Adjacent patterns between adenoid and eustachian cushion and its clinical relation with otitis media with effusion
10.16066/j.1672-7002.2015.08.003
- VernacularTitle:腺样体与咽鼓管圆枕的毗邻关系及其与分泌性中耳炎的相关性
- Author:
Liu YANG
;
Wenkai SUN
;
Lei CAI
;
Ying TIAN
- Publication Type:Journal Article
- Keywords:
Child;
Otitis Media with Effusion;
Eustachian Tube;
adenoid hypertrophy
- From:
Chinese Archives of Otolaryngology-Head and Neck Surgery
2015;(8):411-413
- CountryChina
- Language:Chinese
-
Abstract:
OB J ECT I V E To explore the adjacentpatterns between adenoid and Eustachian cushion in hypertrophic adenoid children and to study its relationship with otitis media with effusion(OME). METHODS A retrospective analysis was conducted in 144 cases of pediatric adenoidal hypertrophy(or concurrenttonsil hypertrophy) admitted for adenoid ablation under the 700 nasal endoscope. Children were divided into 3 groups(TypeⅠ, Ⅱ and Ⅲ) according to adjacentpatterns between adenoid and Eustachian cushion.The incidence of OME, severe hypertrophy of adenoid(A/N>0.7) in differentgroup were analyzed. RESULTS There were 34 children (23.6%) with OME, 3 (9.1%) in type Ⅰ, 10(16.9%) in type Ⅱ and 21(40.4%) in type Ⅲ. No significantdifference was existed between the incidence of OME in type Ⅰ and Ⅱ. In contrast, significantdifference were found in the incidence of OME between the type Ⅲ and type Ⅰ, Ⅱ. The incidence of severe adenoid hypertrophy was 34.9% in typeⅠandⅡ children and 82.2% in type Ⅲ children(P<0.05). CONCLUSION Adjacentpatterns between adenoid and Eustachian cushion, the degree of adenoid hypertrophy play an importantrole in the incidence of OME.
