Pransky S M
Children's Hospital, San Diego, California, USA.
J Otolaryngol. 1998;27 Suppl 2:37-42.
As we enter the new millennium, Otitis Media remains the most common cause for an acute care visit to the pediatrician. This paper discusses the various surgical approaches to children who do not respond to medical management for acute otitis, recurrent acute otitis and for chronic otitis media. In addition to discussing the relevant alternatives of intervention, attention is directed to special populations of patients who are likely to demand a great deal of care, the problems that are encountered with typanostomy tubes and the concept of a new era of a "post-tympanostomy tube legacy."
Suggestions are offered as to how we can alter our approach to these patients requiring surgical intervention and thereby reduce long term sequelae.
随着我们进入新千年，中耳炎仍然是儿科医生进行急性护理就诊的最常见原因。本文讨论了对急性中耳炎、复发性急性中耳炎和慢性中耳炎药物治疗无效的儿童的各种手术方法。除了讨论相关的干预替代方案外，还关注了可能需要大量护理的特殊患者群体、鼓膜置管遇到的问题以及“鼓膜置管后遗留问题”新时代的概念。
就如何改变我们对这些需要手术干预的患者的治疗方法并从而减少长期后遗症提出了建议。
