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《Chongqing Medicine》 2017-15
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Effect of tympanostomy tube insertion or tympanocentesis on transnasal endoscopic adenoidectomy in the treatment of pediatric patients with secretory otitis media

Zhu Zhu;Zheng Guoxi;Li Qi;Shi Qiulan;Zhou Honggen;Fang Ruping;Department of Otorhinolaryngology,Children's Hospital of Nanjing Medical University;Department of Otorhinolaryngology,Second Hospital of Xi′an Jiaotong University;  
Objective To discuss the tympanic membrane puncture or tympanostomy tube under endotoscope combined with adenoidectomy under nasal endoscopy on the influence of invalid conservative treatment of pediatric secretory otitis media.Methods A total of 112 cases of secretory otitis media with invalid conservative treatment were selected in the department of otorhinolaryngology of children′s hospital of Nanjing Medical University from July 2013 to August 2015.They were divided into three groups,the group A of 38cases(68ears)underwent transnasal endoscopic pure adenoidectomy;the group B of 37cases(60ears)underwent transnasal endoscopic adenoidectomy combined with tympanocentesis;the group C of 37cases(59ears)underwent tympanostomy tube insertion.The clinical treatment effect,the period of middle ear effusion,postoperative recurrence and complication were observed and compared.Results The total effective rate of the 3groups was improved after 3months(P0.05);the total effective rate in group B and group C at one week and 3months after operation were higher than those of group A(P0.05);and the total effective rate in group C at 3months after operation was significantly higher than that of group B(P0.05).The level of auditory brainstem evoked potential(ABR)and the latency of ABR waveⅠlatency were decreased at 1year after operation(P0.05);the ABR changes in group B and group C at 1week and 1year after operation were lower than those in group A(P0.05).The incidence of recurrence rate and the period of middle ear effusion in group C were lower than those in group A and B(P0.05).The incidence of complication of group A was lower than those of group B and group C(P0.05).Conclusion Using tympanostomy tube combined with adenoidectomy under endoscope can improve the children with hearing,which not only can shorten the time of the middle ear effusion,but also effectively reduce the recurrence rate.
【Fund】: 国家自然科学基金资助项目(81271068);; 高等学校博士学科点专项科研基金资助项目(20120201110060);; 南京市医学科技发展专项资金资助项目(YKK13134);; 南京医科大学科技发展基金资助项目(2012NJMU059)
【CateGory Index】: R764.21
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【Citations】
Chinese Journal Full-text Database 6 Hits
1 Liu Dan;Wu Shuhui;Wan Lang;Department of Otolaryngology,Huangshi Central Hospital;;Adenoidectomy Combined with Ear Endoscopic Tympanostomy Tube Placement Versus Tympanocentesis for Secretory Otitis Media in Children[J];中国微创外科杂志;2016-01
2 Lü Lan;XU Jia-tu;SHANG Li-ming;YU Ping;LIU Ping;YANG Fei;WANG Wei;LU Yin-ping;DAI Guo-ping;Department of Otorhinolaryngology,Shaoxing People’s Hospital,Shaoxing Hospital of Zhejiang University;;Effect of tympanostomy tube insertion on transnasal endoscopic adenoidectomy in the treatment of pediatric patients with secretory otitis media[J];中国眼耳鼻喉科杂志;2015-01
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【Co-citations】
Chinese Journal Full-text Database 4 Hits
1 Zhu Zhu;Zheng Guoxi;Li Qi;Shi Qiulan;Zhou Honggen;Fang Ruping;Department of Otorhinolaryngology,Children's Hospital of Nanjing Medical University;Department of Otorhinolaryngology,Second Hospital of Xi′an Jiaotong University;;Effect of tympanostomy tube insertion or tympanocentesis on transnasal endoscopic adenoidectomy in the treatment of pediatric patients with secretory otitis media[J];重庆医学;2017-15
2 SHENG Ying-tao;MENG Fan-jie;WANG Ping;Department of ENT,Xiaoshan First Hospital Affiliated to Hangzhou Normal University;;A comparative study of short term effect,air-conduction thresholds and recurrence rate by intratympanic steroid aerosol inhalation via eustachian tube and intratympanic steroid injections via the tympanic puncture in patients with chronic secretory otitis[J];中华全科医学;2017-05
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4 DENG Hui-yi;YANG Qin-tai;WANG Wei-hao;HUANG Xue-kun;HUANG Jian-cong;CHEN Yu-lian;Li Peng;ZHANG Ge-hua;Department of Otorhinolaryngology-Head and Neck Surgery,The Third Affiliated Hospital Sun Yat-sen University;;Incidence of Otitis Media with Effusion in Adenoid Hypertrophy with Allergic Rhinitis in Children[J];中山大学学报(医学科学版);2017-01
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