Journal of Otolaryngology and Ophthalmology of Shandong University ›› 2021, Vol. 35 ›› Issue (2): 71-75.doi: 10.6040/j.issn.1673-3770.1.2020.097

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Application of endoscopic adenoids cryoablation combined with low-temperature plasma tympanostomy in the treatment of 55 children with adenoid hypertrophy and secretory otitis media

WU Hua, SUN Yongming, ZHENG Jianhua, CAI Xuehua   

  1. Department of Ophthalmology & Otolaryngology, Chenggong Hospital Affiliated to Xiamen University, Xiamen 361003, Fujian, China
  • Published:2021-04-20

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Abstract: Objective To explore the clinical efficacy of low temperature plasma adenoid ablation combined with low-temperature plasma tympanostomy for the treatment of secretory otitis media in children. Methods A total of 111 children(183 ears)with adenoid hypertrophy and secretory otitis media were randomly divided into an experimental group(55 cases, 89 ears)and a control group(56 cases, 94 ears). Both groups underwent low temperature plasma endoscopic adenoid ablation. Additionally, the control group underwent tympanoplasty while the experimental group underwent low-temperature plasma tympanoplasty under otoendoscope. The effectiveness and infection rates in the two groups were recorded after surgery, and the recurrence rate in the two groups was determined after six months of follow-up. Results There was no significant difference in the effective rates, infection rates and recurrence rates of serous secretory otitis media between the experimental group and the control group. The infection rate of mucinous secretory otitis media was not significantly different between the experimental group and the control group(P=0.191), but the effective rate of the experimental group was higher than that of the control group(P=0.006), and the postoperative recurrence rate was opposite, the difference was statistically significant(P=0.012). Conclusion Low temperature plasma adenoid ablation combined with low-temperature plasma tympanostomy has good therapeutic effect on secretory otitis media in children and may reduce the risk of postoperative recurrence.

Key words: Secretory otitis media, Adenoid hypertrophy, Adenoid ablation, Low temperature plasma, Tympanic membrane perforation, Children

CLC Number: 

  • R764.21
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