Treatment Options in Otitis Media with Effusion
Treatment Options in Otitis Media with Effusion
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DOI：
10.1007/s12070-011-0423-3
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发表时间：
2014-01-01
影响因子：
0.6
通讯作者：
Datar, J.
中科院分区：
文献类型：
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作者：
Upadhya, Ila;Datar, J.
分泌性渗出性中耳炎（OME）是粘液在中耳，有时在乳突气房系统中的积聚。其主要病因是中耳粘膜纤毛系统的改变，可能是原发性的，也可能是继发性的。OME是引起关注的原因，因为它发生在儿科年龄组，最高在2岁，表现为听力损伤，导致言语和语言发育延迟，学习成绩差和行为问题。尽管如此，没有确定的治疗指南来克服。许多治疗方案是可用的医疗以及手术。进行前瞻性研究以评价各种治疗方案，结果显示ET自动充盈是治疗的主要停留时间。如果ET故障是由于任何原因，如腺样体，鼻中隔偏曲，肥大的鼻甲或任何其他原因，手术干预的相同给100%的结果。药物治疗效果良好，但复发同样常见。
Secretary Otitis media with effusion (OME) is the accumulation of mucus in the middle ear and sometimes in the mastoid air cell system. The main etiological factor is alteration in mucociliary system of middle ear secondary to ET malfunction which may be primary or secondary. OME is the cause of concern due to its occurance in paediatric age group, highest at 2 years of age, presenting as impairment of hearing leading to delayed speech and language development, poor academic performance and behavioral problems. In spite of this there are no confirmed guidelines of treatment to overcome. Many treatment options are available medical as well as surgical. Prospective study conducted to evaluate various treatment options revealed that auto inflation of ET is the main stay of treatment. If the ET malfunction is due to any reasons like adenoids, deviated nasal septum, hypertrophied turbinates or any other cause surgical intervention of the same gives 100% results. Medical management gives good results but recurrence is equally common.