Pediatric Surgical treatment of secretory otitis media.doc

 PAGE \* MERGEFORMAT 9 Pediatric Surgical treatment of secretory otitis media [Abstract] Objective To investigate the endoscopic tube + for the cause of the tympanic membrane (tonsils or adenoids or sinusitis treatment in children with otitis media with effusion (secretory Otitis Media, SOM treatment. Methods from 2002 to 2008, diagnosis and treatment SOM 48 children (76 ears were randomly divided into 2 groups, treatment group Endoscopic adenoidectomy + (or tonsillectomy + (or double maxillary sinus puncture washing + grommet insertion in the control group with grommet insertion. Results 34 patients (56 ears, 50 ears were cured, 6 improved ear, efficiency 100%, control group 14 cases (20 ears, 12 ears were cured, improved 4 ears 4 ears invalid , and 80%, two SOM effective clinical treatment of children there was significant difference (2 = 8.151, P lt;0.01. Conclusion grommet insertion + for the cause (adenoid, tonsils, sinusitis, nasal endoscopy look to increase the safety and accuracy of surgery, surgery significantly reduce complications. [Keywords:] nasal endoscope, secretory otitis media, adenoid hypertrophy in children Middle ear effusion of secretory otitis media and hearing loss are the main features of the middle ear lesions. Children with high incidence, etiology is not fully clear that the adenoidal hypertrophy is secretory otitis media (SOM important reasons, including tonsillar hypertrophy, in which sinusitis played an important role. after grommet insertion for the possible cause (hypertrophy, tonsillar hypertrophy, sinusitis and other nasal endoscopy to be active surgical treatment, the cure rate was significantly increased significantly lower relapse rate. I diagnosis and treatment of 6 years a total of 48 patients with secretory otitis media in children (76 ears, including an integrated surgical treatment in 34 cases (56 ears, the other with grommet insertion in 14 cases (20 ears served as controls, received different treatment, repor