Journal of Otolaryngology and Ophthalmology of Shandong University ›› 2026, Vol. 40 ›› Issue (3): 16-19.doi: 10.6040/j.issn.1673-3770.0.2025.329

• Original Article • Previous Articles     Next Articles

Analysis of the surgical efficacy of adhesive otitis media under continuous irrigating mode for endoscopic ear surgery

ZHANG Guomin1, WANG Maohua2,3, GAO Song1, WU Wenbin1, YU Youjun2,3   

  1. 1. Department of Otorhinolaryngology, The 909th Hospital, Dongnan Hospital of Xiamen University, Zhangzhou 363000, Fujian, China 2. First People's Hospital of Foshan, Otology Medical Center, Foshan 528000, Guangdong, China3. Hearing and Balance Medical Engineering Technology Research and Development Center of Guangdong Province, Foshan 528000, Guangdong, China
  • Published:2026-05-22

PDF (PC)

12

Abstract: Objective To evaluate the clinical application value and surgical efficacy of Continuous Irrigating Mode for Endoscopic Ear Surgery(CIM-EES)in the treatment of adhesive otitis media. Methods Clinical data were retrospectively collected from 36 patients diagnosed with adhesive otitis media who underwent tympanoplasty(including artificial ossicular reconstruction)under general anesthesiain the Department of Otorhinolaryngology, Dongnan Hospital of Xiamen University from February 1,2023 to June 1,2024. Among these patients, 19 were treated using CIM-EES, while the remaining 17 underwent surgery under conventional otoendoscopic techniques. The operative duration, intraoperative middle ear structural visibility index(MESVI), postoperative complications, and hearing improvement were compared between the two groups. Results The MESVI score in the CIM-EES group(8.11±1.59)was significantly higher than that in the conventional group(4.47±1.23)(t=7.59,P<0.001). The average operation time in the CIM-EES group(1.52±0.42)hours was significantly shorter than that in the conventional group(1.97±0.38)hours(t=-3.31,P=0.002). No significant difference was observed in preoperative and postoperative air conduction thresholds between the CIM-EES group(preoperative: 48.92±18.23 dB; postoperative: 41.76±17.98 dB)and the conventional group(preoperative: 47.75±18.62 dB; postoperative: 37.97±15.29 dB)(t=5.26,P<0.01;t=4.12,P<0.01). No major postoperative complications were observed in either group; however, the preservation rate of the tympanic nerve was higher in the CIM-EES group compared to the conventional group. Conclusion CIM-EES could shorten operative time, demonstrating statistical advantages in improved intraoperative visualization and better preservation of anatomical structures in the surgical management of adhesive otitis media. It is a safe, efficient, and promising technique suitable for broader clinical application.

Key words: Endoscopic ear surgery, Adhesive otitis media, Continuous irrigating mode

CLC Number: 

  • R764.21
[1] Mansour S, Magnan J, Haidar H, et al. Tympanic Membrane Retraction Pocket: Overview and Advances in Diagnosis and Management[M]. Cham: Springer International Publishing, 2015
[2] Dommerby H, Tos M. Sensorineural hearing loss in chronic adhesive otitis[J]. Arch Otolaryngol Head Neck Surg, 1986, 112(6): 628-634. doi:10.1001/archotol.1986.03780060040005
[3] Ichimura K, Ishikawa K, Nakamura KI, et al. Cartilage palisade tympanoplasty for adhesive otitis media[J]. Nihon Jibiinkoka Gakkai Kaiho, 2009, 112(6): 474-479. doi:10.3950/jibiinkoka.112.474
[4] Tos M, Stangerup SE, Larsen P. Dynamics of eardrum changes following secretory otitis. A prospective study[J]. Arch Otolaryngol Head Neck Surg, 1987, 113(4): 380-385. doi:10.1001/archotol.1987.01860040042014
[5] Sadé J. The buffering effect of middle ear negative pressure by retraction of the pars tensa[J]. Am J Otol, 2000, 21(1): 20-23
[6] Sadé J. Secretory Otitis Media and Its Sequelae[M]. New York: Churchill Livingstone, 1979
[7] Ruah CB, Schachern PA, Paparella MM, et al. Mechanisms of retraction pocket formation in the pediatric tympanic membrane[J]. Arch Otolaryngol Head Neck Surg, 1992, 118(12): 1298-1305. doi:10.1001/archotol.1992.01880120024005
[8] Mansour S, Magnan J, Nicolas K, et al. Adhesive otitis media[M] //Middle Ear Diseases. Cham: Springer International Publishing, 2018: 143-160. doi:10.1007/978-3-319-72962-6_4
[9] Glikson E, Yousovich R, Mansour J, et al. Transcanal endoscopic ear surgery for middle ear cholesteatoma[J]. Otol Neurotol, 2017, 38(5): e41-e45. doi:10.1097/MAO.0000000000001395
[10] 廖华, 虞幼军, 侯昭晖. 持续灌流模式下的耳内镜外科手术[J]. 中华耳科学杂志, 2021, 19(2): 192-197. doi:10.3969/j.issn.1672-2922.2021.02.002 LIAO Hua, YU Youjun, HOU Zhaohui. Continuous irrigation in endoscopic ear surgery[J]. Chinese Journal of Otology, 2021, 19(2): 192-197. doi:10.3969/j.issn.1672-2922.2021.02.002
[11] Cassano M, Cassano P. Retraction pockets of pars tensa in pediatric patients: clinical evolution and treatment[J]. Int J Pediatr Otorhinolaryngol, 2010, 74(2): 178-182. doi:10.1016/j.ijporl.2009.11.004
[12] Borgstein J, Stoop E, Halim A, et al. The extraordinary healing properties of the pediatric tympanic membrane: a study of atelectasis in the pediatric ear[J]. Int J Pediatr Otorhinolaryngol, 2008, 72(12): 1789-1793. doi:10.1016/j.ijporl.2008.08.010
[13] Li WQ, Du Q, Wang WQ. Treatment of adhesive otitis media by tympanoplasty combined with Fascia grafting catheterization[J]. Eur Arch Otorhinolaryngol, 2019, 276(10): 2721-2727. doi:10.1007/s00405-019-05514-5
[14] Si Y, Chen YB, Xu G, et al. Cartilage tympanoplasty combined with eustachian tube balloon dilatation in the treatment of adhesive otitis media[J]. Laryngoscope, 2019, 129(6): 1462-1467. doi:10.1002/lary.27603
[15] Li W, Du Q, Wang W. Treatment of adhesive otitis media by tympanoplasty combined with Fascia grafting catheterization[J]. Eur Arch Otorhinolaryngol, 2019, 276(10): 2721-2727. doi:10.1007/s00405-019-05514-5
[16] Özdo gan F, Özel HE, Köro glu E, et al. Endoscopic and microscopic tympanoplasty for adhesive otitis media: a comparative prospective analysis[J]. Med Sci Monit, 2024, 30: e945152. doi: 10.12659/MSM.945152
[1] WU Hong-liang1， TANG An-zhou2， LIU Qiang-he1. Clinical observation of self ear cartilage tympanoplasty for adhesive otitis media [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2012, 26(2): 49-50.
Viewed
Full text


Abstract

Cited
  Shared   
  Discussed   
No Suggested Reading articles found!
Website Copyright: Editorial Office of Journal of Otolaryngology and Ophthalmology of Shandong University
Address: No.27 Shanda South Road, Jinan, Shandong, China. Post code: 250100 Tel: +86-0531-88366912 Email: ebhxb@sdu.edu.cn Supported by Beijing Magtech Co.Ltd