中华耳科学杂志2016，Vol.14Issue(5)：591-595,5.DOI:10.3969/j.issn.1672-2922.2016.05.007
咽鼓管球囊扩张术治疗难治性分泌性中耳炎的策略和疗效分析
Balloon eustachian tuboplasty for refractory secretory otitis media
刘月红 1庄惠文 1吴旋 1熊观霞1
作者信息
- 1. 中山大学附属第一医院耳鼻咽喉科医院//耳鼻咽喉科研究所 广州 510080
- 折叠
摘要
Abstract
Objective To study the efficacy of balloon eustachian tuboplasty (BET) in treating refractory secretory oti-tis media as well as treatment strategies. Method Twenty cases (25 ears) of refractory secretory otitis media were included. All cases underwent myringotomy and grommet insertion combined with BET (early auripuncture were performed in 2 cas-es). All cases were followed for 3 months or more. The eustachian tube dysfunction questionnaire (ETDQ-7), endoscopy, pure-tone audiometry (PTA), tympanograms and temporal CT data were collected before and after treatment. Results The 2 ears that received auripuncture and BET showed recurrence of secretory otitis media again within 4 weeks. The remaining 23 ears showed significantly decreased EDTQ-7 scores and pure-tone thresholds (P<0.05), with soft tissue shadows in tem-poral CT being gone or less than 5%of that seen preoperatively. The tube was extracted in 12 ears 3 months after insertion, with 6 of them showing signs of secretory otitis media again within 8 weeks and receiving repeated myringotomy and grom-met insertion. Conclusions Simultaneous myringotomy and grommet insertion with BET can produce satisfying short-term results in refractory secretory otitis media. Meanwhile, Valsalva maneuvers and sometimes prolonged tube insertion are vital to the long-term outcomes.关键词
咽鼓管球囊扩张术/难治性分泌性中耳炎/咽鼓管功能障碍/鼓膜切开置管Key words
Balloon Eustachian Tuboplasty(BET)/Refractory secretory otitis media/Eustachian tube dysfunction/Myringotomy and grommet insertion分类
医药卫生引用本文复制引用
刘月红,庄惠文,吴旋,熊观霞..咽鼓管球囊扩张术治疗难治性分泌性中耳炎的策略和疗效分析[J].中华耳科学杂志,2016,14(5):591-595,5.
