Ladipoh J, Khan N A
HNO. 1976 Jun;24(6):205-8.
Results of follow-up examinations of 132 ears with serous or mucous middle ear effusions indicate that this disease is common in childhood and is also found in adults. In childhood adenoid growth as well as repeated catarrhal infection of the paranasal sinuses and the weakness of the levator palati play an important role in the development of middle ear effusions and deafness. With the aid of the operation microscope we were able to recognize this characteristic disease through the tympanic membrane. We perform regularly adenoidectomy together with paracentesis in this condition. In cases which had undergon several adenoidectomies we limit our treatment in the first instance to paracentesis. If cure is not so achieved we insert an inert tube into the tympanic membrane after the paracentesis. In persistent and difficult cases of glue ear radiation of the eustachion tube and antrotomy may be necessary.
对132例伴有浆液性或黏液性中耳积液耳朵的随访检查结果表明，这种疾病在儿童中很常见，在成人中也有发现。在儿童期，腺样体增生以及鼻窦反复卡他性感染和腭提肌薄弱在中耳积液和耳聋的发展中起重要作用。借助手术显微镜，我们能够透过鼓膜识别这种特征性疾病。在这种情况下，我们通常会同时进行腺样体切除术和穿刺术。对于已经接受过多次腺样体切除术的病例，我们首先将治疗限于穿刺术。如果没有达到治愈效果，我们会在穿刺术后将一根惰性管插入鼓膜。在持续性和难治性胶耳病例中，可能需要对咽鼓管进行放射治疗和上颌窦切开术。
