Chronic otitis media with cholesteatoma usually has an attic or marginal perforation and requires surgical treatment to prevent serious complications. The incidence of this disease has been decreasing because of awareness by primary physicians of the importance of prompt treatment and the increase in the practice of inserting ventilation tubes.
儿童慢性中耳炎主要有两种类型。鼓膜中央穿孔的“良性”类型，经保守治疗可能会自愈。然而，如果鼓膜中央穿孔未能愈合，则应通过手术封闭——最好在儿童耳部疾病发病率最低的年龄进行。胆脂瘤型慢性中耳炎通常有上鼓室或边缘穿孔，需要手术治疗以预防严重并发症。由于基层医生意识到及时治疗的重要性以及鼓膜置管操作的增加，这种疾病的发病率一直在下降。
