Journal of Otolaryngology and Ophthalmology of Shandong University ›› 2022, Vol. 36 ›› Issue (1): 60-63.doi: 10.6040/j.issn.1673-3770.0.2020.476

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Effect of tympanic membrane insertion on the function of eustachian tube in children with secretory otitis media

JIAO Xuemei, YANG Yang, LI Chunfeng, ZHANG Xiaolin   

  1. Department of Otorhinolaryngology Head and Neck Surgery, Beijing Children's Hospital/National Children's Medical Center, Capital Medical University, Beijing 100045, China
  • Published:2022-02-22

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Abstract: Objective To analyze the effect of tympanic tube placement on the function of the Eustachian tube in children with secretory otitis media. Methods The study included 26 children with secretory otitis media admitted to our hospital from January 2019 to June 2019. All children underwent tympanic tube insertion. The statistics were collected before operation, 3 months after operation, half a year after operation, and 1 year follow-up. Eustachian tube function. Results After the treatment of the left ear canal of the 26 children in this group, the Eustachian tube pressure measurement under different pressures showed that the test results of the children were significantly higher at 3, 6 months, and 1 year after the operation(P<0.05); and the Valsalva method test showed that the children were higher than before the operation at 3 months, 6 months and 1 year after the operation(P<0.05); the evaluation of swallowing function at different times before and after the treatment(P>0.05); The total ETS scores of the eustachian tube function evaluation of the children in this group were significantly higher than those before the operation at 3 months, 6 months, and 1 year after operation(P<0.05). In this group of children with right ear canal at different times after 3 months, 6 months, and 1 year, the R values of 30 mbar, 40 mbar, and 50 mbar lower eustachian tube pressure of the children showed a significant increase, compared with preoperative(P<0.05); And the children's Valsalva test results and the total ETS score of Eustachian tube function were significantly increased, compared with preoperatively(P<0.05); while swallowing function was compared before and after surgery(P>0.05). In this group of 26 children, the treatment results showed that 20 cases were cured, 6 cases were effective, and 0 cases were ineffective. the complication rate was 3.85%. Conclusion Children with secretory otitis media in the case of failure of conservative treatment, tympanoplasty is a relatively reliable measure considering the particularity of growth and development of children, which has a positive effect on improving the function of eustachian tube

Key words: Children, Secretory otitis media, Eustachian tube function, Tympanic membrane catheterization

CLC Number: 

  • R764.21
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