中国耳鼻咽喉头颈外科2016，Vol.23Issue(11)：645-646,2.DOI:10.16066/j.1672-7002.2016.11.008
局麻下咽鼓管球囊扩张术加鼓膜置管术治疗顽固性分泌性中耳炎
Under local anesthesia the Eustachian tube balloon dilatation with tympanostomy tube surgery in the treatment of refractory secretory otitis media
关兵 1王莹 1徐丽 1曹武 1戴炳译1
作者信息
- 1. 扬州大学医学院附属医院，江苏省苏北人民医院耳鼻咽喉科，江苏 扬州225001
- 折叠
摘要
Abstract
OBJECTIVETo study the curative effect of eustachian tube balloon dilatation surgery combined with T tympanostomy tube surgery under local anesthesia for treatment of refractory secretory otitis media. METHODS20 cases of intractable secretory otitis media(24 ears) were collected and eustachian tube balloon dilatation surgery was conducted with nasal endoscope and T tympanostomy tube was inserted at the same time. The tube was pulled out at three months after operation in all patients.RESULTSThe patients were followed up for 6 months, and 18 cases had a significant reduction in the sense of ear fullness and auditory sensation, and there was no effusion. 2 cases still have stuffy ear and hearing loss, ear endoscopy showed that middle ear effusion was not absorbed .Their symptoms improved after tympanostomy tube reinserted.CONCLUSIONEustachian tube balloon dilation combined with tympanostomy tube insertion under local anesthesia is effective in the treatment of intractable secretory otitis media.It is safe and feasible for improving function of Eustachian tube, with minimal complications as a new minimally invasive method.关键词
中耳炎,伴渗出液/内窥镜检查/咽鼓管/咽鼓管球囊扩张术/置管Key words
Otitis Media with Effusion/Endoscopy/Eustachian Tube/balloon dilation of the Eustachian tube/tube引用本文复制引用
关兵,王莹,徐丽,曹武,戴炳译..局麻下咽鼓管球囊扩张术加鼓膜置管术治疗顽固性分泌性中耳炎[J].中国耳鼻咽喉头颈外科,2016,23(11):645-646,2.
