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

소아 삼출성중이염에서 약물 및 수술적치료의 결과 및 예후에 관한 연구

정학현1, 이종환1, 임현호1, 최종욱1, 유홍균1
Hak Hyun Jung1, Jong Hwan Lee1, Hyun Ho Lim1, Jong Ouck Choi1, Hong Kyun Yoo1
1고려대학교 의과대학 이비인후과학교실
1Department of Otolaryngology,College of Medicine, Korea University

© Copyright 1993 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.

Published Online: May 31, 2020

ABSTRACT

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.

Keywords: Otitis Media with Effusion; Ventilation Tube; Sequelae