Adenoid Vegetation and Chronic Secretory Otitis
Authors:
L. Školoudík; J. Vokurka; D. Kalfeřt; T. Rybnikár; P. Čelakovský
Authors‘ workplace:
Klinika ušní, nosní, krční LF UK a FN, Hradec Králové
přednosta doc. MUDr. J. Vokurka, CSc.
Published in:
Otorinolaryngol Foniatr, 59, 2010, No. 2, pp. 62-66.
Category:
Original Article
Overview
This retrospective study processed the results of therapy of secretory otitis (OMS) at the Clinic of Ear, Nose and Neck, Faculty Hospital in Hradec Kralove. The results are confronted with literature data from countries with different strategies of surgical therapy.
The method of first choice in OMS therapy of children with adenoid vegetation at the Clinic is endoscopic adenoidectomy. The successfulness of adenoidectomy in OMS therapy proved to be 79% and increased significantly in proportion with the size of adenoid vegetation (AV) and in relation to tubal toruses. In patients with small SV (grade I) there is 59% probability of cure by OMS adenoidectomy, whereas the probability of cure in adenoid vegetations of grade II and III increases to more than 83%.
In patients with AV not reaching to tubal toruses (Type A) there is 55% probability of cure, but if AV stretch up to toruses (Type B) it increases to 82% and in AV suppressing and exceeding tubal toruses (Type C) up to 90%. The age, allergy in personal history or character of exudate in middle ear has not played a significant role in the cure of patients with OMS.
In comparison with literature data on the successfulness of OMS treatment with ventilation tubes (VT) the results of adenotomy proved to be very satisfactory and the risk of bothb kinds of therapy were comparable.
The introduction of VT is always a symptomatic therapy, whereas in our opinion the adenoidectomy in patients with medium-size or large AV (size II to III) should be considered as a causal therapy.
Key words:
secretory otitis media, endoscopic adenoidectomy.
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Audiology Paediatric ENT ENT (Otorhinolaryngology)Article was published in
Otorhinolaryngology and Phoniatrics
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