Abstract:

Objective   To explore and evaluate the efficacy of different treatments in adult secretory otitis media (SOM). Method   The 86 adult SOM patients（92 ears）were divided into two groups randomly. We used an integrated approach for 46 patietns in the experiment group, including oral cefetamet pivoxil hydrchloride tablets, glucocorticoids, Myrtol Standardized, 1% ephedrine furacilline solution nasal drops, tympanic drainning with the injection of dexamethasone plus ɑ-chymotrypsin, and eustachian tube insufflation. The control group，in which 40 patients (43ears) enrolled, was treated with conventional therapy, such as oral cephalexin,glucocorticoids,Myrtol Standardized, 1% ephedrine furacilline solution nasal drops, paracentesis treatment of tympanum. Results   Total efficiency of the experiment group was 98%, while that of the control was 81.4%  (P<0.05). There was no adverse reaction in both groups. Conclusion   Comprehensive treatment of adult SOM effect is significant, which is worth promotion.

Key words: Secretory otitis media; Integrated treatment; Paracentesis of tympanum; Intratympanic injection administration; Eustachian tube insufflation