원저

편도 및 아데노이드 절제술 후 삼출성 중이염의 임상경과

최철영1, 장혁진1, 이승렬1, 권철환1, 박종률1, 김현범1, 김종애1,*
Cheol-Young Choi1, Hyuk-Jin Jang1, Seung-Ryul Lee1, Chul-Hwan Kwon1, Jong-Ryul Park1, Hyun-Beom Kim1, Chong-Ae Kim1,*
Author Information & Copyright
1왈레스기념 침례병원 이비인후과
1Department of otolaryngology, Wallace Memorial Baptist Hospital, Busan, Korea
*교신저자: 신진근, 609-728 부산광역시 금정구 남산동 374-75 왈레스기념 침례병원 이비인후과 전화: (051) 580-1344·전송: (051) 514-2864 E-mail: bendeng69@hanmail.net

© Copyright 2005 The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery. This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Received: Apr 17, 2005; Accepted: May 20, 2005

Published Online: May 31, 2020

ABSTRACT

Backgound and Objectives: There have been some previous reports that adenoidectomy was a useful procedure for the correction of medically resistant otitis media with effusion. The aim of this study was to show the outcome of otitis media with effusion after adenoidectomy and tonsillectomy, and to compare these results with those of previous reports. Materials and Methods: This study was designed as a prospective, randomized trial. The study included 51 children (89 ears) with otitis media with effusion who visited a hospital for adenoidectomy and tonsillectomy during the period of April 2003 through June 2004. All children underwent adenoidectomy and tonsillectomy. Impedance audiometry and otoscopic examination were also performed before and after the operation. The children were followed 1 wk, 2 wks, and 4 wks and then monthly after the operation until otitis media with effusion was improved. Results: In this study, otitis media with effusion improved after adenoidectomy and tonsillectomy in 57.3% of the cases. The duration from operation to improvement of otitis media with effusion ranged from 6 days postoperative to 11 months postoperative (mean duration : 7.2 wk). The improvement rate of otitis media with effusion was lower in the children, whose were associated with chronic sinusitis and had been previous episodes of effusion and were not performed sinus pucture procedure. But the difference in each one of above variates was not statistically significant Conclusion: Our study demonstrated a significant improvement of otitis media with effusion after adenoidectomy and tonsillectomy, and the result is similar to those of other comparable studies of the effect of adenoidectomy on otitis media with effusion. (J Clinical Otolaryngol 2005;16:119–123)

Keywords: 삼출성 중이염; 아데노이드 절제술; 편도 절제술
Keywords: Otitis media with effusion; Adenoidectomy; Tonsillectomy