원저

중이 환기관 삽입 수술 후 환기관 조기 폐쇄의 요인

전은주1, 박용수1, 김동현1,*, 염진호1, 이동희1, 이병훈1
Eun-ju Jeon1, Yong-Soo Park1, Dong-Hyun Kim1,*, Jin-Ho Yum1, Dong-Hee Lee1, Byoung-Hoon Lee1
Author Information & Copyright
1가톨릭대학교 의과대학 이비인후과학교실
1Department of Otolaryngology-HNS, College of Medicine, The Catholic University of Korea, Seoul, Korea
*교신저자: 김동현, 403-720 인천광역시 부평구 부평동 665 가톨릭대학교 의과대학 이비인후과학교실 전화: (032) 510-5797·전송: (032) 510-5821 E-mail: monolithkim@catholic.ac.kr

© Copyright 2007 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: Mar 29, 2007; Accepted: May 17, 2007

Published Online: May 31, 2020

ABSTRACT

Background and Objectives: Postoperative tympanostomy tube (TT) blockage is relatively common and the reported incidence is 0.0—13.1%. The purpose of this study is to evaluate the contributing factors to immediate postoperative TT blockage. Materials and Methods: Retrospective chart review was done, comparing rates of TT blockage within postoperative weeks 2. Analyzed factors include otic drops, the nature and amount of middle ear effusion, presence of middle ear mucosa edema or granulation, bleeding during operation, number of previous TT insertion, and the status of tympanic membrane (TM). Results: One hundred and twenty eight ears from 79 patients were enrolled in this study. Eleven TTs (8.6%) were occluded within postoperative weeks 2. Ears using the otic drops, Ciprobay® and Tarivid®, showed significantly greater rate of tube blockage (14.1%) than ears without using otic drops (1.8%). Glue efüsion caused the greatest rate (14.8%) of tube blockage than mucoid (9.6%) or serous (3.0%) efüsion· The amount of efüsion, the presence of mucosal edema or granulation, bleeding during operation, number of previous TT insertion and the status of TM were not associated with postoperative TT blockage. Conclusion: The result of this study indicates that the routine use of antibiotic-containing otic drop after the insertion of TT may not be a necessary procedure. Viscosity of effusion and bulging position of TM appeared to have an effect on the postoperative TT blockage. Thus, afer the surgery more attention should be paid to the ears with thicker middle ear effusion and bulging TM. (J Clinical Otolaryngol 2007;18:72–78)

Keywords: 삼출성 중이염; 중이 환기관; 합병증
Keywords: Otitis media with effusion; Tympanostomy tube insertions; Complications