Journal of Clinical Otolaryngology Head and Neck Surgery
The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery
원저

소아 삼출성중이염의 수술 후 재발에 관여하는 인자

이일우1, 전경명1, 공수근1, 이진우1, 고의경1,*
Il Woo Lee1, Kyong Myong Chon1, Soo Keun Kong1, Jin Woo Lee1, Eui Kyung Goh1,*
1부산대학교 의과대학 이비인후과학교실
1Department of Otolaryngology, College of Medicine, Pusan National University, Busan, Korea
*교신저자: 고의경, 602-739 부산광역시 서구 아미동 1가 10 부산대학교 의과대학 이비인후과학교실 전화: (051) 240-7332·전송: (051) 246-8668 E-mail: gohek@pusan.ac.kr

© Copyright 2006 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: Feb 07, 2006; Accepted: May 24, 2006

Published Online: May 31, 2020

ABSTRACT

Background & Objectives: Tympanostomy tube insertion is the treatment of choice for otitis media with eff-usion (OME) when the effusion persists more than 3 months or the patient has conductive hearing loss. The recurrence, however, after the extrusion of the tube is also common. The purpose of this study is to know which clinical factors contribute the recurrence of OME after the extrusion of tube. Materials & Methods: Sixty patients who received tympanostomy tube insertion for intractable otitis media with effusion. The patients were divided into two groups : 17 patients as recurred group and 43 as healed group. The clinical parameters are age, sex, size of tonsil and adenoid, TM findings, tympanogram type, season, chief complaints, character of discharge, and time of extrusion. Results: Recurrence of OME after extrusion of tympanostomy tube was more frequent in following conditions ; the younger age, lager adenoid size, retracted tympanic membrane, tympanogram type of B, in winter season, hearing disturbance as chief complaints, glue discharge, and more earlier extrusion. Among them, adenoid size, findings of tympanic membrane, tympanogram type, and time of extrusion showed statistically significant difference between two groups. Conclusions: It is important to expect the recurrence of OME at the time of surgery. In case of retracted tympanic membrane, adenoid hyperplasia, it would be better to use long-term ventilation tube for prevension of recurrence of OME after extrusion of tube. (J Clinical Otolaryngol 2006;17:61–65)

Keywords: 삼출성중이염; 환기관삽입; 재발; 환기관배출;
Keywords: Otitis media with effusion; Tympanostomy tube insertion; Recurrence; Extrusion