Clinical effects of eustachian tube insufflation via nasal endoscopy com-bined with oral administration in the treatment of secretory otitis media
- VernacularTitle:鼻内镜下咽鼓管吹张注药联合口服用药治疗分泌性中耳炎的临床效果
- Author:
Xiuqiang ZHANG
1
;
Zhisen SHEN
;
Yuyuan ZHANG
Author Information
1. 宁波市医疗中心李惠利医院耳鼻喉科
- Keywords:
Secretory otitis media (SOM);
Eustachian tube insufflation;
Nasal endoscopy;
Insufflation
- From:
China Modern Doctor
2015;(10):71-75
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the clinical effects of eustachian tube insufflation via nasal endoscopy combined with administration of hormone and antibiotics in treating secretory otitis media (SOM). Methods A total of 65 patients with SOM who were admitted to our hospital from January 2013 to October 2014 were selected. They were randomly allocat-ed to an observation group (33 patients) and a control group (32 patients) according to their conditions. The observation group was given eustachian tube insufflation via nasal endoscopy combined with oral administration, while the control group was given oral administration. After one-month treatment, clinical effects, changes of tympanogram, airway aver-age threshold measured by pure tone audiometry testing, complications and adverse events between the two groups were observed. Results The difference of total effective rate in the two groups (90.24%vs 62.16%) was statistically significant (P<0.05);proportion of type A recovery of tympanogram in the two groups was compared (53.66% vs 29.73%), and the difference was statistically significant (P<0.05); after the treatment, results of pure tone audiometry testing in the two groups (20.63±2.52 vs 26.92±2.95) were statistically significant (P<0.05);one case of one-time dizziness was seen in the observation group;relapse rates in the two groups (4.88%vs 13.51%) were not statistically significant (P>0.05). Conclu-sion Eustachian tube insufflation via nasal endoscopy combined with oral administration has definite clinical effects on SOM, which is worthy of clinical promotion.
