소아 삼출성중이염에서 약물 및 수술적치료의 결과 및 예후에 관한 연구

In most children, otitis media with effusion(OME) subsides after medical or surgical treatment. However, OME may be persistent, may recur, and may result in late otologic sequelae. The prognosis of OME is unpredictable.

One hundred thirty one children of otitis media with effusion were divided into two groups. Medical group was treated with medication and then if the effusion persisted, ventilation tube was inserted. Surgical group was treated with ventilation tube insertion. Long term treatment results and problems were analysed in this study.

As results, recovery rate was 32% after medical treatment and 49% after medication and ventilation tube insertion on group A. Problems of group A were 22% of acute otitis media and 4% adhesive otitis media. But, on group B, recovery rate was 44.9% after initial ventilation tube insertion and problems were 54.3% recurrece rate, 11.4% adhesive otitis media or atrophic tympanic membrane, 4.7% acute otitis media, and 2% cholesteatoma formation. Therefore, first medical treatment should be recommended in childhood otitis media, but treatment results were not significantly different between first medical treatment and first surgical treatment.