Anatomic and audiologic sequelae after tympanostomy tube insertion or prolonged antibiotic therapy for otitis media.
Anatomic and audiologic sequelae after tympanostomy tube insertion or prolonged antibiotic therapy for otitis media.
复制标题
插入鼓膜造口管或长期抗生素治疗中耳炎后出现解剖学和听力学后遗症。
DOI：
10.1097/00006454-198911000-00010
复制
发表时间：
1989
期刊：
影响因子：
--
通讯作者：
A. Hengerer
中科院分区：
文献类型：
--
作者：
M. Pichichero;L. R. Berghash;A. Hengerer
在这项研究中，有43名儿童（86只耳朵）的解剖和听力后遗症具有复发性急性中炎培养基和/或持续性的中炎和/或持续性中性耳炎，他们已经接受了三个或更多的鼓膜造口术的位置和46个儿童（92个耳朵），并重复进行了治疗治疗和/或预防性抗生素的课程。在手术组中，已经进行了311个鼓膜术的手术，在医学组1334次发作中，急性中耳炎和/或/或186个以积液为主的中耳炎培养基发生。在6.5％的医疗组耳朵和52.3％的手术组耳朵中发现鼓膜硬化。鼓膜萎缩发生在4.3％的医疗组耳朵和40.7％的手术组耳朵中。鼓膜造口管的存在持续时间显着影响鼓膜膜。管插入时中耳流体的存在，尤其是高粘度（“胶水”）流体，与持续的硬化症（P小于0.00001）相关，鼓膜膜的迁移率降低（P小于0.00001），但不小于0.00001） p = 0.94）以后。异常听力（被定义为听力阈值大于20 dB）发生在9.3％至18.7％的手术耳朵中，根据测试的听力频率，在医疗耳朵的3.7至9.0％中发生。包括复发性使用治疗和/或预防性抗生素的医疗管理与不经常的解剖和听力后遗症有关。鼓膜造口管的重复放置可能与频繁出现解剖和听力后遗症有关。
In this study the anatomic and hearing sequelae are characterized for 43 children (86 ears) with recurrent acute otitis media and/or persistent otitis media with effusion who had received three or more tympanostomy tube placements and 46 children (92 ears) managed medically with repeated courses of therapeutic and/or or prophylactic antibiotics. In the surgical group 311 tympanostomy tube surgeries had been performed and in the medical group 1334 episodes of acute otitis media and/or 186 episodes of otitis media with effusion occurred. Tympanosclerosis was found in 6.5% of the medical group ears and 52.3% of the surgical group ears. Tympanic atrophy occurred in 4.3% of the medical group ears and 40.7% of the surgical group ears. The duration of the presence of the tympanostomy tube significantly influenced the tympanic membrane. The presence of middle ear fluid at the time of tube insertion, particularly high viscosity ("glue") fluid, correlated with persisting sclerosis (P less than 0.00001) and reduced tympanic membrane mobility (P less than 0.00001) but not tympanic membrane atrophy (P = 0.94) later. Abnormal hearing, defined as a hearing threshold greater than 20 dB occurred in 9.3 to 18.7% of the surgical ears and in 3.7 to 9.0% of the medical ears depending on the hearing frequency tested. Medical management consisting of recurrent use of therapeutic and/or prophylactic antibiotics was associated with infrequent anatomic and audiologic sequelae. Repeated placement of tympanostomy tubes may be associated with the frequent occurrence of both anatomic and audiologic sequelae.