The Efficacy Study of Using Tympanic Catheterization Combined with Adenoidectomy to Treat Children with Recurrent Secretory Otitis Media

Abstract

Objective: To explore the tympanic cavity catheter combined adenoidectomy under endoscope treatment the curative effect of recurrent secretory otitis media in children. Methods: The 32 cases (50 ears) of children with recurrent secretory otitis media patients were enrolled and underwent endoscopic tympanostomy tube placement combined with adenoidectomy. The curative effects in the treatment of middle ear effusion, time and frequency region average air conduction hearing threshold, recurrence rate, healing rate and the factors such as time, infection evaluation were evaluated. The operation of secretory otitis media in children with recurrent treatment was observed. Results: The total effective rate was 94% within 6 months after operation. After 12 months of treatment the total effective rate was 100%; the average time for middle ear effusion (7.95 ± 1.44) d; frequency region mean air conduction threshold to improve the (19.15 ± 6.92) dB, compared with before treatment (P < 0.05) there are significant differences; there are a total of 3 ears of recurrence, and the recurrence rate was 6%; 6 ears had postoperative complications, including otorrhea, infection, catheter removal, tympanic membrane perforation and calcification of nonunion, and the complication rate was 12% after treatment, complications disappeared. Conclusion: Using tympanic catheterization combined with adenoidectomy in children can effectively reduce the recurrence rate and reduce postoperative risk of ear infections, and the therapeutic effect is satisfactory.