Тимпанотомія І Аденотомія Versus Аденотомія При Лікуванні Ексудативного Отиту У Дітей

Abstract

We determined the effectiveness of tympanotomy and of the therapy by topical steroids in addition to the surgical removal of the adenoid vegetations in 48 children with adenoid vegetations of the II-III degree and exudative otitis. Evaluation of the results of treatment ten days after the surgery showed that the simultaneous tympanotomy and adenotomy promoted the more rapid recovery of the functions of the middle ear as compared to adenotomy, while receiving topical steroids had no effect on recovery of auditory tube function. One month after the surgery, development of hearing loss was observed in 35,4 % of children and accumulation of fluid in the tympanum-in 12,5 %. In children whose treatment was limited to adenotomy, the frequency of detection of fluid in the middle ear was 25 %. Evaluation of the recovery of auditory function a month after the surgery showed similar efficacy of the local use of topical steroids and tympanotomy. Performing adenotomy alone was not sufficient to fully restore the hearing function.