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. 2020 Mar;34(3):207-210.
doi: 10.13201/j.issn.2096-7993.2020.03.005.

[Myringotomy or tympanostomy tube insertion, comparison of surgical treatment of adenoid hypertrophy and otitis media with effusion in children]

[Article in Chinese]
Jia Tao  1 , Renzhong Luo  1 , Yanqiu Chen  1 , Chao Hou  1 , Hao Qin  1
Affiliations

[Myringotomy or tympanostomy tube insertion, comparison of surgical treatment of adenoid hypertrophy and otitis media with effusion in children]

[Article in Chinese]
Jia Tao et al. Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2020 Mar.

Abstract
in English, Chinese

Objective:The study aimed to observe the difference in postoperative complications and recurrence rates of adenoidectomy plus myringotomy or adenoidectomy plus tympanostomy with tube insertion for children with adenoid hypertrophy combined with otitis media with effusion. Method:Children 4 to 12 years old with otitis media with effusion combined with adenoid hypertrophy were assigned to receive either adenoidectomy plus myringotomy（group A） or adenoidectomy plus tympanostomy tube insertion（group B）. Pre-and post-operative data was recorded. Result:There is no ear complication in group A. In group B, some children suffered otorrhea, perforation, blocked tympanic membrane vent and calcification. The recurrence rate of the group A was significantly higher than that of the group B at 3 month after operation. There was no significant difference in recurrence rate between the two groups at 6th month and 12th month after operation. Conclusion:For children aged 4-12 years with adenoid hypertrophy combined with otitis media with effusion, adenoidectomy plus myringotomy can avoid complications after tympanic tube insertion without increasing the risk of long-term recurrence, we recommend this procedure as the first choice.

目的：探讨腺样体肥大合并分泌性中耳炎患儿在切除腺样体的同时采用鼓膜切开或者鼓膜置管2种手术方式的并发症和复发率是否有差异。 方法：将4~12岁腺样体肥大合并分泌性中耳炎患儿随机分为A、B组，A组行腺样体消融+鼓膜切开抽液，B组行腺样体消融+鼓膜切开置管术。记录术前和术后2周~12个月的一般情况，以及术后分泌性中耳炎的复发情况。 结果：A组患儿无耳部并发症出现，B组患儿存在耳漏、鼓膜穿孔不愈合、通气管堵塞、鼓膜钙化斑等并发症。术后3个月A组复发率明显高于B组，术后6个月和12个月2组复发率差异无统计学意义。 结论：对于4~12岁腺样体肥大合并分泌性中耳炎的患儿，腺样体切除联合鼓膜切开的手术方式可以避免鼓膜置管后的并发症，而长期复发风险不会增加，建议作为首选手术方法。.

Keywords: adenoidectomy; child; otitis media with effusion.

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Conflict of interest statement

The authors of this article and the planning committee members and staff have no relevant financial relationships with commercial interests to disclose.

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